Lived experiences of mothers: A longitudinal study of impacts and adjustment following adolescent psychiatric hospitalization for suicide attempts or other reasons.

IF 2.7 3区 医学 Q2 PSYCHIATRY
Suicide and Life-Threatening Behavior Pub Date : 2025-04-01 Epub Date: 2024-12-02 DOI:10.1111/sltb.13145
David B Goldston, Stephanie S Daniel, John F Curry, Karen C Wells, Otima Doyle, Bridget E Weller, Alaattin Erkanli, Alfiee M Breland-Noble, Nicole C Heilbron, Adrienne B Inscoe
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Abstract

Introduction: Parents play crucial roles in monitoring and supporting youth who have been hospitalized after suicide attempts, but their adjustment in the period following hospitalization has been understudied. This study assessed the adjustment and impacts on mothers during the year following hospitalization.

Method: Participants included 135 mothers of suicidal adolescents and 117 mothers of adolescents hospitalized for other reasons. The Structured Clinical Interview for DSM (SCID) and the Child and Adolescent Impact Assessment were used to assess psychiatric diagnoses of Major Depressive Disorder [MDD], Generalized Anxiety Disorder [GAD], and Post-Traumatic Stress Disorder [PTSD], and impacts on caregivers at one, three, six, and 12 months after hospitalization.

Results: Higher rates of MDD, GAD, and PTSD, and greater impacts were evidenced closer in time to the hospitalization. There were few overall differences between mothers of youth with and without suicidal behavior. However, family history of suicidal behavior was related to higher rates of MDD and PTSD, and greater severity of youth suicidal thoughts and behavior over the follow-up was related to greater impact upon mothers of suicidal youth.

Conclusions: This study highlights the mental health struggles of mothers of suicidal and other hospitalized youth and underscores the importance of support for caregivers.

母亲的生活经历:青少年因自杀企图或其他原因住院治疗后的影响和适应的纵向研究。
父母在监测和支持自杀未遂后住院的青少年方面发挥着至关重要的作用,但他们在住院后一段时间内的适应情况尚未得到充分研究。本研究评估了住院后一年内对母亲的调整和影响。方法:参与者包括135名自杀青少年的母亲和117名因其他原因住院的青少年母亲。采用结构化临床访谈法(SCID)和儿童与青少年影响评估法(Child and Adolescent Impact Assessment)评估重度抑郁症(MDD)、广泛性焦虑症(GAD)和创伤后应激障碍(PTSD)的精神诊断,以及住院后1、3、6和12个月对护理者的影响。结果:MDD、GAD和PTSD的发生率越接近住院时间越高,且影响越大。有和没有自杀行为的孩子的母亲之间的总体差异不大。然而,自杀行为的家族史与较高的重度抑郁症和创伤后应激障碍发生率有关,而在随访中,青少年自杀想法和行为的严重程度越大,对有自杀倾向的青少年的母亲的影响越大。结论:本研究强调了自杀和其他住院青少年的母亲的心理健康斗争,并强调了对照顾者的支持的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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