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Parental absence predicts suicide ideation through emotional disorders.

ABSTRACT: The objectives of the study were to investigate the association between the parental absence and suicide ideation and to examine the roles of emotional disorders in the aforementioned relationship. Four thousand five hundred and thirteen children from rural areas in Jiangsu Province, China, participated in the study. Among the participants, 2416 were non-left-behind children (children living with both parents) and 1997 were left-behind children (children living with the absence of at least one parent). All participants responded to the Center for Epidemiological Studies Depression Scale for Children, the Multidimensional Anxiety Scale for Children, and a question regarding respondents' suicide ideation. Results indicated that as compared with non-left-behind children, the left-behind children with both-parents absence were statistically more likely to show suicide ideation. Furthermore, all the three types parental absence-father absence, mother absence, and both-parents absence were significantly associated with negative emotional outcomes. Moreover, depression, social anxiety, and physical anxiety were shown to be significant mediators in the relationship of parental absence and suicide ideation of children. The stress of parental absence and its negative impact on children's mental health are discussed.

SUBMITTER: Fu M

PROVIDER: S-EPMC5720745 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Parental absence predicts suicide ideation through emotional disorders.

Fu Mingchen M Xue Yan Y Zhou Weihe W Yuan Ti-Fei TF

PloS one 20171207 12

The objectives of the study were to investigate the association between the parental absence and suicide ideation and to examine the roles of emotional disorders in the aforementioned relationship. Four thousand five hundred and thirteen children from rural areas in Jiangsu Province, China, participated in the study. Among the participants, 2416 were non-left-behind children (children living with both parents) and 1997 were left-behind children (children living with the absence of at least one p ...[more]

PMID: 29216233

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Project description:BackgroundThe adverse childhood experience (ACE) study found that risk for depression increased as a function of number of types of childhood maltreatment, and interpret this as a result of cumulative stress. An alternative hypothesis is that risk depends on type and timing of maltreatment. This will also present as a linear increase, since exposure to more types of abuse increases likelihood of experiencing a critical type of abuse at a critical age.Methods560 (223M/337F) young adults (18-25?years) were recruited from the community without regard to diagnosis and balanced to have equal exposure to 0-4 plus types of maltreatment. The Maltreatment and Abuse Chronology of Exposure Scale assessed severity of exposure to 10 types of maltreatment across each year of childhood. Major depressive disorder (MDD) and current symptoms were evaluated by SCID, interview, and self-report. Predictive analytics assessed importance of exposure at each age and evaluated whether exposure at one or two ages was a more important predictor than number, severity, or duration of maltreatment across childhood.ResultsThe most important predictors of lifetime history of MDD were non-verbal emotional abuse in males and peer emotional abuse (EA) in females at 14?years of age, and these were more important predictors across models than number of types of maltreatment (males: t 9?=?16.39, p?<?10(-7); females t 9?=?5.78, p?<?10(-4)). Suicidal ideation was predicted, in part, by NVEA and peer EA at age 14, but most importantly by parental verbal abuse at age 5 in males and sexual abuse at age 18 in females.ConclusionThis study provides evidence for sensitive exposure periods when maltreatment maximally impacts risk for depression, and provides an alternative interpretation of the ACE study results. These findings fit with emerging neuroimaging evidence for regional sensitivity periods. The presence of sensitive exposure periods has important implications for prevention, preemption, and treatment of MDD.

Dataset Information

Parental absence predicts suicide ideation through emotional disorders.

Publications

Parental absence predicts suicide ideation through emotional disorders.

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