Emotional triggers and psychopathology associated with suicidal ideation in urban children with elevated aggressive-disruptive behavior

Peter A. Wyman; Patricia A. Gaudieri; Karen Schmeelk-Cone; Wendi Cross; C. Hendricks Brown; Luke Sworts; Jennifer West; Katharine C. Burke; Janaki Nathan

doi:10.1007/s10802-009-9330-4

Emotional triggers and psychopathology associated with suicidal ideation in urban children with elevated aggressive-disruptive behavior

Peter A. Wyman, Patricia A. Gaudieri, Karen Schmeelk-Cone, Wendi Cross, C. Hendricks Brown, Luke Sworts, Jennifer West, Katharine C. Burke, Janaki Nathan

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

39 Scopus citations

Abstract

8.6% suicidal ideation (SI) was found among 349 urban 6-9 year olds in the top tercile of aggressive-disruptive behavior. SI was associated with more self-reported depression, ODD, conduct problems, and ADHD symptoms (ES 0.70-0.97) and 3.5-5 times more clinically significant symptoms. Parents rated more symptoms in older children associated with SI compared to parents of similar age children without SI, including greater somatic and behavior problems in 8-9 year olds with SI. Parent ratings did not differentiate SI and non-SI in 6-7 year olds. SI frequently co-occurred with thoughts about death. Children described anger, dysphoria and interpersonal conflict as motivators/triggers for SI and worries about safety/health as motivator/triggers for thoughts about death, suggesting that problems managing emotionally challenging situations are a specific factor in initiating SI. Universal and indicated interventions for children to strengthen emotional self-regulation and behavioral control are recommended to complement the current emphasis on suicide prevention among adolescents.

Original language	English (US)
Pages (from-to)	917-928
Number of pages	12
Journal	Journal of Abnormal Child Psychology
Volume	37
Issue number	7
DOIs	https://doi.org/10.1007/s10802-009-9330-4
State	Published - Oct 2009

Funding

Acknowledgements We are grateful to the families and staff of the Rochester City School District, including our long-term colleague Mr. Gary Hewitt. We also thank the following individuals: Suzanne Coglitore and Mariya Petrova from the Resilience Project Team; and David B. Goldston, Thomas G. O’Connor and Anne J. Russ for helpful comments and improvements. We acknowledge support from the National Institute of Mental Health under grants R01 MH068423, and T32MH018911-18, and from the NIMH/NIDA under grants P20MH071897 (Developing Center for Public Health and Population Interventions for Preventing Suicide; E D Caine, PI) and R01MH40859.

Keywords

Aggressive-disruptive behaviors
Emotional triggers and psychopathology
Suicidal ideation
Urban children

ASJC Scopus subject areas

Psychiatry and Mental health
Developmental and Educational Psychology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s10802-009-9330-4

Cite this

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title = "Emotional triggers and psychopathology associated with suicidal ideation in urban children with elevated aggressive-disruptive behavior",

abstract = "8.6% suicidal ideation (SI) was found among 349 urban 6-9 year olds in the top tercile of aggressive-disruptive behavior. SI was associated with more self-reported depression, ODD, conduct problems, and ADHD symptoms (ES 0.70-0.97) and 3.5-5 times more clinically significant symptoms. Parents rated more symptoms in older children associated with SI compared to parents of similar age children without SI, including greater somatic and behavior problems in 8-9 year olds with SI. Parent ratings did not differentiate SI and non-SI in 6-7 year olds. SI frequently co-occurred with thoughts about death. Children described anger, dysphoria and interpersonal conflict as motivators/triggers for SI and worries about safety/health as motivator/triggers for thoughts about death, suggesting that problems managing emotionally challenging situations are a specific factor in initiating SI. Universal and indicated interventions for children to strengthen emotional self-regulation and behavioral control are recommended to complement the current emphasis on suicide prevention among adolescents.",

keywords = "Aggressive-disruptive behaviors, Emotional triggers and psychopathology, Suicidal ideation, Urban children",

author = "Wyman, {Peter A.} and Gaudieri, {Patricia A.} and Karen Schmeelk-Cone and Wendi Cross and Brown, {C. Hendricks} and Luke Sworts and Jennifer West and Burke, {Katharine C.} and Janaki Nathan",

note = "Funding Information: Acknowledgements We are grateful to the families and staff of the Rochester City School District, including our long-term colleague Mr. Gary Hewitt. We also thank the following individuals: Suzanne Coglitore and Mariya Petrova from the Resilience Project Team; and David B. Goldston, Thomas G. O{\textquoteright}Connor and Anne J. Russ for helpful comments and improvements. We acknowledge support from the National Institute of Mental Health under grants R01 MH068423, and T32MH018911-18, and from the NIMH/NIDA under grants P20MH071897 (Developing Center for Public Health and Population Interventions for Preventing Suicide; E D Caine, PI) and R01MH40859.",

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AU - Brown, C. Hendricks

AU - Sworts, Luke

AU - West, Jennifer

AU - Burke, Katharine C.

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Emotional triggers and psychopathology associated with suicidal ideation in urban children with elevated aggressive-disruptive behavior

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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