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Cited by 270Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseInjury Epidemiology and Prevention

The DOI matches its Crossref record; 45 of the 47 references it cites were found in a registry or an index.

Prevalence and Family-Related Factors Associated With Suicidal Ideation, Suicide Attempts, and Self-injury in Children Aged 9 to 10 Years

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DeVille, Danielle C., Whalen, Diana, Breslin, Florence J., Morris, Amanda S., Khalsa, Sahib S., Paulus, Martin P., Barch, Deanna M.·2020·JAMA Network Open
DOI 10.1001/jamanetworkopen.2019.20956PMC PMC7261143
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Abstract

Importance: Although suicide is a leading cause of death for children in the United States, and the rate of suicide in childhood has steadily increased, little is known about suicidal ideation and behaviors in children. Objective: To assess the overall prevalence of suicidal ideation, suicide attempts, and nonsuicidal self-injury, as well as family-related factors associated with suicidality and self-injury among preadolescent children. Design, Setting, and Participants: Cross-sectional study using retrospective analysis of the baseline sample from the Adolescent Brain Cognitive Development (ABCD) study. This multicenter investigation used an epidemiologically informed school-based recruitment strategy, with consideration of the demographic composition of the 21 ABCD sites and the United States as a whole. The sample included children aged 9 to 10 years and their caregivers. Main Outcomes and Measures: Lifetime suicidal ideation, suicide attempts, and nonsuicidal self-injury as reported by children and their caregivers in a computerized version of the Kiddie Schedule for Affective Disorders and Schizophrenia. Results: A total of 11 814 children aged 9 to 10 years (47.8% girls; 52.0% white) and their caregivers were included. After poststratification sociodemographic weighting, the approximate prevalence rates were 6.4% (95% CI, 5.7%-7.3%) for lifetime history of passive suicidal ideation; 4.4% (95% CI, 3.9%-5.0%) for nonspecific active suicidal ideation; 2.4% (95% CI, 2.1%-2.7%) for active ideation with method, intent, or plan; 1.3% (95% CI, 1.0%-1.6%) for suicide attempts; and 9.1% (95% CI, 8.1-10.3) for nonsuicidal self-injury. After covarying by sex, family history, internalizing and externalizing problems, and relevant psychosocial variables, high family conflict was significantly associated with suicidal ideation (odds ratio [OR], 1.12; 95% CI, 1.07-1.16) and nonsuicidal self-injury (OR, 1.09; 95% CI, 1.05-1.14), and low parental monitoring was significantly associated with ideation (OR, 0.97; 95% CI, 0.95-0.98), attempts (OR, 0.91; 95% CI, 0.86-0.97), and nonsuicidal self-injury (OR, 0.95; 95% CI, 0.93-0.98); these findings were consistent after internal replication. Most of children's reports of suicidality and self-injury were either unknown or not reported by their caregivers. Conclusions and Relevance: This study demonstrates the association of family factors, including high family conflict and low parental monitoring, with suicidality and self-injury in children. Future research and ongoing prevention and intervention efforts may benefit from the examination of family factors.

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  1. Moos, 1994, Family Environment Scale Manual

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Metadata

Authors
DeVille, D. C., Whalen, D., Breslin, F. J., Morris, A. S., Khalsa, S. S., Paulus, M. P., & Barch, D. M.
Affiliations
  • Laureate Institute for Brain Research (US)
  • Washington University in St. Louis (US)
  • Oklahoma State University (US)
Corresponding author
Breslin, Florence J.
ORCID
Venue
JAMA Network Open
Publisher
American Medical Association (AMA)
Published
2020-02-07
Volume
3
Issue
2
Pages
e1920956
ISSN
2574-3805 (ISSN-L)
DOI
10.1001/jamanetworkopen.2019.20956
PMC
PMC7261143
OpenAlex
W3004743412
Cited by
270
References
47
Citations by year
2026: 37 · 2025: 44 · 2024: 53 · 2023: 39 · 2022: 48 · 2021: 36 · 2020: 13
FWCI
13.61
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JAMA Network Open (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Commons@Becker (Washington University School of Medicine) (submittedVersion, cc-by)
Funders
  • National Endowment for the Arts
  • Wellcome Trust
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute
  • National Institute of Mental Health (K23MH118426, L30 MH108015)
  • National Institute on Drug Abuse (U01DA041106, U01DA041120, U01DA041156, U01DA041174, U01DA050989, U01DA041048, U24DA041147, U01DA041148, U01DA041022, U01DA041028, U01DA051039, U01DA041134, U01DA041025, U24DA041123, U01DA041093, U01DA041089, U01DA041117)
  • Office of Behavioral and Social Sciences Research
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
Keywords
suicidal ideation, suicide attempts, non-suicidal self-injury, children, preadolescents, family conflict, parental supervision, family cohesion, family communication, family history of suicide, internalizing problems, externalizing problems, prevalence, Adolescent Brain Cognitive Development Study, suicide prevention, family intervention, school-based prevention
MeSH terms
Child, Cross-Sectional Studies, Family Characteristics, Family Relations, Female, Humans, Male, Retrospective Studies, Risk Factors, Suicide, Attempted, United States, Prevalence, Self-Injurious Behavior, Suicidal Ideation

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