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Open Access 01-12-2021 | Suicide | Protocol

Association of parenting with suicidal ideation and attempts in children and youth: protocol for a systematic review and meta-analysis of observational studies

Authors: Florence Perquier, Sarah Hetrick, Terri Rodak, Xin Jing, Wei Wang, Katherine T. Cost, Peter Szatmari, Madison Aitken

Published in: Systematic Reviews | Issue 1/2021

Abstract

Background

Suicide is a leading cause of death in children and youth, with suicidal thoughts and suicide attempts (referred to as non-fatal suicidal behaviors (NFSB)) being among its strongest predictors. Positive parenting (e.g., warmth, responsiveness), negative parenting (e.g., control, hostility), and parent-child relationship quality (e.g., trust, communication) have been reported to be associated with differences in NFSB in this population. To date, no comprehensive systematic review has considered together the wide range of parenting factors studied in relation to NFSB, and no meta-analysis of existing findings has been conducted. The present study will critically appraise and synthesize the existing evidence from observational studies that examine the relationships between parenting factors and (i) suicidal ideation and (ii) suicide attempt in children and youth.

Methods

Studies will be retrieved from APA PsycInfo, MEDLINE, CINAHL, Embase, Scopus, and the Cochrane Library databases. Retrospective, cross-sectional, and longitudinal studies, conducted in clinical and population settings, among youth aged less than 25 years and published as articles and dissertations in English or French will be eligible. Two reviewers will select articles using the Covidence Software after title and abstract screening and full-text assessment, will extract information using double data entry, and will appraise studies’ quality using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Any disagreements will be discussed with a third reviewer. Publication bias will be evaluated using funnel plots and Egger’s test. In addition to a narrative summary of results, meta-analyses will be conducted using results from at least three studies. Three-level random effect models will allow to derive pooled estimates from dependent effect sizes (from the same sample or study). In case of significant heterogeneity, moderation analyses will be performed considering participants’ characteristics and methodological aspects of studies. The results will be reported according to the PRISMA guidelines, and the certainty of evidence will be assessed using the GRADE approach.

Discussion

In highlighting parenting factors associated with NFSB and in estimating the overall strength of these associations in children and youth, our results will inform further intervention and prevention strategies designed for young people experiencing NFSB and their families.

Systematic review registration

PROSPERO CRD42020165345

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WHO | Suicide data [Internet]. [cited 2019 Nov 7]. Available from: https://www.who.int/mental_health/prevention/suicide/suicideprevent/en/

Han B, Compton WM, Blanco C, Colpe L, Huang L, McKeon R. National trends in the prevalence of suicidal ideation and behavior among young adults and receipt of mental health care among suicidal young adults. Journal of the American Academy of Child and Adolescent Psychiatry. 2018;57:20-27.e2.

Curtin SC, Heron M. Death Rates Due to Suicide and Homicide Among Persons Aged 10-24: United States, 2000-2017. NCHS Data Brief. 2019;1–8.

Suokas J, Suominen K, Isometsaè E, Ostamo A, Loènnqvist J. Long-term risk factors for suicide mortality after attempted suicide - findings of a 14-year follow-up study. Acta Psychiatrica Scandinavica. 2001;104(2):117–21. https://doi.org/10.1034/j.1600-0447.2001.00243.x.CrossRefPubMed

NIMH » Suicide [Internet]. [cited 2020 Jan 15]. Available from: https://www.nimh.nih.gov/health/statistics/suicide.shtml

Brezo J, Paris J, Barker ED, Tremblay R, Vitaro F, Zoccolillo M, et al. Natural history of suicidal behaviors in a population-based sample of young adults. Psychological Medicine. 2007;37(11):1563–74. https://doi.org/10.1017/S003329170700058X.CrossRefPubMed

Kovacs DM, George C. Maladaptive mood repair predicts suicidal behaviors among young adults with depression histories. Journal of Affective Disorders. Elsevier BV; 2019;

Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry. American Medical Association; 1999;56:617–26, 7, DOI: https://doi.org/10.1001/archpsyc.56.7.617.

Turecki G, Brent DA. Suicide and suicidal behaviour. The Lancet. Lancet Publishing Group; 2016. p. 1227–39.

10.

