The Relationship Between Family Dynamics and Help-Seeking and Disclosure of Adolescent Self-Harm and Suicidality: A Population-Representative Study: Relation entre dynamique familiale et recherche d'aide, et dévoilement des actes d'automutilation et de la suicidalité chez les adolescents : étude représentative de la population.

IF 3.8 3区 医学 Q2 PSYCHIATRY
Nicole G Hammond, Christopher Gravel, Mark A Ferro, Hannah Landry, Marie-Claude Geoffroy, Nicole Racine, Ian Colman
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引用次数: 0

Abstract

BackgroundFew studies have explored the potential for family dynamics to hinder or promote help-seeking and disclosure behaviours among adolescents who self-harm or experience suicidality. We sought to examine whether family dynamics may influence self-harm-related disclosure to parents or other family members and online help-seeking.MethodsWe identified youths, 14-17 years, in the 2014 Ontario Child Health Study (OCHS) who self-reported past-year suicidal ideation (with or without a suicide plan or past suicide attempt[s]) and/or non-suicidal self-harm. The OCHS is a provincially representative, cross-sectional survey. The person most knowledgeable about the adolescent, usually the mother, reported family dynamics: family dysfunction and positive and negative parenting practices. We used logistic regression to generate adjusted odds ratios.ResultsA total of 359 adolescents positively endorsed past-year suicidal ideation and/or non-suicidal self-harm. Disclosure and help-seeking were common (≥67.3% and ≥25.6%, respectively). Adolescents experiencing suicidal ideation and greater family dysfunction were more likely to share their suicidal thoughts with non-family compared to not telling anyone (OR = 1.09, 95% CI: 1.01 to 1.18) and were less likely to tell their parents or other family members about their suicidal thoughts when compared to non-family such as teachers, partners, or friends (OR = 0.82, 95% CI: 0.71 to 0.94). Positive parenting was not associated with any form of disclosure or online help-seeking for non-suicidal self-harm or suicidal ideation. As adolescent exposure to negative parenting increased, so did the likelihood that they would seek help online for their suicidal thoughts (OR = 1.22, 95% CI: 1.08 to 1.37). Sensitivity analyses replicated or were very similar to findings from the main models.ConclusionWe found that negative family dynamics were related to reduced sharing of suicidal thoughts with parents or other family members and greater online help-seeking. Our findings suggest that the importance of negative family dynamics to disclosure and support-seeking for adolescent suicidality may be under-recognized.

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家庭动态与青少年自我伤害和自杀的寻求和披露之间的关系:一项人口代表性研究:家庭动态与寻求帮助和青少年自残和自杀行为披露之间的关系。
背景:很少有研究探讨家庭动态对阻碍或促进自我伤害或有自杀倾向的青少年寻求帮助和披露行为的潜在影响。我们试图研究家庭动态是否会影响对父母或其他家庭成员的自我伤害相关披露以及在线寻求帮助。方法:我们在2014年安大略省儿童健康研究(OCHS)中选取了14-17岁的青少年,他们自我报告过去一年的自杀意念(有或没有自杀计划或过去的自杀企图)和/或非自杀性自残。OCHS是一项具有省级代表性的横断面调查。最了解青少年的人,通常是母亲,报告了家庭动态:家庭功能障碍以及积极和消极的养育方式。我们使用逻辑回归来产生调整后的优势比。结果:共有359名青少年积极认同过去一年的自杀意念和/或非自杀性自残。披露和求助是常见的(分别为≥67.3%和≥25.6%)。与不告诉任何人相比,有自杀想法和家庭功能障碍较大的青少年更有可能与非家人分享他们的自杀想法(OR = 1.09, 95% CI: 1.01至1.18),而与非家人(如老师、伴侣或朋友)相比,更不可能告诉父母或其他家庭成员他们的自杀想法(OR = 0.82, 95% CI: 0.71至0.94)。积极的养育方式与任何形式的披露或在线帮助寻求非自杀性自残或自杀意念无关。随着青少年接触负面父母的增加,他们在网上寻求自杀念头帮助的可能性也增加了(OR = 1.22, 95% CI: 1.08至1.37)。敏感性分析与主要模型的结果重复或非常相似。结论:我们发现消极的家庭动态与减少与父母或其他家庭成员分享自杀想法和增加在线求助有关。我们的研究结果表明,消极的家庭动态对青少年自杀行为的披露和寻求支持的重要性可能被低估了。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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