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Research Trends

Suicidal Ideation, Risk Factors, and Communication With Parents

An HBSC Study on School Children in Estonia, Lithuania, and Luxembourg

Published Online:https://doi.org/10.1027/0227-5910/a000153

Background: Suicide is a leading cause of death among youth. In the year 2002, Lithuania had the 2nd, Luxembourg the 5th, and Estonia the 9th highest suicide rates among 15- to 19-year-olds across 90 countries worldwide. Suicidal ideation is a significant precursor to suicide. Aims: To report on the prevalence of and associations between suicidal ideation, smoking, alcohol consumption, physical fighting, bullying, and communication with parents among 15-year-old schoolchildren. Methods: The survey analyzes data from the 2005/2006 HBSC study from Estonia, Lithuania, and Luxembourg (N = 4,954). The risk factors were calculated through multinomial logistic regression analyses. Results: The overall prevalence of suicidal ideation in the preceding year was 17%. Suicidal thoughts were associated with communication difficulties with parents (OR from 2.0 to 4.6) and other risk factors, especially multiple risks (OR for 4–5 concurrent risk factors from 4.5 to 13.6). Parent-child communication had a significant mediating effect by decreasing the odds for suicidality and multiple risks. Limitations: The prevalence estimates were obtained by self-reports. The causal relationships need further investigation. Conclusion: The risk factors studied, particularly multiple risks, were associated with higher odds for suicidal ideation. Good parent-child communication is a significant resource for decreasing suicidal ideation among adolescents.

References

  • Afifi, T. O. , Cox, B. J. , Laurence, K. Y. (2007). The associations between health risk behaviours and suicidal ideation and attempts in a nationally representative sample of young adolescents. The Canadian Journal of Psychiatry, 52, 666–674. First citation in articleMedlineGoogle Scholar

  • Beautrais, A. L. (2003). Suicide and serious suicide attempts in youth: A multiple group comparison study. American Journal of Psychiatry, 160, 1093–1099. First citation in articleCrossref MedlineGoogle Scholar

  • Carris, M. J. , Sheeber, L. , Howe, S. (1998). Family rigidity, adolescent problem solving deficits and suicidal ideation: A mediational model. Journal of Adolescence, 21, 459–472. First citation in articleCrossref MedlineGoogle Scholar

  • Chapman, J. F. , Ford, J. D. (2008). Relationships between suicide risk, traumatic experiences, and substance use among juvenile detainees. Archives of Suicide Research, 12, 50–61. First citation in articleCrossref MedlineGoogle Scholar

  • Collins, W. A. , Russell, G. (1991). Mother child and father child relationships in middle childhood and adolescence: A developmental analysis. Developmental Review, 11, 99–136. First citation in articleCrossrefGoogle Scholar

  • Currie, C. , Gabhainn, S. N. , Godeau, E. , Roberts, C. , Smith, R. , Currie, D. , ... Barnekov, V. (2008). Inequalities in young people’s health: Hbsc international report from the 2005/2006 survey. Copenhagen: WHO Regional Office for Europe. First citation in articleGoogle Scholar

  • de Wilde, E. J. (2002). Adolescent suicidal behaviour: A general population perspective. In K. Hawton, K. Heeringen, (Eds.), The international handbook of suicide and attempted suicide (pp. 249–260). West Sussex, UK: Wiley. First citation in articleGoogle Scholar

  • Fleming, L. C. , Jacobsen, K. H. (2010). Bullying among middle school students in low and middle income countries. Health Promotion International, 25(1), 73–84. First citation in articleCrossref MedlineGoogle Scholar

  • Freeman, D. G. (1998). Determinants of youth suicide: The Easterlin Holinger cohort hypothesis reexamined. The American Journal of Economic and Sociology, 57, 183–199. First citation in articleGoogle Scholar

  • Gould, M. S. , Greenberg, T. , Velting, D. M. , Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 386–405. First citation in articleCrossref MedlineGoogle Scholar

