Family environment and suicidal ideation among bipolar youth.

TitleFamily environment and suicidal ideation among bipolar youth.
Publication TypeJournal Article
Year of Publication2009
AuthorsGoldstein, TR, Birmaher B, Axelson D, Goldstein BI, Gill MK, Esposito-Smythers C, Ryan ND, Strober MA, Hunt J, Keller M
JournalArchives of suicide research : official journal of the International Academy for Suicide Research
Volume13
Issue4
Pagination378-88
Date Published2009
ISSN1543-6136
KeywordsAdolescent, Adolescent Behavior, Bipolar disorder, Child, Child Behavior, Family Relations, Female, Humans, Male, Parent-Child Relations, Peer Group, Personality Assessment, Social Environment, Suicide, Attempted, United States
Abstract

The objective of this study was to examine the association between family environment and suicidal ideation among youth with bipolar disorder. Subjects included 446 bipolar (BP) youth (age 7-17) enrolled in the Course and Outcome of Bipolar Youth study. Current suicidal ideation, family functioning and family stress were assessed at intake. BP youth with current suicidal ideation reported more conflict with their mother and less family adaptability. Ideators endorsed more stressful family events over the prior year and higher rates of specific familial stressors. Clinicians treating bipolar youth should consider family stress when conducting suicide risk assessment. Treatment goals may include enhancing family communication and addressing issues of loss.

DOI10.1001/archgenpsychiatry.2012.650
Alternate JournalArch Suicide Res