Family Conflict in Adolescents with Acute Suicidality, Depression, and Controls.

IF 2.2 3区医学 Q2 PSYCHIATRY

Archives of Suicide Research Pub Date : 2026-07-01 Epub Date: 2025-10-24 DOI:10.1080/13811118.2025.2571631

Carly Albaum, Eric Tu, Sherinne Clarissa, Yaron Finkelstein, Daphne Korczak

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引用次数: 0

Abstract

Objective: Family conflict is associated with adolescent depression and suicidality. Whether the conflict level differs among adolescents based on presenting concern is unknown. This study compared family conflict between adolescents with self-injurious thoughts and behavior (SITB), those with depression, and healthy controls with neither condition.

Method: Data were collected from 495 adolescents with SITB (n = 151), depression (n = 256), and healthy controls (n = 88). Adolescents were between 12 and 17 years old (M = 15.07, SD = 1.60; 65.3% female, 24.3% male, 10.4% nonbinary; 61.4% White). Family conflict was assessed by adolescent and parent report on the Conflict Behavior Questionnaire and compared by informant across diagnostic groups, controlling for demographic variables and depression status.

Results: Adolescents with SITB experienced greater conflict with their mothers than adolescents with depression (p = .033), and greater conflict with their mothers (p < .001) and fathers (p = .029) compared with controls. Adolescents with depression reported more conflict with mothers (p = .015), and not fathers (p = .232), compared with controls. Parents of adolescents with SITB (p = .002) or depression (p < .001) both reported greater family conflict than parents of controls. Parent report of family conflict did not differ between the two clinical groups (p = .814).

Conclusion: Adolescent and parent perceptions of family conflict differ across diagnostic groups, with adolescents experiencing SITB reporting the highest family conflict. The link between family conflict and mental health problems may be a function of presenting clinical concern, informant, and parent role.

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青少年急性自杀、抑郁和控制中的家庭冲突。

目的：家庭冲突与青少年抑郁和自杀倾向的关系。青少年之间的冲突程度是否因关心而不同尚不清楚。本研究比较了有自残想法和行为（SITB）的青少年、有抑郁症的青少年和没有这种情况的健康对照组之间的家庭冲突。方法：收集495例青少年SITB （n = 151）、抑郁症（n = 256）和健康对照（n = 88）的资料。青少年年龄在12 ~ 17岁之间（M = 15.07, SD = 1.60，女性65.3%，男性24.3%，非二元10.4%，白人61.4%）。在控制人口统计变量和抑郁状态的情况下，采用青少年和家长冲突行为问卷对家庭冲突进行评估，并对不同诊断组的被调查者进行比较。结果：SITB青少年与母亲的冲突高于抑郁青少年（p = 0.033），与母亲（p < 0.001）和父亲（p = 0.029）的冲突高于对照组。与对照组相比，患有抑郁症的青少年与母亲的冲突较多（p = 0.015），而与父亲的冲突较少（p = 0.232）。青少年SITB （p = .002）或抑郁症（p < .001）的父母报告的家庭冲突均高于对照组的父母。父母报告的家庭冲突在两组间无差异（p = .814）。结论：青少年和父母对家庭冲突的看法在诊断组中存在差异，经历SITB的青少年报告的家庭冲突最高。家庭冲突与心理健康问题之间的联系可能与临床表现、信息提供者和父母角色有关。

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

Archives of Suicide Research Multiple-

CiteScore

6.10

自引率

7.10%

发文量

期刊介绍： Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.