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Explaining risk for suicidal ideation in adolescent offspring of mothers with depression.
- Source :
- Psychological Medicine; Jan2016, Vol. 46 Issue 2, p265-275, 11p
- Publication Year :
- 2016
-
Abstract
- Background. It is well-established that offspring of depressed mothers are at increased risk for suicidal ideation. However, pathways involved in the transmission of risk for suicidal ideation from depressed mothers to offspring are poorly understood. The aim of this study was to examine the contribution of potential mediators of this association, including maternal suicide attempt, offspring psychiatric disorder and the parent-child relationship. Method. Data were utilized from a population-based birth cohort (ALSPAC). Three distinct classes of maternal depression symptoms across the first 11 years of the child's life had already been identified (minimal, moderate, chronic-severe). Offspring suicidal ideation was assessed at age 16 years. Data were analysed using structural equation modelling. Results. There was evidence for increased risk of suicidal ideation in offspring of mothers with chronic-severe depression symptoms compared to offspring of mothers with minimal symptoms (odds ratio 3.04, 95% confidence interval 2.19- 4.21). The majority of this association was explained through maternal suicide attempt and offspring psychiatric disorder. There was also evidence for an independent indirect effect via the parent-child relationship in middle childhood. There was no longer evidence of a direct effect of maternal depression on offspring suicidal ideation after accounting for all three mediators. The pattern of results was similar when examining mechanisms for maternal moderate depression symptoms. Conclusions. Findings highlight that suicide prevention efforts in offspring of depressed mothers should be particularly targeted at both offspring with a psychiatric disorder and offspring whose mothers have made a suicide attempt. Interventions aimed at improving the parent-child relationship may also be beneficial. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
CHILDREN of people with mental illness
CONFIDENCE intervals
MENTAL depression
INTERVIEWING
LONGITUDINAL method
RESEARCH methodology
MOTHERS
PARENT-child relationships
PROBABILITY theory
PSYCHOLOGICAL tests
QUESTIONNAIRES
REGRESSION analysis
RESEARCH funding
SELF-evaluation
STATISTICS
MATHEMATICAL variables
LOGISTIC regression analysis
DATA analysis
EDINBURGH Postnatal Depression Scale
STRUCTURAL equation modeling
SUICIDAL ideation
ODDS ratio
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 00332917
- Volume :
- 46
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Psychological Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 111830535
- Full Text :
- https://doi.org/10.1017/S0033291715001671