Robinson J, Bailey E, Witt K, Stefanac N, Milner A, Currier D, et al. What works in youth suicide prevention? A systematic review and meta-analysis. EClinicalMedicine. 2018;4–5:52–91.CrossRef

11.

Ougrin D, Tranah T, Stahl D, Moran P, Asarnow JR. Therapeutic interventions for suicide attempts and self-harm in adolescents: systematic review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry. Elsevier Inc.; 2015;54:97-107.e2.

12.

Fortune S, Cottrell D, Fife S. Family factors associated with adolescent self-harm: a narrative review. Journal of Family Therapy. United Kingdom: Wiley-Blackwell Publishing Ltd.; 2016;38:226–56.

13.

Hawton K, Saunders KEA, O’Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379(9834):2373–82. https://doi.org/10.1016/S0140-6736(12)60322-5.CrossRefPubMed

14.

Cha CB, Franz PJ, Guzmán EM, Glenn CR, Kleiman EM, Nock MK. Suicide among youth: epidemiology, (potential) etiology, and treatment. J Child Psychol Psychiatry. 2018;59(4):460–82. https://doi.org/10.1111/jcpp.12831.CrossRefPubMed

15.

Van Heeringen K. The neurobiology of suicide and suicidality. In Review W Can J Psychiatry. 2003.

16.

Rees C. Childhood attachment. Br J Gen Pract. 2007;57:920–2.CrossRef

17.

Zortea TC, Gray CM, O’Connor RC. The relationship between adult attachment and suicidal thoughts and behaviors: a systematic review. Arch Suicide Res. 2019;1–36.

18.

Kwok SYCL, Yeung JWK, Low AYT, Lo HHM, Tam CHL. The roles of emotional competence and social problem-solving in the relationship between physical abuse and adolescent suicidal ideation in China. Child Abuse Negl. 2015;44:117–29. https://doi.org/10.1016/j.chiabu.2015.03.020.CrossRefPubMed

19.

Mackin DM, Perlman G, Davila J, Kotov R, Klein DN. Social support buffers the effect of interpersonal life stress on suicidal ideation and self-injury during adolescence. Psychological Med. 2017;47:1149–61.CrossRef

20.

Pinquart M. Do the parent-child relationship and parenting behaviors differ between families with a child with and without chronic illness? A meta-analysis. J Pediatr Psychol. 2013;38(7):708–21. https://doi.org/10.1093/jpepsy/jst020.CrossRefPubMed

21.

Jacob T. Family Interaction and Psychopathology. In: Jacob T, editor. Family interaction and psychopathology: theories, methods and findings. Boston, MA: Springer US; 1987. p. 3–22. https://doi.org/10.1007/978-1-4899-0840-7_1.CrossRef

22.

O’Connor TG. Annotation: The ‘effects’ of parenting reconsidered: findings, challenges, and applications. J Child Psychol Psychiatry. 2002;43(5):555–72. https://doi.org/10.1111/1469-7610.00046.CrossRefPubMed

23.

Baumrind D. Authoritarian vs. authoritative parental control. Adolescence. 1968;3:255–72.

24.

Baumrind D. The influence of parenting style on adolescent competence and substance use. J Early Adolescence. 1991;11(1):56–95. https://doi.org/10.1177/0272431691111004.CrossRef

25.

Maccoby EE, Martin JA. Socialization in the context of the family: parent-child interaction. In: Mussen PH, Hetherington EM, editors. Handbook of Child Psychology: Vol 4 Socialization, Personality, and Social Development. New York: Wiley; 1983. p. 1–101.

26.

Parker G, Tupling H, Brown LB. A parental bonding instrument. British Journal of Medical Psychology. 1979;52(1):1–10. https://doi.org/10.1111/j.2044-8341.1979.tb02487.x.CrossRef

27.

Li J-B, Willems YE, Stok FM, Deković M, Bartels M, Finkenauer C. Parenting and self-control across early to late adolescence: a three-level meta-analysis. Perspect Psychol Sci. 2019;14(6):967–1005. https://doi.org/10.1177/1745691619863046.CrossRefPubMed

28.

Goschin S, Briggs J, Blanco-Lutzen S, Cohen LJ, Galynker I. Parental affectionless control and suicidality. J Affect Disord. 2013;151(1):1–6. https://doi.org/10.1016/j.jad.2013.05.096.CrossRefPubMed

29.

