Prevalence and Family-Related Factors Associated With Suicidal Ideation,Suicide Attempts, and Self-injury in Children Aged 9 to 10 Years

읽은 날	2020.08.25	학술지	JAMA network
제목	Prevalence and Family-Related Factors Associated With Suicidal Ideation, Suicide Attempts, and Self-injury in Children Aged 9 to 10 Years
저자	Danielle C. DeVille, MA; Diana Whalen, PhD; Florence J. Breslin, MS; Amanda S. Morris, PhD; Sahib S. Khalsa, MD, PhD; Martin P. Paulus, MD; Deanna M. Barch, PhD
한줄요약	Children의 suicidality와 몇몇 family factor의 연관성 조명
초록	-IMPORTANCE   Although suicide is a leading cause of death for children in the United States, and the rate of suicide in childhood has steadily increased, little is known about suicidal ideation and behaviors in children. -OBJECTIVE   To assess the overall prevalence of suicidal ideation, suicide attempts, and nonsuicidal self-injury, as well as family-related factors associated with suicidality and self-injury among preadolescent children. -DESIGN, SETTING, AND PARTICIPANTS   Cross-sectional study using retrospective analysis of the baseline sample from the Adolescent Brain Cognitive Development (ABCD) study. This multicenter investigation used an epidemiologically informed school-based recruitment strategy, with consideration of the demographic composition of the 21 ABCD sites and the United States as a whole. The sample included children aged 9 to 10 years and their caregivers. -MAIN OUTCOMES AND MEASURES   Lifetime suicidal ideation, suicide attempts, and nonsuicidal self-injury as reported by children and their caregivers in a computerized version of the Kiddie Schedule for Affective Disorders and Schizophrenia. -RESULTS   A total of 11 814 children aged 9 to 10 years (47.8%girls; 52.0%white) and their caregivers were included. After poststratification sociodemographic weighting, the approximate prevalence rates were 6.4%(95%CI, 5.7%-7.3%) for lifetime history of passive suicidal ideation; 4.4%(95%CI, 3.9%-5.0%) for nonspecific active suicidal ideation; 2.4%(95%CI, 2.1%-2.7%) for active ideation with method, intent, or plan; 1.3%(95%CI, 1.0%-1.6%) for suicide attempts; and 9.1%(95%CI, 8.1-10.3) for nonsuicidal self-injury. After covarying by sex, family history, internalizing and externalizing problems, and relevant psychosocial variables, high family conflict was significantly associated with suicidal ideation (odds ratio [OR], 1.12; 95%CI, 1.07-1.16) and nonsuicidal self-injury (OR, 1.09; 95%CI, 1.05-1.14), and low parental monitoring was significantly associated with ideation (OR, 0.97; 95%CI, 0.95-0.98), attempts (OR, 0.91; 95%CI, 0.86-0.97), and nonsuicidal self-injury (OR, 0.95; 95%CI, 0.93-0.98); these findings were consistent after internal replication. Most of children’s reports of suicidality and self-injury were either unknown or not reported by their caregivers.
키워드	ABCD, adolescence sucide, KSADS, family factor
의의	청소년 자살과 특정 family factor(high family conflict, low parental monitering...)의 상관관계 제시
비판점	suicide는 여러 복합적인 요인으로 인해 발생하기 때문에 단순 상관관계로 보기는 어려움.