Adolescent Development Research Articles

Don't skip class: A new conceptual model for examining classism among adolescents and families

AbstractThis article introduces a new conceptual model for examining classism among adolescents and families. Classism refers to the discrimination that individuals experience because of their social class. For adolescents, social class refers to their family's social class and includes income, education, occupation, and position in society. Despite extensive research that has shown how social class is associated with adolescent development, there remains a gap in the knowledge about how classism might explain this association. To advance scholarship about classism among adolescents and families, I present a new model. This model integrates theories on (a) classism among adults, (b) discrimination among adolescents, (c) family science, (d) social class, and (e) intersectionality. I include hypotheses about the associations between classism and adolescent developmental outcomes and conclude with directions for future research.

Negative and positive urgency as pathways in the intergenerational transmission of suicide risk in childhood.

Parental suicide attempts and suicide death increase suicide risk in their offspring. High levels of impulsivity have been observed in families at high risk for suicide. Impulsivity, a highly heritable trait that is especially elevated in childhood, is frequently measured with the UPPS-P Impulsive Behavior Scale, which includes negative urgency, positive urgency, sensation seeking, premeditation, and perseverance. Our study examined the association between the UPPS-P facets and suicide ideation (without suicide attempts) and suicide attempts at baseline and first-time endorsement within the next two years in childhood. We also examined how the UPPS-P facets mediated the association between parental suicide attempts and suicide death and offspring first-time suicide ideation and attempts at follow-up. The sample was 9,194 children (48.4% female; 9-10 years old) from the Adolescent Brain Cognitive Development (ABCD) study, assessed yearly three times. At Time 1 (T1), caregivers reported on suicide attempts and suicide deaths (combined) of the biological parents. Caregivers and children reported on suicide ideation and attempts in the KSADS-PL DSM-5 at each time point, T1 and follow-up (T2 and/or T3). The Short UPPS-P Scale (child-report) assessed the impulsivity facets at T1, which were computed as latent variables. At T1, 6.7% of children had a parent who had attempted or died by suicide. Most UPPS-P facets were associated with suicide ideation and attempts at T1 and T2/T3. In adjusted models, parental suicide attempts and suicide death were associated with offspring negative and positive urgency. In mediation models, parental suicide attempts and suicide death had an indirect effect on offspring first-time suicide ideation at T2/T3 through negative urgency (OR = 1.04; 95% CI, 1.01-1.08) and positive urgency (OR = 1.03, 95% CI, 1.01-1.05). Similar results were found for first-time suicide attempts at T2/T3. Our findings support an impulsive pathway in the familial transmission of suicide risk. For all youth, interventions that target multiple UPPS-P facets may help prevent or reduce suicide risk. For offspring whose parents have attempted or died by suicide, clinicians should pay particular attention to children who impulsively act on extreme emotions, as they may be at higher suicide risk.

Understanding Digital Dementia and Cognitive Impact in the Current Era of the Internet: A Review.