Yterdal RD. Parenting styles and parental bonding styles as risk factors for adolescent suicidality. The University of Arizona.; 2016 [cited 2020 Apr 9]; Available from: https://repository.arizona.edu/handle/10150/613809

30.

Singh V, Behmani RK. Parenting style and adolescent suicide ideation: a review. International Journal of Academic Research and Development. 2018;3:1245–52.

31.

Gorostiaga A, Aliri J, Balluerka N, Lameirinhas J. Parenting styles and internalizing symptoms in adolescence: a systematic literature review. International Journal of Environmental Research and Public Health. MDPI AG; 2019;16:3192.

32.

Swahn MH, Ali B, Bossarte RM, Van Dulmen M, Crosby A, Jones AC, et al. Self-harm and suicide attempts among high-risk, urban youth in the U.S.: shared and unique risk and protective factors. Int J Environ Res Public Health. 2012;9(1):178–91. https://doi.org/10.3390/ijerph9010178.CrossRefPubMedPubMedCentral

33.

Cheng Y, Tao M, Riley L, Kann L, Ye L, Tian X, et al. Protective factors relating to decreased risks of adolescent suicidal behaviour. Child Care Health Dev. 2009;35:313–22.CrossRef

34.

Paul E, Ortin A. Correlates of Suicidal Ideation and Self-harm in Early Childhood in a Cohort at Risk for Child Abuse and Neglect. Arch Suicide Res. 2019;23:134–50.CrossRef

35.

Bifulco A, Schimmenti A, Moran P, Jacobs C, Bunn A, Rusu AC. Problem parental care and teenage deliberate self-harm in young community adults. Bull Menninger Clin. 2014;78:95–114.

36.

Zaborskis A, Sirvyte D, Zemaitiene N. Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014. BMC Public Health. 2016;16:554.

37.

Kuramoto-Crawford SJ, Ali MM, Wilcox HC. Parent-Child Connectedness and Long-Term Risk for Suicidal Ideation in a Nationally Representative Sample of US Adolescents. Crisis. 2017;38:309–18.

38.

Arria AM, O’Grady KE, Caldeira KM, Vincent KB, Wilcox HC, Wish ED. Suicide ideation among college students: a multivariate analysis. Arch Suicide Res. 2009;13:230–46.

39.

Ackard DM, Neumark-Sztainer D, Story M, Perry C. Parent-child connectedness and behavioral and emotional health among adolescents. Am J Prev Med. 2006;30:59–66.

40.

Sheftall AH, Mathias CW, Furr RM, Dougherty DM. Adolescent attachment security, family functioning, and suicide attempts. Attach Hum Dev. 2013;15:368–83.

41.

Yap MBH, Pilkington PD, Ryan SM, Jorm AF. Parental factors associated with depression and anxiety in young people: a systematic review and meta-analysis. J Affect Disord. 2014;156:8–23.

42.

Yap MBH, Jorm AF. Parental factors associated with childhood anxiety, depression, and internalizing problems: a systematic review and meta-analysis. J Affect Disord. 2015;175:424–40.

43.

Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (prisma-p) 2015: Elaboration and explanation. BMJ (Online). BMJ Publishing Group; 2015.

44.

Pinquart M. Do the Parent-Child Relationship and Parenting Behaviors Differ Between Families With a Child With and Without Chronic Illness? A Meta-Analysis.

45.

Lereya ST, Samara M, Wolke D. Parenting behavior and the risk of becoming a victim and a bully/victim: A meta-analysis study. Child Abuse and Neglect. 2013;37:1091–108.

46.

Li J-B, Willems Y, Stok FM, Deković M, Bartels M, Finkenauer C. Parenting and self-control: A three-level meta-analysis. PsyArXiv;

47.

Fuligni AJ, Pedersen S. Family obligation and the transition to young adulthood. Dev Psychol. 2002;38:856–68.

48.

David Klonsky E, May AM. The three-step theory (3ST): A new theory of suicide rooted in the “ideation-to-action” framework. International Journal of Cognitive Therapy. Guilford Publications; 2015;8:114–29.

49.

