Suicidal behavior in the family and adolescent risk behavior
Abstract
Purpose The purpose of this study was to examine the prevalence and sociodemographic characteristics of adolescents exposed to suicide attempts and suicide deaths by a family member and to evaluate the separate associations between exposure to a family member's suicide attempts or suicide death and risk behaviors, social-emotional functioning, and family connectedness.Method We performed a cross-sectional analysis of data collected in 1995 for wave I of the National Longitudinal Survey of Adolescent Health (n = 5,918). The independent variable was the exposure to suicidal behavior by a family member during the past 12 months (death by suicide, suicide attempt, and no suicidal behavior). The dependent variables were substance use, suicidal behavior, violent behavior, perceived shortened life expectancy, emotional distress, and parental and adolescent reports of family connectedness.Results In the year before the survey, 3.9% of adolescents experienced a family member's suicide attempt whereas 1.2% experienced a family member's death by suicide. In regression analyses adjusting for sociodemographic variables, adolescents who had experienced the suicide attempt of a family member were more likely than those with no exposure to report the following: cigarette and marijuana use, alcohol misuse, suicidal ideation and attempts, fighting and inflicting injuries, decreased life-expectancy, emotional distress, and decreased adolescent reports of parent-child and family connectedness. Adolescents who had experienced a family member's death by suicide were more likely to report marijuana use and alcohol misuse, suicidal ideation and attempts, inflicting severe injuries, and emotional distress.Conclusions Adolescents who have experienced suicide attempts or suicide deaths in the family show high levels of at-risk behaviors, most notably their own suicidal ideation and attempts.
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Increased risk of suicidal ideation and behaviour and at-risk behaviours has been observed among some suicide survivors, in both adolescent and adult samples.
“Such increased risk of suicidality has been observed in both adolescent [25] and adult samples of survivors [5].”
From Essential Questions on Suicide Bereavement and Postvention (2011) · cites this paper as [25]
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“In addition to increased suicide risk, exposure to parental suicide is related to a two-fold risk of attempted suicide (Cerel & Roberts, 2005; Niederkrotenthaler et al., 2012; Mittendorfer-Rutz, Rasmussen, & Wasserman, 2008).”
BackgroundInfluential
- Authors
- Cerel, J., & Roberts, T. A.
- Affiliations
- University of Rochester Medicine (US)
- Naval Medical Center Portsmouth (US)
- Corresponding author
- Cerel, Julie
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2005-04
- Volume
- 36
- Issue
- 4
- Pages
- 352.e8-352.e14
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2042815286
- Cited by
- 90
- References
- 20
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 7 · 2018: 4 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 7 · 2013: 5 · 2012: 5
- FWCI
- 5.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5t32mh020061-25)
- National Institute of Mental Health (T32-MH020061)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicide attempts, suicide mortality, family members, adolescents, adolescent risk behavior, suicidal ideation, substance use, alcohol abuse, cannabis use, violent behavior, emotional distress, family connectedness, life expectancy
- MeSH terms
- Adolescent, Adolescent Behavior, Cross-Sectional Studies, Emotions, Family Health, Female, Health Surveys, Humans, Male, Parent-Child Relations, Risk Factors, Risk-Taking, Stress, Psychological, Suicide, Attempted
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