Mindful Continuing Education

Brief Study of How Family Relationships Impact Suicidal Behavior in Depressed Adolescents

Background

1. Suicidal behaviors are the most common reason for adolescent psychiatric hospitalizations in many countries, so reducing suicide and suicide attempts is a key public health target.

A. True B. False

2. Current models of suicide prevention and intervention in adolescents emphasize each of the following EXCEPT:

A. The importance of distinguishing suicidal ideation, non-suicidal self-harm, suicide attempt and completed suicide B. The key role of depression in the transition from suicidal ideations to suicide attempts, in which depression is a strong proximal factor C. The role of family, peers, and community in the development of suicidal thoughts and actions D. The fact that the numerous risk factors identified do not capture the whole risk, which brings about the idea that protective factors should be taken into account for suicide risk prediction

Assessment

3. As a means to assess family risk factors that contribute to suicidal behaviors, the ESCAPAD survey was administered to more than 36,000 adolescents to obtain information about depression, suicide ideation, suicide attempts, family factors, and:

A. Coping mechanisms and problem-solving B. Confounding factors such as education level and socio-economics C. History of co-occurring mental health disorders D. The adolescent's support system

Results

4. A large majority of the youth sampled (38%), reported that they lived in single-parent homes, and when their parents were together, approximately 25% reported negative parental harmony.

A. True B. False

Discussion

5. When addressing the school environment, survey results confirmed previous risk factors for depression/suicidality in adolescents including:

A. School exclusion and academic difficulties B. Lack of positive relationships with school officials and peers C. Exposure to bullying and school violence D. Poor motivation and lack of academic support at home

6. Survey results consistently showed that negative relationships with either or both parents, and parents' living together in disharmony were significantly associated with depression and/or suicide risk for girls, but not for boys.

A. True B. False

7. Adolescents with suicidal behaviors are more likely to be living in non-intact families, and their environment is characterized by poor attachment, high levels of conflict, and:

A. Hostility and anger B. Emotional distress C. Economic hardships D. Problematic communication

8. According to one recent study, the most common proximal risk factor for completed suicide for subjects younger than 30 years was conflict with family members, partners or friends, which has important clinical implications for practitioners working with suicidal adolescents and young adults.

A. True B. False


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