Dementia encompasses symptoms resulting from brain damage that impairs cognitive functions, surpassing natural aging effects. This condition affects emotional regulation, behavior, and motivation while preserving consciousness. Dr. Manfred Spitzer coined the term 'digital dementia,' highlighting the cognitive decline associated with excessive reliance on digital devices such as smartphones and Google, potentially exacerbating attention deficit hyperactivity disorder (ADHD) and memory loss. This condition mirrors terms like 'digital amnesia' and 'the Google Effect,' highlighting the brain's tendency to offload peripheral information, leading to panic and forgetfulness. Spitzer's book, Digital Dementia, focuses on gaming effects on children and has thus popularized the term. Teenagers are known to use electronic devices regularly, correlating with rising cognitive impairments. The advent of the internet's fifth generation (5G) has transformed technology use, impacting mental health treatments and clinical practices globally. Digital media's influence on the developing brain encompasses motor skills, language, and cognition. Excessive digital media use in young adults correlates with lower cognitive empathy, affecting interpersonal understanding and facial recognition. Studies link heavy reliance on web-based media to decreased white matter integrity, crucial for language skills. Adolescents may be more vulnerable to anxiety and unrealistic expectations due to digital media overuse. Digital media overuse impacts brain development, especially cognitive and inhibitory control, attention, memory, and reasoning, essential for adapting to dynamic environments. Early exposure to fast-paced media can impair motor skills, spatial awareness, problem-solving, and language learning. Neuroimaging studies reveal that environmental factors like screen usage affect brain networks controlling social-emotional behavior and executive functions. Overreliance on smartphones diminishes gray matter in key brain regions, affecting cognitive and emotional regulation. The internet generation, characterized by advancements such as Web 3.0, introduces artificial intelligence and semantic web technologies, reshaping digital content processing. The neurobiological basis of digital dementia involves changes in the brain structure and function, with excessive screen exposure linked to cognitive impairments. Neuroplasticity, or the brain's adaptability, plays a role in cognitive decline from digital media overuse. Early childhood and adolescent brain development stages exhibit significant plasticity, influencing cognitive trajectories. Addressing digital dementia requires strategies to reduce screen time, promote cognitive exercises, and enhance awareness. Parents should regulate children's screen usage, encourage digital detox periods, and substitute screen time with other activities. Cognitive training programs such as Cogmed (Neural Assembly Int AB, Stockholm, SWE) and CogniFit (San Francisco, CA, USA) can improve memory and attention in older adults. Promoting balanced technology use and educating on the risks of excessive digital media consumption is crucial for maintaining cognitive health in the digital age.

Purpose development among Finnish adolescents

ABSTRACT This study investigates the development of Finnish adolescents’ perceptions of their life purposes and is based on a concept where purpose is understood as a long-term intention to accomplish something significant to the self while contributing to society. We follow 73 adolescents’ responses to online surveys in 2020 (N = 843) and 2022 (n = 73). At both timepoints, four purpose profiles were identified: Purposeful, Self-oriented, Dreamer, and Disengaged. Within two years, participants’ wish to contribute to the world had increased, with changes towards the Purposeful profile related to higher parental education and towards the Dreamer to female gender. Adolescents’ written responses showed at both timepoints that most of the written life purposes included a quest for happiness, development, and a career. Triangulation of the quantitative and qualitative data indicated similarities in purpose development, suggesting that the beyond-the-self orientation manifests later in adolescence.

Modeling Adolescent Disposition Development: Age-Related Changes in Psychosocial Processes Correlated with Substance Use

Modeling Adolescent Disposition Development: Age-Related Changes in Psychosocial Processes Correlated with Substance Use

Intersections of family expressiveness and adolescent mental health: exploring parent–adolescent relationships as a mediator

Purpose This study investigates the mediating role of parent−adolescent relationships in the impact of family emotional expressiveness on adolescent psychological adjustment. This study aims to elucidate the mechanisms by which positive family dynamics and strong parent−child bonds influence adolescents' psychological resilience and well-being. Design/methodology/approach The study involved 463 middle school students (241 boys and 222 girls) from Chlef, Algeria. Data was collected using the self-expressiveness in the family questionnaire (SEFQ), the parent−adolescent relationship scale (PARS) and the strengths and difficulties questionnaire (SDQ). Descriptive statistics, correlations and mediation analysis were performed to examine the relationships among family emotional expressiveness, parent−adolescent relationships and psychological adjustment. Findings The results reveal moderate positive correlations among family emotional expressiveness, parent−adolescent relationships and psychological adjustment. Mediation analysis indicates that parent−adolescent relationships partially mediate the effects of family emotional expressiveness on psychological outcomes, with both direct and indirect effects being statistically significant. Originality/value This study contributes to the field of mental health by exploring the nuanced interplay between family dynamics, parent−adolescent relationships and psychological adjustment within the Algerian cultural context. While the quantitative nature of the study limits the depth of contextual insights, the findings underscore the importance of considering family emotional expressiveness and the quality of parent−adolescent relationships in interventions aimed at promoting adolescent psychological well-being. The study highlights the partial mediating role of parent−adolescent relationships, indicating that other factors may also influence the association between family expressiveness and adolescent adjustment. This emphasizes the need for a comprehensive, culturally-sensitive approach that addresses various influences on adolescent development. It should be noted that while the family unit and parenting styles have been extensively researched, this study offers a fresh perspective by focusing on these dynamics within a specific cultural setting.