Wichstrøm L. Predictors of non-suicidal self-injury versus attempted suicide: similar or different? Arch Suicide Res. 2009;13:105–22.

50.

Posner K, Oquendo MA, Gould M, Stanley B, Davies M. Columbia Classification Algorithm of Suicide Assessment (C-CASA): Classification of Suicidal Events in the FDA’s Pediatric Suicidal Risk Analysis of Antidepressants. Am J Psychiatry. 2007;164:1035–43.

51.

Schulz KF, Grimes DA. Case-control studies: research in reverse. Lancet. 2002;359:431–4.

52.

Pirkis J, Nicholas A, Gunnell D. The case for case-control studies in the field of suicide prevention. Epidemiol Psychiatr Sci. 2019;29:e62.

53.

Cochrane Handbook for Systematic Reviews of Interventions | Cochrane Training [Internet]. [cited 2020 Jan 14]. Available from: https://training.cochrane.org/handbook.

54.

Scherer RW, Saldanha IJ. How should systematic reviewers handle conference abstracts? A view from the trenches. Syst Rev. 2019;8:264.

55.

Study Quality Assessment Tools | National Heart, Lung, and Blood Institute (NHLBI) [Internet]. [cited 2020 Apr 9]. Available from: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.

56.

Stroup DF, Berlin JA, Morton SC, Alerts E. Epidemiology: A Proposal for Reporting Meta-analysis of Observational Studies in Correction Topic collections Intensivist Consultation and Outcomes in Critically Ill Patients Reprints/E-prints. JAMA. 2008;283:2041.

57.

Guyatt G, Oxman AD, Akl EA, Kunz R, Vist G, Brozek J, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol. 2011;64:383–94.

58.

Hox JJ. Multilevel Analysis: Techniques and Applications, Second Edition. 2010.

59.

Pastor DA, Lazowski RA. On the Multilevel Nature of Meta-Analysis: A Tutorial, Comparison of Software Programs, and Discussion of Analytic Choices. Multivariate Behavioral Research. Routledge; 2018;53:74–89.

60.

Van den Noortgate W, López-López JA, Marín-Martínez F, Sánchez-Meca J. Three-level meta-analysis of dependent effect sizes. Behavior Research Methods. 2013;45:576–94.

61.

Boeninger DK, Masyn KE, Conger RD. Testing alternative explanations for the associations between parenting and adolescent suicidal problems. J Res Adolescence. 2013;23:331–44.

62.

Higgins JPT, Thompson SG. Quantifying heterogeneity in a meta-analysis. Statistics in medicine. 2002;21:1539–58.

63.

King KA, Vidourek RA, Yockey RA, Merianos AL. Impact of Parenting Behaviors on Adolescent Suicide Based on Age of Adolescent. J Child Fam Stud. 2018;27:4083–90.

64.

Huang H-L, Peng W-D, Lin Y-C, Lee C-H, Hu C-Y, Huang S-T. Gender-specific factors associated with the suicidal ideation of children in Taiwan: A large-scale cross-sectional study. Int J Psychol. 2019;54:53–60.

65.

Donath C, Graessel E, Baier D, Bleich S, Hillemacher T. Is parenting style a predictor of suicide attempts in a representative sample of adolescents? BMC Pediatrics. BioMed Central Ltd.; 2014;14.

66.

Greening L, Stoppelbein L, Luebbe A. The moderating effects of parenting styles on African-American and Caucasian children’s suicidal behaviors. J Youth Adolesc. 2010;39:357–69.

67.

McKinnon B, Gariépy G, Sentenac M, Elgar FJ. Adolescent suicidal behaviours in 32 low- and middle-income countries. Bull World Health Organ. 2016;94:340-350F.

68.

Jaen-Varas D, Mari JJ, Asevedo E, Borschmann R, Diniz E, Ziebold C, et al. The association between adolescent suicide rates and socioeconomic indicators in brazil: A 10-year retrospective ecological study. Brazilian Journal of Psychiatry. Associacao Brasileira de Psiquiatria; 2019;41:389–95.

69.

Duval S, Tweedie R. Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56:455–63.

70.

