Chronic, early exposure to suicidal ideation in a parental figure: a pattern of presuicidal characteristics

This paper explores the possibility that chronic exposure in childhood to parental suicidal ideation and/or behavior places an individual at significant risk of suicide later in life. Two case studies that provide the basis for this formulation are presented. Possible mechanisms that may account for the development of this syndrome are explored. They include (1) the effects of a chronic sense of powerlessness and guilt; (2) imitation by the child of the parent's self-destructive attitudes and behavior; and (3) blocking of early identification with the other, nonsuicidal parent.