Analisis Pengaruh Media Sosial X Terhadap Sikap dan Perilaku Remaja Menggunakan K-Means Clustering

This research aims to analyze the influence of social media X on adolescent attitudes and behavior using the K-means clustering method. Social media has an important role in everyday life, especially among teenagers, who are vulnerable to external influences in shaping their attitudes and behavior. In this study, data was collected through a survey covering aspects such as frequency of use, type of content consumed, and social interactions on the platform. The K-means clustering method is used to group teenagers based on their patterns of social media use and the characteristics of their attitudes and behavior. The results of the analysis show that there are several clusters that indicate a significant relationship between the intensity of use of social media X and changes in teenagers' attitudes and behavior. These findings provide valuable insights for parents, educators, and policy makers in understanding the impact of social media on adolescent development and formulating strategies to mitigate its negative effects.

Study on the promoting effect of basketball training on adolescent physical and mental development

This paper discusses the promotion effect of basketball training on the physical and mental development of teenagers, aiming to provide theoretical support for youth physical education. Through a combination of literature review and empirical analysis, the effects of basketball training on adolescent physical health, psychological quality and social adaptability. Studies have shown that long-term participation in basketball training can not only significantly enhance the physical fitness of teenagers, such as cardiopulmonary function, strength and endurance, but also can effectively improve mental health, enhance self-confidence, stress resistance ability and teamwork awareness. In addition, basketball promotes the cultivation of teenagers' social communication ability and collective sense of honor. In general, basketball training plays an important role in promoting the all-round development of teenagers. It is suggested that basketball should be further promoted in school education to improve the overall quality of teenagers.

Influence of Smartphone Usage on development of Sexuality among Late Adolescent Boys in Health Sciences Colleges of South India

Background Better affordability of data plans and an increase in “budget” smartphones have resulted in an exponential rise in internet and smartphone users. The ease of access to sexually explicit material (SEM) coupled with adolescents’ impulsivity makes them prone to excessive SEM exposure and may affect the development of sexuality via the perceived realism of such content. This study was done to study the influence between problematic smartphone usage (PSU) and sexuality development among late adolescent boys. Methods One hundred and thirty-four adolescents aged 18-19 years, studying in a medical university, participated in this cross-sectional study. Smartphone Addiction Scale – short version (SAS-SV) to evaluate PSU and a content validated semi-structured proforma to evaluate gender identity, sexual orientation, sources of information on pubertal changes, and exposure to pornographic content was used. We expressed results as proportion and summary measures (Mean±SD), Chi-square test to find influence between PSU and adolescent sexuality development. Results We found a 45.5% prevalence of PSU. Among study participants, 88% were attracted to the opposite sex, 6% were attracted to the same-sex, and 6% were attracted to both sexes. Three per cent of participants liked wearing clothes of the opposite sex, 7.5% wanted to be members of the opposite sex, whereas 10.4% were not comfortable with their genitalia. They obtained information regarding pubertal changes from friends (85) and media (78). Many had exposure to pornographic content (90%), with the youngest being nine years old. Conclusion Nearly half of the late adolescents have PSU. Pornographic contents are accessed through Smartphones.

The developmental and dynamic relationship between psychopathology and psychotic-like experiences trajectories in children and adolescents