Henry BM, Tomaszewski KA, Walocha JA. Methods of Evidence-Based Anatomy: a guide to conducting systematic reviews and meta-analysis of anatomical studies. Annals of Anatomy - Anatomischer Anzeiger. 2016;205:16–21.

71.

Mueller M, D’Addario M, Egger M, Cevallos M, Dekkers O, Mugglin C, et al. Methods to systematically review and meta-analyse observational studies: a systematic scoping review of recommendations. BMC Med Res Methodol. 2018;18.

72.

Maselko J. Social Epidemiology and Global Mental Health: Expanding the Evidence from High-Income to Low- and Middle-Income Countries. Curr Epidemiol Rep. 2017;4:166–73.

73.

Campisi SC, Carducci B, Akseer N, Zasowski C, Szatmari P, Bhutta ZA. Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey. BMC Public Health [Internet]. 2020 [cited 2021 May 4];20. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416394/.

74.

Gӧksan Yavuz B, Erensoy İY, Karamustafalioğlu O, Bakim B, Gϋndoğar A. Effects of Parental Attitudes Among a Group of High School Students in İstanbul. Noro Psikiyatr Ars. 2015;52:19–23.

75.

Sharaf AY, Thompson EA, El-Salam HFA. Perception of Parental Bonds and Suicide Intent Among Egyptian Adolescents. Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc. 2016;

76.

Tammariello AE, Gallahue NK, Ellard KA, Woldesemait N, Jacobsen KH. Parental involvement and mental health among Thai adolescents. Advances in School Mental Health Promotion. Taylor & Francis; 2012;5:236–45.

77.

Ahmad N, Cheong SM, Ibrahim N, Rosman A. Suicidal Ideation Among Malaysian Adolescents. Asia Pac J Public Health. SAGE Publications Inc; 2014;26:63S-69S.

78.

Randall JR, Doku D, Wilson ML, Peltzer K. Suicidal Behaviour and Related Risk Factors among School-Aged Youth in the Republic of Benin. PLoS One [Internet]. 2014 [cited 2021 May 4];9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3914941/.

79.

Grandclerc S, Labrouhe DD, Spodenkiewicz M, Lachal J, Moro M-R. Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review. PLOS ONE. Public Library of Science; 2016;11:e0153760.

80.

Turner RM, Davey J, Clarke MJ, Thompson SG, Higgins JP. Predicting the extent of heterogeneity in meta-analysis, using empirical data from the Cochrane Database of Systematic Reviews. International Journal of Epidemiology. 2012;41:818–27.

81.

Herbison P, Hay-Smith J, Gillespie WJ. Meta-analyses of small numbers of trials often agree with longer-term results. J Clin Epidemiol. 2011;64:145–53.

82.

Brent DA, Melhem N. Familial transmission of suicidal behavior. Psychiatr Clin North Am. 2008;31:157–77.

83.

Geulayov G, Gunnell D, Holmen TL, Metcalfe C. The association of parental fatal and non-fatal suicidal behaviour with offspring suicidal behaviour and depression: a systematic review and meta-analysis. Psychol Med. 2012;42:1567–80.

84.

O’Reilly LM, Kuja-Halkola R, Rickert ME, Class QA, Larsson H, Lichtenstein P, et al. The intergenerational transmission of suicidal behavior: an offspring of siblings study. Translational Psychiatry. Nature Publishing Group; 2020;10:1–11.

85.

Harold GT, Rice F, Hay DF, Boivin J, van den Bree M, Thapar A. Familial transmission of depression and antisocial behavior symptoms: disentangling the contribution of inherited and environmental factors and testing the mediating role of parenting. Psychol Med. 2011;41:1175–85.

Title: Association of parenting with suicidal ideation and attempts in children and youth: protocol for a systematic review and meta-analysis of observational studies
Authors: Florence Perquier
Sarah Hetrick
Terri Rodak
Xin Jing
Wei Wang
Katherine T. Cost
Peter Szatmari
Madison Aitken
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Suicide
Suicide
Published in: Systematic Reviews / Issue 1/2021
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/s13643-021-01727-0

At a glance: The STEP trials

Springer Medicine

Association of parenting with suicidal ideation and attempts in children and youth: protocol for a systematic review and meta-analysis of observational studies

Abstract

Background

Methods

Discussion

Systematic review registration

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Discussion

Systematic review registration

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