  • HBSC . (2011). Health behavior in school aged children: A world health organization collaborative crossnational study. Retrieved from www.hbsc.org/index.html First citation in articleGoogle Scholar

  • Heidmets, L. , Samm, A. , Sisask, M. , Kõlves, K. , Aasvee, K. , Värnik, A. (2010). Sexual behavior, depressive feelings and suicidality among Estonian schoolchildren aged 13 to 15 years. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 31, 128–136. First citation in articleLinkGoogle Scholar

  • Jatoba, J. A. , Bastos, O. (2007). Depression and anxiety in adolescents from public and private schools. Jornal Brasileiro de Psiquiatria, 56, 171–179. First citation in articleCrossrefGoogle Scholar

  • Kaltiala-Heino, R. , Rimpela, A. , Marttunen, M. , Rimpelä, A. , Rantanen, P. (1999). Bullying, depression, and suicidal ideation in finnish adolescents: School survey. British Medical Journal, 319, 348–351. First citation in articleCrossref MedlineGoogle Scholar

  • Kessler, R. C. , Borges, G. , Walters, E. E. (1990). Prevalence of and risk factors for lifetime suicide attempts in the national comorbidity survey. Archives of Suicide Research, 56, 617–626. First citation in articleGoogle Scholar

  • Kienhorst, C. W. , De Wilde, E. J. , Van den Bout, J. , Broese Van Groenou, M. I. (1990). Self-reported suicidal behavior in Dutch secondary education students. Suicide and Life-Threatening Behavior, 20, 101–112. First citation in articleMedlineGoogle Scholar

  • King, C. A. , Merchant, C. R. (2008). Social and interpersonal factors relating to adolescent suicidality: A review of the literature. Archives of Suicide Research, 12, 181–196. First citation in articleCrossref MedlineGoogle Scholar

  • King, R. A. , Apter, A. (1996). Psychoanalytic perspectives on youth suicide. The Psychoanalytic Study of the Child, 51, 491–511. First citation in articleMedlineGoogle Scholar

  • King, R. A. , Schwab Stone, M. , Flisher, A. J. , Greenwald, S. , Kramer, R. A. , Goodman, S. H. , ... Gould, M. S. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of American Academy of Child and Adolescent Psychiatry, 40, 837–846. First citation in articleCrossref MedlineGoogle Scholar

  • Kuperminc, G. P. , Blatt, S. J. , Leadbeater, B. J. (1997). Relatedness, self-definition, and early adolescent adjustment. Cognitive Therapy and Research, 21, 301–320. First citation in articleCrossrefGoogle Scholar

  • Lahti, A. , Räsänen, P. , Riala, K. , Keränen, S. , Hakkp, H. (2011). Youth suicide trends in finland, 1969–2008. European Child and Adolescent Psychiatry, 52, 984–991. First citation in articleGoogle Scholar

  • Levin, K. A. , Currie, C. (2010). Family structure, mother-child communication, father-child communication, and adolescent life satisfaction: A cross-sectional multilevel analysis. Health Education, 110, 152–168. First citation in articleCrossrefGoogle Scholar

  • Lewinsohn, P. M. , Rohde, P. , Seeley, J. R. (1994). Psychosocial risk factors for future adolescent suicide attempts. Journal of Consulting and Clinical Psychology, 62, 297–305. First citation in articleCrossref MedlineGoogle Scholar

  • Möller Leimkühler, A. M. (2003). The gender gap in suicide and premature death or: Why are men so vulnerable? European Archives of Psychiatry And Clinical Neuroscience, 253, 1–8. First citation in articleCrossref MedlineGoogle Scholar

  • Nock, M. K. , Borges, G. , Bromet, E. J. , Alonso, J. , Angermeyer, M. , Beautrais, A. (2008). Cross national prevalence and risk factors for suicidal ideation, plans and attempts. The British Journal of Psychiatry, 192, 98–105. First citation in articleCrossref MedlineGoogle Scholar

