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Psychological and Family Factors Associated with Suicidal Ideation in Pre-Adolescents

Published online by Cambridge University Press:  10 April 2014

Ferran Viñas ,
Josepa Canals ,
Mª Eugenia Gras ,
Claudia Ros  and
Edelmira Domènech-Llaberia
Ferran Viñas*
Affiliation:
University of Girona
Josepa Canals
Affiliation:
Rovira i Virgili University
Mª Eugenia Gras
Affiliation:
University of Girona
Claudia Ros
Affiliation:
Autonomous University of Barcelona
Edelmira Domènech-Llaberia
Affiliation:
Autonomous University of Barcelona
*
Correspondence concerning this article should be addressed to Dr. Ferran Viñas Poch, Dto. de Psicología, Universitat de Girona. Plaça Sant Domènech, 9. 17071-Girona (Spain). E-mail: [email protected]
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Abstract

To assess the psychological and family factors associated with suicidal ideation in pre-adolescent children, we studied a sample of 361 students, average age 9 years old. Two groups were formed, on the basis of the presence (n = 34) or absence (n = 44) of suicidal ideation. Suicidal ideation was assessed with the Children's Depression Inventory and the Children's Depression Rating Scale-Revised. Depression, hopelessness, self-esteem, and perceived family environment were compared in both the suicidal ideation and the control groups. Students with suicidal ideation generally presented greater depressive symptoms and hopelessness, and lower self-esteem and family expressiveness, although there were differences both between sexes, and when the variable depression was controlled. Identifying these risk factors in pre-adolescents may have an impact on prevention of suicidal behavior at higher risk ages.

Con el objetivo de evaluar factores psicológicos y familiares asociados a la ideación suicida en niños prepúberes, se ha utilizado una muestra de 361 escolares con una edad media de 9 años, a partir de la cual se han constituido 2 grupos en función de la presencia (n = 34) o ausencia de ideación suicida (n = 44). La ideación suicida se ha evaluado con el Children's Depression Inventory y la Children's Depression Rating Scale Revised. La depresión, la desesperanza, la autoestima y la percepción del clima familiar se han comparado en el grupo con ideación suicida y el grupo control. Los alumnos con ideación suicida presentan en general mayor sintomatología depresiva, mayor desesperanza y menor autoestima y expresividad familiar, aunque existen diferencias según sexo y depresión. La identificación de estos factores de riesgo en prepúberes puede ser importante en la prevención de la conducta suicida en edades de mayor vulnerabilidad.

Keywords

suicidal ideationchildrendepressionhopelessnessself-esteem and perceived family environmentideación suicidaniñosdepresióndesesperanzaautoestimaambiente familiar percibido
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 5 , Issue 1 , May 2002 , pp. 20 - 28
Copyright
Copyright © Cambridge University Press 2002

