Suicidal thoughts and depressive feelings amongst Estonian school children: effect of family relationship and family structure

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Title Suicidal thoughts and depressive feelings amongst Estonian school children: effect of family relationship and family structure
Author Samm, Algi; Tooding, Liina-Mai; Sisask, Merike; Kolves, Kairi; Aasvee, Katrin; Värnik, Airi
Journal Name European Child & Adolescent Psychiatry
Year Published 2010
Place of publication Germany
Publisher Dr. Dietrich Steinkopff Verlag
Abstract Depressive feelings and suicidal ideation in a non-clinical sample of adolescents in Estonia were analysed in the context of family structure, mutual relationships amongst family members and schoolchildren's preferences regarding intimate personal contacts with particular family members. Data from the WHO collaborative study 'Health Behaviour in School-aged Children 2005/2006' (HBSC) were used. A representative sample of schoolchildren aged 11, 13 and 15 years completed the semi-structured questionnaire. The analyses included only adolescents living in households with at least one birth parent. The subjects were 4,389 schoolchildren (2,178 boys and 2,211 girls), who were divided into three groups based on: (1) suicidal thoughts, with or without depressive feelings; (2) depressive feelings; and (3) neither suicidal thoughts nor depressive feelings. Multinomial logistic regression was used. The proportion of depressive feelings increased with age for both boys and girls. Girls expressed depressive feelings more frequently than boys from ages 13 and 15 years, and suicidal thoughts from age 15 years. Self-reported satisfaction with relationships in the family reduced the likelihood of depressive feelings and suicidal thoughts. Good communication with the parents reduced the likelihood of suicidal thoughts in all age groups. Adolescents who were satisfied with their family relationships suffered less frequently from depressive feelings and suicidal thoughts. The best environment for an adolescent was a family with both birth parents. Of the adolescents in 'non-intact' families, those with a step-parent in the family showed suicidal thoughts more frequently than those in single-parent families. Associations between family-related variables and suicidal thoughts were significant even after adjusting for family economic deprivation score.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1007/s00787-009-0079-7
Volume 19
Issue Number 5
Page from 457
Page to 468
ISSN 1018-8827
Date Accessioned 2010-11-25
Language en_AU
Faculty Griffith Health Faculty
Subject Clinical Sciences
URI http://hdl.handle.net/10072/35314
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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