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Published on: March 17, 2019
Suicidal behavior and parental psychopathology in hospitalized depressed children
R A Weller1, E B Weller, M A Fristad
1Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Insights
Hospitalized children with major depressive disorder (MDD) exhibit higher suicidal behavior. Parental psychopathology was common but not directly linked to the intensity of suicidal behavior in these children.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Clinical Psychology
Background:
- Suicidal behavior in children is a significant concern.
- Understanding the influence of parental psychopathology is crucial for effective interventions.
Purpose of the Study:
- To investigate suicidal behavior in hospitalized children diagnosed with major depressive disorder (MDD).
- To examine the relationship between child suicidal behavior and parental psychopathology.
Main Methods:
- Retrospective review of clinical interviews and diagnostic instruments for 58 hospitalized prepubertal children with MDD and 58 controls.
- Assessment of child suicidal behavior (ideation, intent, plans, attempts) and parental psychopathology history.
Main Results:
- MDD children showed significantly more suicidal ideation, intent, plans, and attempts than control children.
- Parental psychopathology was prevalent across all child groups, irrespective of suicidal behavior.
- The intensity of suicidal behavior in children did not correlate with specific patterns of parental psychopathology.
Conclusions:
- Hospitalized children with MDD demonstrate elevated suicidal behavior compared to other psychiatric inpatients.
- While parental psychopathology is common, it does not appear to directly influence the intensity of suicidal behavior in their hospitalized children.
Abstract:
This study describes the suicidal behavior of hospitalized depressed children and assesses its relationship to psychopathology and suicidal behavior in their parents. Subjects were 58 consecutively hospitalized prepubertal children with a primary diagnosis of major depressive disorder (MDD), and 58 age- and gender-matched children hospitalized for psychiatric diagnoses other than a mood disorder. Clinical interviews and structured diagnostic instruments were reviewed to determine the children's suicidal behavior and their parents' history of psychopathology. Suicidal ideation, suicidal intent, suicidal plans, and suicide attempts were more frequent in MDD children compared to nondepressed children. When MDD and control samples were stratified as to presence of suicidal behavior in the child, psychopathology was high in parents from all subgroups. Intensity of suicidal behavior in the depressed and non-depressed children was not associated with an altered pattern of psychopathology in their parents. Hospitalized MDD children had increased suicidal behavior compared to inpatient psychiatric control children. However, suicidal behavior in the children was not associated with increased psychopathology or an altered pattern of psychopathology in their parents.
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