BackgroundThe previous cross-sectional and prospective studies have reported that psychopathology was associated with the occurrence of psychotic-like experiences (PLEs). However, few of these studies have examined this longitudinal association considering the different developmental trajectories of PLEs, as well as the growth or changes of psychopathology over time. MethodsFour waves PLEs and psychopathology assessments from Adolescent Brain Cognitive Development (ABCD) study were used. The latent class growth modeling (LCGM) and latent growth curve modeling (LGCM) was used to assess latent PLEs class (group) and time-varying psychopathology, respectively. Lastly, the multinomial logistic regression model was used to examined the dynamic and developmental relationship between intercept/slope in psychopathology and different PLEs trajectories. ResultsThree PLEs trajectory classes were confirmed: low decreasing PLEs (84.7 %), persistent PLEs (7.01 %) and high decreasing PLEs trajectories (8.29 %). We also found that the intercept of anxious/depressed problems and total problems scales and the slope of social problems were associated with the persistent PLEs trajectory compared with the low decreasing PLEs trajectories, indicating both the early onset and the growth of psychopathology over time are needed to be clinical attention. LimitationsThe CBCL as the sole outcome measure for psychopathology and a widely acknowledged definition for PLEs is lacking. We lacked the mechanisms underlying the current results. ConclusionThese longitudinal and dynamic results suggest that future intervention studies aimed at preventing the transition from persistent PLEs to psychotic disorders can focus on both the early onset and the growth of psychopathology over time.

Prevalence and sociodemographic associations with weight discrimination in early adolescents

ObjectivesTo evaluate the prevalence of weight discrimination (the perception of being treated unfairly based on weight) and its sociodemographic associations among early adolescents aged 10 to 13 in the United States. MethodsWe analyzed cross-sectional data from the Adolescent Brain Cognitive Development (ABCD) Study in Year Two (2018–2020). Multivariable logistic regression analyses were conducted, with perceived weight discrimination as the dependent variable and age, sex, sexual orientation, race and ethnicity, body mass index (BMI) category, household income, and highest parental education level as adjusted independent variables. Interaction with BMI category and weight discrimination by sex, sexual orientation, race and ethnicity, and household income was tested for. ResultsIn our analytical sample (N = 7129), we found that 5.46 % of early adolescents reported experiencing weight discrimination. Adolescents with BMI percentile ≥95th (adjusted odds ratio [AOR], 6.41; 95 % confidence interval [CI], 4.71–8.70), <5th (AOR, 3.85; 95 % CI, 2.10–7.07), and ≥85th to <95th (AOR, 2.22; 95 % CI, 1.51–3.25) had higher odds of experiencing weight discrimination compared to adolescents with BMI percentile 5th to <85th. Sex and race and ethnicity modified the relationship between BMI category and weight discrimination. Adolescents who identified as gay/bisexual (AOR, 3.46; 95 % CI, 2.19–5.45) had higher odds of experiencing weight discrimination compared with heterosexual adolescents. ConclusionsOur results underscore the need for anti-bullying campaigns and positive media representation of all body types. Clinicians should recognize that sexual minority youth disproportionately experience weight discrimination, emphasizing the need for affirmative healthcare and early intervention to prevent the mental health impacts of such discrimination.

Insight into the Trends in Research on the Impact of Social Media on Adolescent Mental Health

This study investigates the impact of social media on adolescent mental health through a bibliometric analysis of literature from 2004 to 2024 in the web of science database. With internet usage among adolescents exceeding 87% and instant messaging rates reaching 84.1%, platforms such as Facebook and Instagram significantly affect their mental well-being. The study identifies “anxiety,” “depression,” and “adolescents” as central themes, demonstrating a strong correlation between high-frequency social media use and mental health issues. Adolescents, the most affected group, face significant risks from prolonged social media exposure. The United Kingdom leads study collaborations in this field. The findings highlight the complexity of social media’s impact on mental health, influenced by various factors ranging from childhood experiences to specific psychological issues. Emphasizing adolescent mental health, the study calls for future study to explore the long-term effects of social media use and develop effective intervention measures and policy recommendations. This scientific evidence aims to guide policymakers, educators, and parents in promoting the comprehensive development and well-being of adolescents, helping them navigate the digital age healthily and safely.

