The Associations between Peer and Parental Relationships and Suicidal Behaviours in Early Adolescents

By Fotti, Sarah A.; Katz, Laurence Y. et al. | Canadian Journal of Psychiatry, October 2006 | Go to article overview

The Associations between Peer and Parental Relationships and Suicidal Behaviours in Early Adolescents


Fotti, Sarah A., Katz, Laurence Y., Afifi, Tracie O., Cox, Brian J., Canadian Journal of Psychiatry


Objective: To investigate associations between suicidal behaviours, including suicidal ideation and attempts, and poor peer and parental relationships in a nationally representative sample of Canadian adolescents aged 12 to 13 years.

Methods: We used Statistics Canada's National Longitudinal Survey of Children and Youth as the dataset. This cross-sectional sample included 1049 girls and 1041 boys aged 12 to 13 years. We obtained answers to self-report questionnaires that included measures of peer relationships, parental nurturance, and parental rejection, as well as information regarding suicidal ideation and attempts. Unadjusted and adjusted logistic regression models were used for the analysis. We included depression in the multiple logistic regression analysis. Analyses were run separately for boys and girls.

Results: The unadjusted logistic regression models found that, among early adolescent boys and girls, depression, poor peer relationships, decreased parental nurturance, and increased parental rejection were all significantly associated with suicidal ideation and attempts. However, after adjusting for all other variables in the multiple logistic regression models, poor peer relationships were no longer significantly associated with suicidal ideation among early adolescent boys and were only weakly associated among early adolescent girls.

Conclusions: Poor parental relationships and depression were more powerfully associated with suicidal ideation and attempts than were peer relationships in a nationally representative sample of boys and girls aged 12 to 13 years, and these factors may be important early intervention targets.

(Can J Psychiatry 2006;51:698-703)

Information on funding and support and author affiliations appears at the end of the article.

Clinical Implications

* It is important to target early interventions toward identifying and treating depression in early adolescents.

* For early adolescents, parental relationships may also be an important treatment target to prevent suicidal behaviours.

* Differences between early adolescent boys and girls require further research to determine whether they translate into differing interventions.

Limitations

* Data were collected entirely by self-report.

* The cross-sectional study design limits any interpretation in regard to possible causality among any of the variables examined.

* Demographic information, such as socioeconomic status and ethnicity, was not controlled.

Key Words: child, adolescent, peers, parents, suicidal behaviours

Adolescent suicidal behaviours, including ideation and attempts, are a relatively common psychiatric emergency (1), and such adolescents are at significant risk of completed suicide (2). Worldwide, suicide is the second-leading cause of death for individuals between the ages of 10 and 34 years (3). As a result of the high risk for suicide among adolescents, substantial research has been dedicated to investigating risk factors for completed suicide in this age group. Much of this research has been dedicated to the role of psychiatric disorders, prior suicide attempts, and familial psychiatric history (4-10). In addition, most of the research has focused on older adolescents, likely because the suicide rate increases dramatically after age 15 years (1,2,5,9-19). However, younger adolescents do attempt and complete suicide. In Canada, 51 children aged 14 years or younger completed suicide in 1997 (20).

To allow for intervention prior to completed suicide, it is important to understand risk factors for suicidal behaviours, including ideation and attempts. It is estimated that the rate of suicide attempts is at least 20 times greater than that of completed suicides (3). However, this may be underestimated because many attempts are unknown and undocumented. With regard to sex, the distribution of suicidal ideation and attempts has been previously reported to be about equal among youth aged 12 to 13 years, but rates for girls are 2 to 3 times higher than rates for boys by mid-to-late adolescence (8). …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

The Associations between Peer and Parental Relationships and Suicidal Behaviours in Early Adolescents
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.