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Cited by 33Suicide and Self-Harm StudiesChild and Adolescent Psychosocial and Emotional DevelopmentHeart Rate Variability and Autonomic Control

Disrupted physiological reactivity among children with a history of suicidal ideation: Moderation by parental expressed emotion-criticism

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James, Kiera M., Woody, Mary L., Feurer, Cope, Kudinova, Anastacia Y., Gibb, Brandon E.·2017·Biological Psychology
DOI 10.1016/j.biopsycho.2017.10.003PMC PMC5683922
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Abstract

Objective The goal of this study was to examine physiological reactivity during parent-child interactions in children with and without a history of suicidal ideation (SI), a group known to be at increased risk for suicidal thoughts and behaviors in the future. We also examined the potential moderating role of parental expressed emotion-criticism (EE-Crit) to determine whether the presence of parental criticism may help to identify a subgroup of children with a history of SI most at risk for physiological dysregulation. Method Participants were 396 children (age 7-11; 54% male, 71.7% Caucasian) and their biological parent. Children's levels of high frequency heart rate variability (HF-HRV) were assessed during a resting baseline period followed by a positive and negative discussion with their parent. Additionally, parents completed the Five-Minute Speech Sample to determine levels of EE-Crit toward their child, and children completed an interview assessing their history of SI. Results Consistent with our hypothesis, we found that exposure to parental criticism moderated the relation between a child's history of SI and their HF-HRV reactivity to the discussions. Specifically, while most children exhibited the typical pattern of HF-HRV suppression from baseline to both interactions, the highest risk children (i.e., children with a history of SI who also had highly critical parents) did not display any change in HF-HRV across the tasks, suggesting a failure to engage a typical psychophysiological response during emotional contexts. Conclusions These results suggest a specific physiological mechanism that may place these children at risk for suicidal thoughts and behaviors in the future.

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  • Children ages 7-11 with a history of suicidal ideation and parents rated high on expressed negative emotion did not show flexible RSA responses to a stressful discussion.

    “children ages 7–11 years with a history of suicidal ideation and who had parents rated high on expressed negative emotion did not show flexible RSA responses to a stressful discussion, suggesting a poor adaptive stress response (James et al. 2017)”

    From Adolescent Suicide as a Failure of Acute Stress-Response Systems. (2019) · cites this paper as James et al. 2017

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  1. First MB Spitzer RL Gibbon M Williams JBW 1995 Structured clinical interview for DSM-IV Axis I disorders-Patient edition (SCID-I/P) New York Biometrics Research Department, NY State Psychiatric Institute

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Authors
James, K. M., Woody, M. L., Feurer, C., Kudinova, A. Y., & Gibb, B. E.
Affiliations
Binghamton University (US)
Corresponding author
James, Kiera M.
ORCID
Venue
Biological Psychology
Publisher
Elsevier BV
Published
2017-12
Volume
130
Pages
22-29
ISSN
0301-0511 (ISSN-L)
DOI
10.1016/j.biopsycho.2017.10.003
PMC
PMC5683922
OpenAlex
W2762768673
Cited by
33
References
65
Citations by year
2026: 3 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 6 · 2018: 2
FWCI
3.73
Type
journal article
Language
en
Open access
Licence
Locations
  • Biological Psychology (acceptedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (MH098060)
  • National Science Foundation Graduate Research Fellowship Program (DGE1144464)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Keywords
suicidal ideation, children, parental criticism, parental expressed emotion, heart rate variability, physiological reactivity, parent-child interaction, physiological dysregulation, suicide risk, moderation
MeSH terms
Adaptation, Psychological, Child, Female, Heart Rate, Humans, Male, Parent-Child Relations, Parents, Parenting, Expressed Emotion, Suicidal Ideation

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