title: Family environment and suicidal ideation among bipolar youth.
abstract: The objective of this study was to examine the association between family environment and suicidal ideation among youth with bipolar disorder. Subjects included 446 bipolar (BP) youth (age 7-17) enrolled in the Course and Outcome of Bipolar Youth study. Current suicidal ideation, family functioning and family stress were assessed at intake. BP youth with current suicidal ideation reported more conflict with their mother and less family adaptability. Ideators endorsed more stressful family events over the prior year and higher rates of specific familial stressors. Clinicians treating bipolar youth should consider family stress when conducting suicide risk assessment. Treatment goals may include enhancing family communication and addressing issues of loss.
authors.affiliation: Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. goldsteintr@upmc.edu
authors.forename: Tina R
authors.initials: TR
authors.lastname: Goldstein
authors.forename: Boris
authors.initials: B
authors.lastname: Birmaher
authors.forename: David
authors.initials: D
authors.lastname: Axelson
authors.forename: Benjamin I
authors.initials: BI
authors.lastname: Goldstein
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Gill
authors.forename: Christianne
authors.initials: C
authors.lastname: Esposito-Smythers
authors.forename: Neal D
authors.initials: ND
authors.lastname: Ryan
authors.forename: Michael A
authors.initials: MA
authors.lastname: Strober
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Hunt
authors.forename: Martin
authors.initials: M
authors.lastname: Keller
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001714:Bipolar Disorder / Q000453:epidemiology* / Q000523:psychology*; D002648:Child; D002652:Child Behavior / Q000523:psychology*; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010379:Peer Group; D010552:Personality Assessment; D012931:Social Environment; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology