The Family Check-Up and Youth Suicide: Assessing Indirect Effects of Improving Self-Regulation and Reducing Depression in Promoting Long-Term Resilience.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI:10.1111/sltb.70029

Samuel Seidman, Sarah Danzo, Arin Connell, Elizabeth Stormshak

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引用次数: 0

Abstract

Objective: The Family Check-Up (FCU) is a family-focused prevention program originally developed to reduce externalizing behaviors, which has demonstrated improvements in internalizing behaviors and suicide. The present study attempted a conceptual replication of previous results from a separate trial of the FCU, initiated in early childhood, that found that the FCU predicts reductions in suicide risk via improvements in youth self-regulation.

Methods: The current study examined whether the FCU would predict reductions in youth suicidality via improvements in self-regulatory ability, in an independent trial of the FCU, initiated in early adolescence. The sample included 782 families, youth were 50.7% female, and 11 years old at baseline.

Results: Findings from previous trials were partially replicated, suggesting that improvements in self-regulatory skills in early adolescence support long-term reductions in suicide risk into early adulthood. However, the indirect effect of the FCU on suicide-related outcomes was only observed at the level of statistical trend in the current trial. Findings are discussed in the context of broader suicide treatments for youth involving family members and targeting important mechanisms of risk.

Trial registration: NCT01490307.

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家庭检查与青少年自杀：评估改善自我调节和减少抑郁对促进长期心理弹性的间接影响。

目的：家庭检查（FCU）是一个以家庭为中心的预防项目，最初是为了减少外化行为而开发的，它已经证明了内化行为和自杀的改善。目前的研究试图从概念上复制先前的FCU独立试验的结果，该试验始于儿童早期，发现FCU通过改善青少年自我调节来预测自杀风险的降低。方法：目前的研究在一项独立的FCU试验中检验了FCU是否能通过自我调节能力的提高来预测青少年自杀率的降低，该试验始于青春期早期。样本包括782个家庭，青年中女性占50.7%，基线年龄为11岁。结果：先前的研究结果被部分重复，表明青春期早期自我调节技能的提高有助于在成年早期长期降低自杀风险。然而，FCU对自杀相关结果的间接影响仅在当前试验的统计趋势水平上观察到。研究结果在涉及家庭成员和针对重要风险机制的更广泛的青少年自杀治疗的背景下进行了讨论。试验注册：NCT01490307。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

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.