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References

American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.(Spanish translation: Manual diagnóstico y estadístico de los trastornos mentales. Barcelona: Masson, 1995).Google Scholar
Arrufat, M.T. (1997). L'autoestima a l'adolescència: Adaptació a població espanyola dels questionaris Culture-Free Self-Esteem Inventory formes B i AD; relació amb variables psicopatològiques. Unpublished doctoral dissertation, Universitat Autónoma de Barcelona.Google Scholar
Asarnow, J.R. (1992). Suicidal ideation and attempts during middle childhood: Associations with perceived family stress and depression among child psychiatric inpatients. Journal of Clinical Child Psychology, 21, 35–40.CrossRefGoogle Scholar
Asarnow, J.R., Carlson, G.A., & Guthrie, D. (1987). Coping strategies, self-perceptions, hopelessness, and perceived family environments in depressed and suicidal children. Journal of Consulting and Clinical Psychology, 55, 361–366.CrossRefGoogle ScholarPubMed
Asarnow, J.R., & Guthrie, D. (1989). Suicidal behavior, depression, and hopelessness in child psychiatric inpatients: A replication and extension. Journal of Clinical Child Psychology, 18, 129–136.CrossRefGoogle Scholar
Bandim, J.M., Fonseca, L., & De Lima, J.M. (1997). Prevalência da ideaçâo suicida numa populaçâo de escolares do nordeste brasileiro. Jornal Brasileiro de Psiquiatria, 46, 477–481.Google Scholar
Battle, J. (1981). Culture-free self-esteem inventories for children and adults. Seattle, WA: Special Child Publications.Google Scholar
Beck, A.T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.Google Scholar
Beck, A.T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861–865.CrossRefGoogle ScholarPubMed
Campbell, N.B., Milling, L., Laughlin, A., & Bush, E. (1993). The psychosocial climate of families with suicidal pre-adolescent children. American Journal of Orthopsychiatry, 63, 142–145.CrossRefGoogle ScholarPubMed
Carlson, G.A., & Cantwell, D.P. (1982). Suicidal behavior and depression in children and adolescents. Journal of the American Academy of Child Psychiatry, 21, 361–368.CrossRefGoogle ScholarPubMed
Cobo, C. (1986). Estadísticas y reflexiones sobre actos suicidarios en niños y adolescentes españoles. Revista de Psiquiatría y Psicología Médica, 17, 253–268.Google Scholar
Cotton, C.R., & Range, L.M. (1993). Suicidality, hopelessness, and attitudes toward life and death in children. Death Studies, 17, 185–191.CrossRefGoogle Scholar
Cotton, C.R., & Range, L.M. (1996). Suicidality, hopelessness, and attitudes toward life death in clinical and nonclinical adolescents. Death Studies, 20, 601–610.CrossRefGoogle ScholarPubMed
De Man, A.F., & Leduc, C.P. (1995). Suicidal ideation in high school students: Depression and other correlates. Journal of Clinical Psychology, 51, 173–181.3.0.CO;2-R>CrossRefGoogle ScholarPubMed
De Man, A.F., Leduc, C.P., & Labrèche-Gauthier, L. (1993). Correlates of suicidal ideation in French-Canadian adolescents: Personal variables, stress, and social support. Adolescence, 28, 819–830.Google ScholarPubMed
Domènech-Llaberia, E., Canals, J., & Fernández-Ballart, J. (1992). Suicidal ideation among Spanish schoolchildren: A three-year follow-up study of a pubertal population. Personality and Individual Differences, 13, 1055–1057.CrossRefGoogle Scholar
Domènech-Llaberia, E., & Polaino, A. (1990). Epidemiología de la depresión infantil. Barcelona: Espaxs.Google Scholar
Dori, G.A., & Overholser, J.C. (1999). Depression, hopelessness, and self-esteem: Accounting for suicidality in adolescent psychiatric inpatients. Suicide and Life Threatening Behavior, 29, 309–318.CrossRefGoogle ScholarPubMed
Flisher, A.J. (1999). Annotation: Mood disorder in suicidal children and adolescents: Recent developments. Journal of Child Psychology and Psychiatry, 40, 315–324.CrossRefGoogle ScholarPubMed