The Impact of the Internet on Adolescents’ Mental Health

Studies have found that the age of adolescent first exposure to the Internet is getting younger and younger, and the bad information on the Internet may have a negative impact on their mental health. Communication of Network community in online social media may cause extreme emotions among teenagers, especially under online anonymity, teenagers may show extreme emotions different from those in reality, which may lead to mental health problems such as anxiety and depression. According to the research, the author pointed out that Internet addiction is positively associated with depression in adolescents, and Internet addicts may disperse their depressive emotions through the Internet, but this behavior may aggravate the degree of depression. Moreover, the negative emotional atmosphere and social comparison on the Internet may lead to low self-esteem and anxiety among adolescents. Excessive use of Internet technology for recreational activities may adversely affect the educational development of adolescents, leading to decreased academic performance and depression tendencies. This paper explores in depth the effects of the Internet on adolescent mental health, especially the effects of Internet addiction, online social networking, cyberbullying and online use on sleep. And how to guide teenagers to use the Internet correctly and protect their mental health has become an urgent social problem to be solved.

Adolescent Executive Function Measurements in Indonesia : Systematic Review and Implications in Educational Settings

This study examines the landscape of executive function (EF) assessments for Indonesian adolescents, focusing on their psychometric properties. The adolescent development phase, marked by cognitive growth, presents opportunities and risks, especially in education settings where well-developed EF is beneficial. This research used a qualitative approach, with a systematic literature review method using the PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis), analyzing peer-reviewed empirical studies from databases such as SCOPUS and others, focusing on EF measurements for adolescents in Indonesia from 2014 to 2024. Nine studies met the inclusion criteria, highlighting tools like the Behavior Rating Inventory of Executive Function (BRIEF)-Indonesian version, Executive Skills Questionnaire-Revised (ESQ-R), Executive Function Questionnaire (EFQ), and performance-based measures like the Wisconsin Card Sorting Test and Stroop Test. Using content analysis, this study reveals that while the BRIEF is widely used in clinical studies, its applicability in educational settings requires improvement. The findings highlight the importance of adapting EF tools with cultural sensitivity and developing new comprehensive assessments with clear psychometric properties regarding all critical EF components. In recommendations, the study pinpoints a multi-method approach combining inventory-based and performance-based measures to provide a thorough understanding of EF while maintaining practicality for educational settings. The implications for advancing EF research and practice in Indonesia, particularly in education, are discussed, emphasizing the need for reliable, valid, culturally sensitive, and accessible assessment tools.

Indulgent Parenting and Adolescents' Maladjustments: The Roles of Cultural Context and Parental Gender.

Background/Objectives. Adolescence is a critical developmental stage marked by the exploration of independence and self-identity. In this study, we aimed to examine the association between indulgent parenting (characterized by high responsiveness and low demandingness) and adolescents' maladjustments across emotional, behavioral, and social domains. Methods. Using a cross-cultural sample of high school students from the U.S. (n = 268) and China (n = 189), we tested the hypotheses that indulgent parenting was associated with adolescents' maladjustments, and that such association varied by cultural context (U.S. vs. China) and parental gender. Results. The results from Bayesian structural equation modeling supported the hypotheses, showing significant associations between indulgent parenting and adolescents' maladjustments and differences in the associations across cultures and parental gender. Conclusions. The findings highlighted the need for culturally informed parenting programs to foster healthy adolescent development.

Considerations for the design and conduct of pediatric obesity pharmacotherapy clinical trials: Proceedings of expert roundtable meetings.

