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      Parent-child attachment mediates the association between parental conflict perceptions and suicide intention: a cross-sectional survey among middle school students in China

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          Abstract

          Introduction

          Adolescent suicide is a prevalent issue globally, with various factors contributing to this phenomenon. This study aimed to investigate these factors and their interrelationships to better understand the causes of adolescent suicide and provide evidence for its prevention.

          Methods

          This study conducted among middle school students in Liaoning Province, China, from April to May 2016, A cross-sectional survey was administered to 1,028 students aged 10–19, using instruments such as the Behavior Questionnaire-Revised (SBQ-R), Children's Perception of Interparental Conflict Scale (CPIC), and revised version of Inventory of Parent Attachment (IPPA-R).

          Result

          Binary logistic regression analysis revealed that adolescents aged 15–19, adolescents with strong perceptions of parental conflict were at high risk of suicide intention. Adolescents living in rural areas, adolescents with high mother-child attachment, adolescents with high father-child attachment were at low risk of suicide intention. Furthermore, parent-child attachment played a mediating role between two dimensions of parental conflict perception (resolved situations and response effect) and suicide intention.

          Discussion

          The study concludes that adolescents living in urban areas, older adolescents, adolescents with a high level of parental conflict intensity, and those with low levels of parent-child attachment are at high risk of suicide intention. parent-child attachment played a mediating role between two dimensions of parental conflict perception (resolved situations and response effect) and suicide intention. Interventions aimed at reducing family conflicts and improving parent-child relationships are recommended to decrease the incidence of adolescent suicide.

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          Most cited references77

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          The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples.

          A. Osman, C L Bagge, P Gutierrez … (2001)
          Past suicidal behaviors including ideation and attempts have been identified as significant risk factors for subsequent suicidal behavior. However, inadequate attention has been given to the development or validation of measures of past suicidal behavior. The present study examined the reliability and validity of a brief self-report measure of past suicidal behavior, the Suicidal Behaviors Questionnaire-Revised (SBQ-R). Participants included psychiatric inpatient adolescents, high school students, psychiatric inpatient adults, and undergraduates. Logistic regression analyses provided empirical support for the usefulness of the SBQ-R as a risk measure of suicide to differentiate between suicide-risk and nonsuicidal study participants. Receiver operating characteristic (ROC) analyses indicated that the most useful cutoff scores on the SBQ-R were 7 for nonsuicidal samples, and 8 for clinical samples. Both the single SBQ-R Item 1 and SBQ-R total scores are recommended for use in clinical and nonclinical settings.
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            We Know Some Things: Parent-Adolescent Relationships in Retrospect and Prospect

            Laurence Steinberg (2001)
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              Adolescent suicide and suicidal behavior.

              Jeffrey A Bridge, Tina Goldstein, David A Brent (2006)
              This review examines the descriptive epidemiology, and risk and protective factors for youth suicide and suicidal behavior. A model of youth suicidal behavior is articulated, whereby suicidal behavior ensues as a result of an interaction of socio-cultural, developmental, psychiatric, psychological, and family-environmental factors. On the basis of this review, clinical and public health approaches to the reduction in youth suicide and recommendations for further research will be discussed.
              Article 0 comments Cited 289 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jiana Wang: URI : http://loop.frontiersin.org/people/1564276/overviewRole: Role: Role:
                Kun Chen: Role: Role:
                Xinyuan Huang: Role: Role:
                Zhiyu Jin: Role: Role: Role:
                Jing He: Role: Role:
                Bingsong Han: Role: Role: Role:
                Lin Feng: Role: Role:
                Nana Meng: Role: Role:
                Cong Yang: Role: Role: Role:
                Pin Yao: URI : http://loop.frontiersin.org/people/2207673/overviewRole: Role: Role:
                Zhe Li: Role: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Public Health
                Journal ID (iso-abbrev): Front Public Health
                Journal ID (publisher-id): Front. Public Health
                Title: Frontiers in Public Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-2565
                Publication date (Electronic): 03 April 2024
                Publication date Collection: 2024
                Volume: 12
                Electronic Location Identifier: 1332095
                Affiliations
                [1] 1School of Public Health, Health Science Center, Ningbo University, Ningbo , Zhejiang, China
                [2] 2Department of Social Medicine, School of Public Health, China Medical University, Shenyang , Liaoning, China
                [3] 3Department of Health Management, Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang , Liaoning, China
                [4] 4Department of Anesthesiology, The Fourth Affiliated Hospital of China Medical University, Shenyang , Liaoning, China
                Author notes

                Edited by: Pooja Saini, Liverpool John Moores University, United Kingdom

                Reviewed by: Angela Oktavia Suryani, Atma Jaya Catholic University of Indonesia, Indonesia

                Oscar F. Garcia, University of Valencia, Spain

                *Correspondence: Pin Yao yaopin@ 123456sj-hospital.org

                †These authors have contributed equally to this work and share first authorship

                Article
                DOI: 10.3389/fpubh.2024.1332095
                PMC ID: 11021730
                PubMed ID: 38633232
                SO-VID: 041d4e1f-0db8-41e4-8170-af4c8e695048
                Copyright © Copyright © 2024 Wang, Chen, Huang, Jin, He, Han, Feng, Meng, Yang, Yao and Li.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 02 November 2023
                Date accepted : 18 March 2024
                Page count
                Figures: 0, Tables: 7, Equations: 0, References: 77, Pages: 12, Words: 9449
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the National Natural Science Foundation of China under Grant number 71804191 and Liaoning Provincial Social Science Planning Fund Project Grand number L23CZX001.
                Categories
                Subject: Public Health
                Subject: Original Research
                Custom metadata
                section-at-acceptance Children and Health

                Keywords: suicide intention,parent-child attachment,parental perception conflicts,adolescents,mediation analysis
                Data availability:
                Keywords: suicide intention, parent-child attachment, parental perception conflicts, adolescents, mediation analysis

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