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Chunk #27 — 4. Discussion — 4.2. Limitations and strengths

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Parent and child psychopathology and suicide attempts among children of parents with alcohol use disorder.
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and female youth. Although a limitation, all of the hypothesized paths to youth suicide attempts tested in our conceptual model were statistically significant with the lone exception of the path from parent SA to offspring SA (see figure 1). Therefore, the relatively small number of SA in youth was generally not a limiting factor in testing our conceptual model. Moreover, there is precedence for prospective analyses of a limited numbers of suicide attempts over time, attributable to the low incidence rate of suicidal behavior. For example, a prior test of several predictors emphasized by Brent and Mann (2006) contained 11 suicide attempts over follow-up (Melhem, Brent, Ziegler et al., 2007). Although it is true that researchers have analyzed some large and informative longitudinal community surveys such as the National Longitudinal Study of Adolescent Health that contained large numbers of suicide attempts (Borowsky, Ireland, & Resnick, 2001; Kidd, Henrich, Brookmeyer et al., 2006), such studies have not contained detailed interviews with parents and offspring. A large and informative Scandinavian registry analysis of suicide attempts in offspring contained data on parents and offspring (Stenager & Qin, 2008), although a limitation is the reliance on clinical records’ data. We also did not examine