Sluggish cognitive tempo is associated with suicide risk in psychiatrically hospitalized children

Journal of Child Psychology and Psychiatry and Allied Disciplines - Tập 57 Số 12 - Trang 1390-1399 - 2016
Stephen P. Becker1,2, Amanda R. Withrow2, Laura Stoppelbein3,4, Aaron M. Luebbe5, Paula J. Fite6, Leilani Greening7
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
2Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
3Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA
4Glenwood Autism and Behavioral Health Center, Birmingham, AL, USA
5Department of Psychology, Miami University, Oxford, OH, USA
6Clinical Child Psychology Program, University of Kansas, Lawrence, KS, USA
7Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, USA

Tóm tắt

BackgroundAlthough identified as a significant public health concern, few studies have examined correlates of suicide risk in school‐aged children. Recent studies show a relation between sluggish cognitive tempo (SCT) symptoms and a range of adverse outcomes linked to suicidal ideation, including depression, emotion dysregulation, lowered self‐esteem, and peer problems/social withdrawal, yet no study to date has examined SCT in relation to suicide risk.MethodsWe tested the hypothesis that SCT would be associated with suicide risk in a sample of 95 psychiatrically hospitalized children (74% male; 62% black) between the ages of 8 and 12 (M = 10.01, SD = 1.50). Parents completed measures of their child's psychiatric symptoms, including SCT and depression, as well as a measure of their own psychopathology. Children completed measures assessing loneliness and depression. Both parents and children completed measures of suicide risk.ResultsWhite children reported greater suicide risk than nonwhite children. After controlling for demographic characteristics, loneliness, parental psychopathology, and correlated psychiatric symptoms, including both parent‐ and child self‐reported depressive symptoms, SCT remained uniquely associated with children's suicide risk. Results were consistent across both parent and child measures of suicide risk.ConclusionsThis multi‐informant study provides strong preliminary support for an association between SCT symptoms and suicide risk in psychiatrically hospitalized children, above and beyond loneliness, depression, and demographic characteristics. Findings are discussed in the context of the interpersonal theory of suicide. Additional studies are needed to replicate and extend these findings, with a particular need for studies that examine the cognitive processes and daydreaming content of individuals displaying elevated SCT symptomatology.

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Tài liệu tham khảo

Achenbach T.M., 2001, Manual for the ASEBA school‐age forms and profiles

10.1016/j.jad.2011.05.008

10.2307/1130015

10.1007/s10802-013-9824-y

10.1007/s10802-011-9602-7

10.1016/j.psychres.2014.02.007

Becker S.P., Oxford textbook of attention deficit hyperactivity disorder

10.1016/j.jrp.2013.07.001

10.1016/j.jaac.2015.12.006

10.1007/s10802-013-9719-y

10.1037/pas0000083

10.1007/s10802-015-0066-z

10.1007/BF01664738

10.1037/pas0000325

Carlson C.L., 2002, Sluggish cognitive tempo predicts a different pattern of impairment in the attention deficit hyperactivity disorder, predominantly inattentive type, Journal of Clinical Child and Adolescent Psychology, 31, 123, 10.1207/S15374424JCCP3101_14

10.1080/13811110902835015

Cohen J., 2003, Applied multiple correlation/regression analysis for the behavioral sciences

10.1002/cpp.741

10.1002/bs.3830190102

10.1080/00223891.2012.662188

10.1521/suli.33.4.389.25231

10.1177/1087054714548033

10.1007/BF00917534

10.1007/s10578-011-0243-4

10.1177/1087054714527794

Folse V.N., 2006, Detecting suicide risk in adolescents and adults in an emergency department: A pilot study, Journal of Psychosocial Nursing and Mental Health Services, 44, 22, 10.3928/02793695-20060301-08

10.1177/1087054714539995

10.1007/s00127-005-0966-2

10.1111/j.1399-5618.2011.00954.x

10.1097/chi.0b013e318149e66f

Heron M., 2013, Deaths: Leading causes for 2010, National Vital Statistics Report, 62, 1

10.1037/a0029451

10.1016/j.jbtep.2007.10.004

10.1542/peds.107.5.1133

10.1111/j.1600-0447.2011.01798.x

10.1177/1087054714560821

10.1037/0021-843X.106.2.260

Kann L., 2014, Youth risk behavior surveillance—United States, 2013, MMWR Supplements, 63, 1

10.1080/15374410802698412

10.1006/jado.1998.0166

Kovacs M., 2010, Children's Depression Inventory 2nd Edition (CDI‐2): Technical manual

10.1080/15374416.2016.1144192

10.1007/s10802-013-9714-3

10.1111/jcpp.12505

10.1207/s15374424jccp2302_5

10.1007/s10802-013-9758-4

10.1126/science.1131295

McBurnett K., 2008, Attention deficit hyperactivity disorder: Concepts, controversies, new directions, 351

10.1007/s10802-013-9801-5

10.1016/j.brat.2007.07.015

10.1007/s10608-013-9524-5

10.1007/s10802-013-9725-0

10.1001/2013.jamapsychiatry.55

10.1038/mp.2009.29

10.1016/j.jad.2005.02.012

10.1097/00004583-199301000-00016

10.1207/S15374424JCCP2903_10

10.1007/s00787-008-1010-3

10.1177/0145445507300874

10.1016/S0165-0327(00)00158-0

10.1007/s10802-007-9119-2

10.1111/j.1553-2712.2007.tb02357.x

10.1037/a0018697

10.1097/00004583-198805000-00014

10.1007/s10802-013-9800-6

10.1177/1087054714560822

World Health Organization, 2014, Preventing suicide: A global imperative

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Thông tin xuất bản

Journal of Child Psychology and Psychiatry and Allied Disciplines

Tập 57 Số 12

1390-1399

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