title: Suicidal ideation in adolescents and their caregivers: a cross sectional survey in Japan.
abstract: Suicide is a leading cause of death in adolescence. Effective strategies are required to prevent suicide. We aimed to assess the prevalence of suicidal ideation in early teens and the relationship between family mental health and suicidal ideation of their child.
  
  
  
  A population-based survey in a rural town included 185 junior high school students and their caregivers. Suicidal ideation and mental states were assessed with General Health Questionnaire (GHQ) and Profile of Mood States (POMS) form.
  
  
  
  Nineteen (10.3 %) students experienced suicidal ideation in the preceding weeks and had more mental health problems than students without suicidal ideation. Caregivers of students with suicidal ideation demonstrated significantly higher suicidal depression scores in GHQ. Multivariate logistic regression analysis revealed that suicidal depression of caregivers was the most important factor for suicidal ideation of students.
  
  
  
  Suicidal ideation of children is associated with suicidal depression of their caregivers. For the prevention of suicide in adolescents, not only their own mental status but also that of caregivers should be taken into consideration.
authors.affiliation: Department of Neuropsychiatry, Ehime University Graduate School of Medicine, Toon City, Ehime, Japan. kkawabe@m.ehime-u.ac.jp.|Center for Child Health, Behavior and Development, Ehime University Hospital, Toon City, Ehime, Japan. kkawabe@m.ehime-u.ac.jp.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Kawabe
authors.affiliation: Department of Neuropsychiatry, Ehime University Graduate School of Medicine, Toon City, Ehime, Japan.|Center for Child Health, Behavior and Development, Ehime University Hospital, Toon City, Ehime, Japan.
authors.forename: Fumie
authors.initials: F
authors.lastname: Horiuchi
authors.affiliation: Department of Neuropsychiatry, Ehime University Graduate School of Medicine, Toon City, Ehime, Japan.
authors.forename: Marina
authors.initials: M
authors.lastname: Ochi
authors.affiliation: Center for Child Health, Behavior and Development, Ehime University Hospital, Toon City, Ehime, Japan.|Center for Sleep Medicine, Ehime University Hospital, Toon City, Ehime, Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Oka
authors.affiliation: Department of Neuropsychiatry, Ehime University Graduate School of Medicine, Toon City, Ehime, Japan.
authors.forename: Shu-Ichi
authors.initials: S
authors.lastname: Ueno
mesh_terms: D000293:Adolescent; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D003866:Depressive Disorder / Q000523:psychology; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008603:Mental Health; D013334:Students / Q000523:psychology*; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: Adolescent; Caregivers; General Health Questionnaire (GHQ); Profile of Mood States (POMS); Suicidal ideation; Suicide prevention