Goldston, D.B., Daniel, S.S., Reboussin, D.M., Reboussin, B.A., Frazier, P.H., & Kelley, A.E. (1999). Suicide attempts among formerly hospitalized adolescents: A prospective naturalistic study of risk during the first 5 years after discharge. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 660–671.CrossRefGoogle ScholarPubMed
Groholt, B., Ekeberg, O., Wichstrom, L., & Haldorssen, T. (1998). Suicide among children and younger and older adolescents in Norway: A comparative study. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 473–481.CrossRefGoogle ScholarPubMed
Groholt, B., Ekeberg, O., Wichstrom, L., & Haldorssen, T. (2000). Young suicide attempters: A comparison between a clinical and an epidemiological sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 868–875.CrossRefGoogle Scholar
Gutiérrez, J.M. (1995). El suicidio consumado en Guipúzcua, 1990–92. Revista de Psicologia de la Salud, 7, 33–51.Google Scholar
Hollingshead, A.B. (1975). Four Factor Index of Social Status. Unpublished manuscript, Yale University, New Haven, CT.Google Scholar
Kashani, J.H., Reid, J.C., & Rosenberg, T.K. (1989). Levels of hopelessness in children and adolescents: A developmental perspective. Journal of Consulting and Clinical Psychology, 57, 496–499.CrossRefGoogle ScholarPubMed
Kazdin, A.E., French, N.H., Unis, A.S., Esveldt-Dawson, K., & Sherick, R.B. (1983). Hopelessness, depression, and suicidal intent among psychiatrically disturbed inpatient children. Journal of Consulting and Clinical Psychology, 51, 504–510.CrossRefGoogle ScholarPubMed
Kienhorts, C., Wolters, W., Diekstra, R., & Otte, E. (1987). A study of the frequency of suicidal behavior in children aged 5 to 14. Journal of Child Psychology and Psychiatry, 28, 153–165.Google Scholar
King, K.A. (1999). High school counselors often unsure about identifying teen suicide risk. American Journal of Health Behavior, 23, 457–467.CrossRefGoogle Scholar
Kosky, R. (1983). Childhood suicidal behaviour. Journal of Child Psychology and Psychiatry, 24, 457–468.CrossRefGoogle ScholarPubMed
Kovacs, M. (1983). The Children's Depression Inventory: A selfrated depression scale for school-aged youngsters. Unpublished manuscript, University of Pittsburgh, PA.Google Scholar
Kumar, G., & Steer, R.A. (1995). Psychosocial correlates of suicidal ideation in adolescent psychiatric inpatients. Suicide and Life Threatening Behavior, 25, 339–346.CrossRefGoogle ScholarPubMed
Marcelli, D. (1978). Suicidal attempts of the child: Statistical and general epidemiological aspects. Acta Paedopsychiatrica, 43, 213–221.Google ScholarPubMed
Marciano, P.L., & Kazdin, A. (1994). Self-esteem, depression, hopelessness, and suicidal intent among psychiatrically disturbed inpatient children. Journal of Clinical Child Psychology, 23, 151–160.CrossRefGoogle Scholar
Mardomingo, M.J. (1995). Los intentos de suicidio. In Sacristán, J.R. (Ed.), Psicopatología del niño y del adolescente (pp. 709–714). Sevilla, Spain: Publicaciones de la Universidad de Sevilla.Google Scholar
Milling, L., Campbell, N.B., Bush, E., & Laughlin, A. (1996). Affective and behavioral correlates of suicidality among hospitalized preadolescent children. Journal of Clinical Child Psychology, 25, 454–462.CrossRefGoogle Scholar
Mitchell, M.G., & Rosenthal, D.M. (1992). Suicidal adolescents: Family dynamics and the effects of lethality and hopelessness. Journal of Youth and Adolescence, 21, 23–33.CrossRefGoogle ScholarPubMed
Monreal, P. (1988). Estudio de la sintomatología depresiva infantil en la provincia de Gerona: análisis de algunos factores individuales y psicosociales. Doctoral dissertation. Publicaciones de la Universitat Autónoma de Barcelona, Bellaterra, Spain.Google Scholar
Morano, C.D., Cisler, R.A., & Lemerond, J. (1993). Risk factors for adolescent suicidal behavior: Loss, insufficient familial support, and hopelessness. Adolescence, 28, 851–865.Google ScholarPubMed
Moos, R.H., & Moos, B.S. (1981). Family Environment Scale manual. Palo Alto, CA: Consulting Psychologists Press. [Spanish translation: Siesdedos N., de la Cruz M.V., & Cordero A. (1989). Escalas de Clima Social: familia (FES). Madrid: TEA.]Google Scholar
Myers, K.M., Burke, P., & McCauley, E. (1985). Suicidal behavior by hospitalized preadolescent children on a psychiatric unit. Journal of the American Academy of Child and Adolescent Psychiatry, 24, 474–480.Google ScholarPubMed
National Center for Health Statistics (2000). Table 8: Deaths and death rates for the leading causes of death in specified age groups, by race and sex: United States 1998. National Vital Statistics Reports 48 (11) (http://www.cdc.gov).Google Scholar
Overholser, J.C., Freiheit, S.R., & DiFilipo, J.M. (1997). Emotional distress and substance abuse as risk factors for suicide attempts. Canadian Journal of Psychiatry, 42, 402–408.CrossRefGoogle ScholarPubMed
Pfeffer, C.R. (1985). Self-destructive behavior in children and adolescents. Psychiatric Clinics of North America, 8, 215–226.CrossRefGoogle ScholarPubMed
Pfeffer, C.R. (1986). The suicidal child. New York: Guilford.Google Scholar
Pfeffer, C.R. (1989). Family characteristics and support systems as risk factors for youth suicidal behavior. Report of the Secretary's Task Force on Youth Suicide, 2, 71–79.Google Scholar
Pfeffer, C.R., Zuckerman, S., Plutchik, R., & Mizruchi, M.S. (1984). Suicidal behavior in normal school children: A comparison with child psychiatric inpatients. Journal of the American Academy of Child Psychiatry, 23, 416–423.CrossRefGoogle ScholarPubMed
Polaino, A., & Domènech-Llaberia, E. (1993). Prevalence of childhood depression: Results of the first study in Spain. Journal of Child Psychology and Psychiatry, 34, 1007–1017.CrossRefGoogle Scholar
Poznansky, E.O., Grossman, J.A., Buchbaum, Y., Banegas, M., Freeman, L., & Gibbons, R. (1984). Preliminary studies of the reliability and validity of the Children's Depression Rating Scale. Journal of the American Academy of Child and Adolescent Psychiatry, 23, 191–197.Google Scholar
Schotte, D.E., & Clum, G.A. (1982). Suicide ideation in a college population: A test of a model. Journal of Consulting and Clinical Psychology, 50, 690–696.CrossRefGoogle Scholar
Shaffer, D., Gould, M.S., Fisher, P., Trautman, P., Moreau, D., Kleinman, M., & Flory, M. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53, 339–348.CrossRefGoogle ScholarPubMed
Steer, R.A., Kumar, G., & Beck, A.T. (1993). Self-reported suicidal ideation in adolescent psychiatric inpatients. Journal of Consulting and Clinical Psychology, 61, 1096–1099.CrossRefGoogle ScholarPubMed
Torre, E., Chieppa, N., Imperatori, F., Jona, A., Ponzetti, D., Usai, C., & Zeppegno, P. (1999). Suicide and attempted in the province of Turin from 1988 to 1994: Epidemiological Analysis. European Journal of Psychiatry, 13, 77–86.Google Scholar
Velez, C.N., & Cohen, P. (1988). Suicidal behavior and ideation in a community sample of children: Maternal and youth reports. Journal of the American Academy of Child and Adolescent Psychiatry. 27, 349–356.CrossRefGoogle Scholar
Viñas, F., & Domènech-Llaberia, E. (1997). Prevalencia de la ideación suicida en la población escolar infantil. Acta Pediátrica Española, 55, 525–530.Google Scholar
Viñas, F., & Domènech-Llaberia, E. (1998). Versió catalana de l'escala de desesperança per a nens de Kazdin: Estudi de la seva fiabilitat i validesa. Revista de Psicología Universitas Tarraconensis, 20, 55–69.Google Scholar
Wechsler, D. (1949). Wechsler Intelligence Scale for Children. New York: The Psychological Corporation. [Catalan translation: Balaguer M., Casas J., & Martinez M.C. (1986). Escala d'Intelligencia Wechsler per a nens (WISC). Madrid: TEA.]Google Scholar
World Health Organization (2000). Preventing suicide. A resource for teachers and other school staff. Department of Mental Health. Geneva, Switzerland: W.H.O. [http://www.who.int/mental_health/documents/Suicide/res-teacher_web.pdf]Google Scholar