  • Olweus, D. (1993). Bullying at school: What we know and what we can do. Cambridge, MA: Blackwell. First citation in articleGoogle Scholar

  • Pfeffer, C. R. , Normandin, L. , Kakuma, T. (1998). Suicidal children grow up: Relations between family psychopathology and adolescents’ lifetime suicidal behavior. The Journal of Nervous and Mental Disease, 186, 269–275. First citation in articleCrossref MedlineGoogle Scholar

  • Pompili, M. , Masocco, M. , Vichi, M. , Lester, D. , Innamorati, M. , Tatarelli, R. , Vanacore, N. (2009). Suicide among Italian adolescents: 1970–2002. European Child and Adolescent Psychiatry, 18, 525–533. First citation in articleCrossref MedlineGoogle Scholar

  • Roberts, C. , Freeman, J. , Samdal, O. , Schnohr, C. W. , de Looze, M. E. , Gabhainn, S. N. , ... International HBSC Group . (2009). The health behaviour in school aged children (HBSC) study: Methodological developments and current tensions. International Journal of Public Health, 54, 140–150. First citation in articleCrossref MedlineGoogle Scholar

  • Rudolph, K. D. , Conley, C. S. (2005). The socioemotional costs and benefits of social evaluative concerns: Do girls care too much? Journal of Personality, 73, 115–137. First citation in articleCrossref MedlineGoogle Scholar

  • Samm, A. , Tooding, L. M. , Sisask, M. , Kõlves, K. , Aasvee, K. , Värnik, A. (2009). Suicidal thoughts and depressive feelings amongst estonian schoolchildren: Effect of family relationship and family structure. Journal of European Child and Adolescent Psychiatry, 19, 457–468. First citation in articleCrossref MedlineGoogle Scholar

  • Samm, A. , Tooding, L. M. , Sisask, M. , Kõlves, K. , Aasvee, K. , Värnik, A. (2010). Suicidal thoughts and depressive feelings amongst estonian schoolchildren: Effect of family relationship and family structure. Journal of European Child and Adolescent Psychiatry, 19, 457–468. First citation in articleCrossref MedlineGoogle Scholar

  • Wagner, B. M. (1997). Family risk factors for child and adolescent suicidal behavior. Psychological Bulletin, 121, 246–298. First citation in articleCrossref MedlineGoogle Scholar

  • Wasserman, D. (2001). A stress vulnerability model and the development of the suicidal process. In D. Wasserman, (Ed.), Suicide: An unnecessary death (pp. 13–27). London: Martin Dunitz. First citation in articleCrossrefGoogle Scholar

  • Wasserman, D. (2006). Depression: The facts. New York: Oxford University Press. First citation in articleGoogle Scholar

  • Wasserman, D. , Cheng, Q. , Jiang, G. X. (2005). Global suicide rates among young people aged 15–19. World Psychiatry, 4, 114–120. First citation in articleMedlineGoogle Scholar

  • Wilkinson, D. , Gunnell, D. (2000). Youth suicide trends in Australian metropolitan and nonmetropolitan areas, 1988–1997. Australian and New Zealand Journal of Psychiatry, 34, 822–828. First citation in articleMedlineGoogle Scholar

  • Windle, M. (1992). A longitudinal study of stress buffering for adolescent problem behaviours. Developmental Psychology, 28, 522–530. First citation in articleCrossrefGoogle Scholar

  • Zalsman, G. , Brent, D. A. , Weersing, V. R. (2006). Depressive disorders in childhood and adolescence: An overview: Epidemiology, clinical manifestation and risk factors. Child and Adolescent Psychiatric Clinics of North America, 15, 827–841. First citation in articleCrossref MedlineGoogle Scholar

  • Žemaitiene, N. , Zaborskis, A. (2005). Suicidal tendencies and attitude toward freedom to choose suicide among Lithuanian schoolchildren: Results from three cross sectional studies in 1994, 1998, and 2002. BMC Public Health, 5(1), 83. First citation in articleCrossref MedlineGoogle Scholar