Risk Trajectories of Self-Destructiveness in Adolescence: Family Core Influences

The study of family factors, (namely, parenting, attachment and family functioning) that can either reduce or increase risk factors during adolescent development is crucial to the early identification of adolescents at risk for self-destructive thoughts and behaviors (SDTB). Altough several studies have highlighted the role of family factors, few have analysed the joint impact of parenting styles and attachment in SDT. This study aimed to: (1) to identify the dimensions of parenting styles and parental attachment that predict SDTB; (2) to determine the mediation effect of cohesion on the relation between these predictors and reports of SDTB; and (3) to analyze sex and age differences in the abovementioned process. Participants included 1,266 Portuguese adolescents with a mean age of 15.9 years. Structural equation modeling demonstrated that paternal and maternal rejection and paternal control were the most accurate predictors of SDTB, emphasizing their role as risk factors for maladaptive trajectories with reports of SDTB. Results clearly emphasized the relevancy of the fathers’ role in such maladaptive trajectories. Additionally, a mediation effect of cohesion and a moderation of sex were also found. This study highlights the importance of intervening with the family in preventive and therapeutic contexts regarding adolescents’ well-being and their relationship with parents

Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014

Abstract Background In the past decades Lithuania has been experiencing a very high suicide rate among young people and there are scarce data on the role of the family in shaping these people suicidal behaviour. This study investigated the prevalence of suicidal ideation and attempts, as well as their association with a range of familial factors in a representative sample of Lithuanian adolescents. Methods Study subjects (N = 3572) were adolescents aged 13- and 15-years from the schools in Lithuania who were surveyed in Spring 2014 according to the methodology of the cross-national Health Behaviour in School-aged Children (HBSC). A standard HBSC international questionnaire was translated into Lithuanian and used anonymously to obtain information about suicidal behaviour (stopped doing activities, considered suicide, planned suicide, and suicide attempts) and family life (family structure, quality of communication in family, parental monitoring and bonding, parenting style, family time, etc.). Logistic regression was used to assess association between suicidal behaviours and familial variables. Results Forty three percents of surveyed adolescents reported presence of emotions that stopped doing activities during the last 12 months, 23.8 % seriously considered attempting suicide, 13.7 % made a suicide plan, 13.2 % attempted suicide, and 4.1 % needed treatment because of suicide attempt in the previous year. Adolescents from non-intact families reported more suicidal ideation (OR ranged from 1.32 to 1.35, P < 0.05) and more suicide attempts (OR = 1.70, 95 % CI 1.38-2.09, P < 0.001). Among adolescents from intact families, some manisfestations of suicidal behaviour were significantly associated with low satisfaction in family relationships, low father’s and mother’s emotional support, low mother’s monitoring, low school-related parental support, authoritarian-repressive father’s parenting style and permissive-neglectful mother’s parenting style, but rare family time together and rare electronic media communication with parents were inversely associated with suicidal behaviour. The boys, 15-year-olds and adolescents who indicated often activities together with their families were more likely than their counterparts to report suicide attempts treated by a doctor or nurse. Conclusion The young people of Lithuania are at particular risk for suicides. A non-intact family structure and weak family functioning are significant predictors of suicidal ideation and attempts among adolescents of Lithuania. It is essential to consider family life practices in planning intervention programs for prevention of suicides among adolescents