Emotional Triggers and Psychopathology Associated with Suicidal Ideation in Urban Children with Elevated Aggressive-Disruptive Behavior |
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Authors: | Peter A Wyman Patricia A Gaudieri Karen Schmeelk-Cone Wendi Cross C Hendricks Brown Luke Sworts Jennifer West Katharine C Burke Janaki Nathan |
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Institution: | (1) Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA;(2) Center for Family Studies, Department of Epidemiology and Public Health, University of Miami, Miami, FL, USA |
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Abstract: | 8.6% suicidal ideation (SI) was found among 349 urban 6–9 year olds in the top tercile of aggressive-disruptive behavior.
SI was associated with more self-reported depression, ODD, conduct problems, and ADHD symptoms (ES 0.70–0.97) and 3.5–5 times
more clinically significant symptoms. Parents rated more symptoms in older children associated with SI compared to parents
of similar age children without SI, including greater somatic and behavior problems in 8–9 year olds with SI. Parent ratings
did not differentiate SI and non-SI in 6–7 year olds. SI frequently co-occurred with thoughts about death. Children described
anger, dysphoria and interpersonal conflict as motivators/triggers for SI and worries about safety/health as motivator/triggers
for thoughts about death, suggesting that problems managing emotionally challenging situations are a specific factor in initiating
SI. Universal and indicated interventions for children to strengthen emotional self-regulation and behavioral control are
recommended to complement the current emphasis on suicide prevention among adolescents. |
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