Parent and child psychopathology and suicide attempts among children of parents with alcohol use disorder.
- Authors
- Conner, Kenneth R; Bossarte, Robert M; Lu, Naiji; Kaukeinen, Kimberly; Chan, Grace; Wyman, Peter; Tu, Xin M; Goldston, David B; Houston, Rebecca J; Bucholz, Kathleen K; Hesselbrock, Victor M
- Year
- 2014
- Journal
- Archives of suicide research : official journal of the International Academy for Suicide Research
- PMID
- 24716789
- DOI
- 10.1080/13811118.2013.826154
- PMCID
- PMC4059391
Parents with psychopathology such as alcohol use disorder (AUD) that confers risk for suicide attempt (SA) may have children who are more likely to develop such psychopathology and to attempt suicide, suggesting that risk may be "transmitted" from parents to children. We examined this phenomenon during the transition from childhood to adolescence, when risk for SA increases dramatically. A cohort of 418 children were examined at average age 9.4 (range 7-14) years at enrollment (Time 1, childhood) and approximately 5 years later, prior to reaching age 18 (Time 2, adolescence). One or both biological parents, oversampled for AUD, were also interviewed. Structural equation models (SEM) examined father-child, mother-child, and either/both parent-child associations. The primary outcome was SA over follow-up among offspring, assessed at Time 2. As hypothesized, parental antisocial personality disorder predicted conduct disorder symptoms in offspring both during childhood and adolescence (parent-child model, father-child model) and maternal AUD predicted conduct disorder symptoms during childhood (mother-child model). However, we did not find evidence to support transmission of depression from parents to offspring either during childhood or adolescence, and parent psychopathology did not show statistically significant associations with SA during adolescence. In conclusion, we conducted a rare study of parent-to-child "transmission" of risk for SA that used a prospective research design, included diagnostic interviews with both parents and offspring, and examined the transition from childhood to adolescence, and the first such study in children of parents with AUD. Results provided mixed support for hypothesized parent-child associations.
Models of parent- and child influences on adolescent suicide attemptsNotes:>Results depict three structural equation models (SEM) using father-child (A), mother-child (B), and parent-child (C) data.>Sample sizes: father-child model (290 children, 199 fathers), mother-child model (394 children, 269mothers), parent-child model (418 children, 300 parents)>All numbers shown are standardized coefficients.>T2=assessment at mean follow-up of approximately 5 years.>*p < 0.05 / **p < 0.01>AUD=alcohol use disorder in parent, mother, or father; DUD=drug use disorder in parent, mother, or father; ASPD=antisocial personality disorder in parent, mother, or father.
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External
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|---|---|---|---|---|
| Gender discrimination and illicit drug use among African American and European American adolescents and emerging adults. | Ahuja M et al. | — | 2021 | → |
| Fathers' alcohol use and suicidal behaviour in offspring during youth and young adulthood. | Landberg J et al. | — | 2019 | → |
| Firearm Storage and Adult Alcohol Misuse Among Washington State Households With Children. | Morgan ER et al. | — | 2019 | → |
| Influence of socio-cultural factors on the emotional problems among college going young-adult children of parents with alcoholism: A study from South India. | Hebbani S et al. | — | 2018 | → |
| Systematic Literature Review of Attempted Suicide and Offspring. | Lunde I et al. | — | 2018 | → |
| The influence of family factors on time to suicidal ideation onsets during the adolescent developmental period. | Oppenheimer CW et al. | — | 2018 | → |
| Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis. | Castellví P et al. | — | 2017 | → |
| The Association Between Racial Discrimination and Suicidality among African-American Adolescents and Young Adults. | Arshanapally S et al. | — | 2017 | → |
| Exploring the risk factors contributing to suicide attempt among adolescents: A qualitative study. | Bazrafshan MR et al. | — | 2016 | → |