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Suicidal behaviors in depressed adolescents: Role of perceived relationships in the family

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Consoli, A. et Peyre, H. et Speranza, M. et Hassler, C. et Falissard, B. et Touchette, E. et Cohen, D. et Moro, M. R. et Révah-Lévy, A. (2013). Suicidal behaviors in depressed adolescents: Role of perceived relationships in the family. Child and Adolescent Psychiatry and Mental Health, 7 (1). ISSN 1753-2000 DOI 10.1186/1753-2000-7-8

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Résumé

Context: Suicide is the second leading cause of death in adolescents and young adults in Europe. Reducing suicides is therefore a key public health target. Previous studies have shown associations between suicidal behaviors, depression and family factors.Objective: To assess the role of family factors in depression and suicidality in a large community-based sample of adolescents and to explore specific contributions (e.g. mother vs. father; conflict vs. no conflict; separation vs. no separation) taking into account other risk factors.Methods: A cross-sectional sample of adolescents aged 17 years was recruited in 2008. 36,757 French adolescents (18,593 girls and 18,164 boys) completed a questionnaire including socio-demographic characteristics, drug use, family variables, suicidal ideations and attempts. Current depression was assessed with the Adolescent Depression Rating Scale (ADRS). Adolescents were divided into 4 groups according to suicide risk severity (grade 1 = depressed without suicidal ideation and without suicide attempts, grade 2 = depressed with suicidal ideations and grade 3 = depressed with suicide attempts; grade 0 = control group). Multivariate regressions were applied to assess the Odds Ratio of potential risk factors comparing grade 1, 2 or 3 risk with grade 0.Results: 7.5% of adolescents (10.4% among girls vs. 4.5% among boys) had ADRS scores compatible with depression; 16.2% reported suicidal ideations in the past 12 months and 8.2% reported lifetime suicide attempts. Repeating a year in school was significantly associated to severity grade of suicide risk (1 and 3), as well as all substance use, tobacco use (severity grades 2 and 3) and marijuana use (severity grade 3), for girls and boys. After adjustment, negative relationships with either or both parents, and parents living together but with a negative relationship were significantly associated with suicide risk and/or depression in both genders (all risk grades), and Odds Ratios increased according to risk severity grade.Conclusion: Family discord and negative relationship with parents were associated with an increased suicide risk in depressed adolescents. So it appears essential to take intrafamilial relationships into account in depressed adolescents to prevent suicidal behaviours. © 2013 Consoli et al.; licensee BioMed Central Ltd.

Type de document: Article
Mots-clés libres: Adolescent Community survey Depression Suicide Adolescent Depression Rating scale article cause of death cross-sectional study demography disease association disease severity drug use family relation female health survey human major clinical study male priority journal questionnaire rating scale risk factor substance abuse suicidal behavior tobacco
Date de dépôt: 18 avr. 2019 15:17
Dernière modification: 18 avr. 2019 15:17
Version du document déposé: Version officielle de l'éditeur
URI: http://depot-e.uqtr.ca/id/eprint/8687

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