Anti-obesity medications (AOMs) have emerged as one element of comprehensive obesity clinical care intended to improve long-term health outcomes for children and adolescents. The number of pediatric AOM clinical trials has burgeoned in recent years as new pharmacotherapeutics have been developed. Factors related to growth and development in children and adolescents can present unique challenges in terms of designing and conducting clinical trials investigating the safety and efficacy of AOMs. These barriers can delay the AOM development and evaluation process, increase the cost of performing trials, create challenges in the interpretation of results, influence the generalizability of the findings and present ethical dilemmas. In an effort to address these issues and provide guidance to streamline the process of designing and conducting pediatric AOM clinical trials, relevant key stakeholders convened a series of roundtable meetings to discuss, debate and achieve harmonization on design features. Stakeholder participants included a multidisciplinary group of international pediatric obesity experts, patient (parent) representatives and representatives from academic medicine, key regulatory agencies and industry. Topics of discussion included primary efficacy end-points, secondary end-points, eligibility criteria, trial run-in and follow-up phases, use of active comparators and guidelines for down-titration and/or stopping rules for excessive weight reduction. Consensus recommendations were agreed upon. Regarding end-points, emphasis was placed on moving away from BMI z-score as a primary outcome, incorporating multiple alternative BMI-related outcomes and measuring adiposity/body fat as a prominent secondary end-point. Trial eligibility criteria were carefully considered to maximize generalizability while maintaining safety. The limited value of trial run-in phases was discussed. It was also underscored that designing trials with extended follow-up periods after AOM withdrawal should be avoided owing to ethical issues (including possible psychological harm) related to weight regain without providing the opportunity to access other treatments. The panel emphasized the value of the randomized, placebo-controlled trial but recommended the thoughtful consideration of the use of active comparators in addition to, or instead of, placebo to achieve clinical equipoise when appropriate. Finally, the panel recommended that clinical trial protocols should include clear guidance regarding AOM down-titration to avoid excessive weight reduction when applicable.

The Evolutionary Concordance Between Adolescent Self-Control and Academic Achievement: The Moderating Effect of Family Background

The connection between adolescent self-control and academic achievement in the setting of a familial environment focuses on familial relationships and upbringing which influence the relationship between self-control and learning success throughout adolescence. Due to family stress, students are unable to concentrate on their academic performance efficiently. This study examines the connections among adolescents’ academic achievement and self-control by employing the structure of developmental psychology. Focusing on the moderating impact of the familial environment in this connection. The research of 500 middle school students, the collection of pertinent data, and regression modeling revealed that self-control is considerably positively associated with academic achievement. Furthermore, family background has a considerable moderating influence on this connection. Specifically, the positive impacts of self-control on academic success were stronger in circumstances with high family support, whereas the impact was lower in conditions with inadequate family support. The study results offer a new view for instructors and parents, highlighting the role of the familial setting on adolescent's self-improvement and academic accomplishment.The study concludes with an improved knowledge of evolutionary processes that regulate adolescent development and educational achievements, enabling enhanced procedures focused on improving academic achievement in adolescents.

Transdiagnostic Symptom Domains are Associated with Head Motion During Multimodal Imaging in Children.

Head motion is a challenge for neuroimaging research in developmental populations. However, it is unclear how transdiagnostic symptom domains including attention, disruptive behavior (e.g., externalizing behavior), and internalizing problems are linked to scanner motion in children, particularly across structural and functional MRI. The current study examined whether transdiagnostic domains of attention, disruptive behavior, and internalizing symptoms are associated with scanner motion in children during multimodal imaging. In a sample of 9,045 children aged 9-10 years in the Adolescent Brain Cognitive Development (ABCD) Study, logistic regression and linear mixed-effects models were used to examine associations between motion and behavior. Motion was indexed using ABCD Study quality control metrics and mean framewise displacement for the following: T1-weighted structural, resting-state fMRI, diffusion MRI, Stop-Signal Task, Monetary Incentive Delay task, and Emotional n-Back task. The Child Behavior Checklist was used as a continuous measure of symptom severity. Greater attention and disruptive behavior problem severity was associated with a lower likelihood of passing motion quality control across several imaging modalities. In contrast, increased internalizing severity was associated with a higher likelihood of passing motion quality control. Increased attention and disruptive behavior problem severity was also associated with increased mean motion, whereas increased internalizing problem severity was associated with decreased mean motion. Transdiagnostic domains emerged as predictors of motion in youths. These findings have implications for advancing development of generalizable and robust brain-based biomarkers, computational approaches for mitigating motion effects, and enhancing accessibility of imaging protocols for children with varying symptom severities.

Sleep Disturbance and Subsequent Suicidal Behaviors in Preadolescence

Suicide is a leading cause of death among adolescents, who demonstrate high rates of sleep disturbance. Poor sleep appears to confer risk for suicide, but longitudinal investigation of suicidal behaviors remains rare, particularly in the transition from childhood to early adolescence. To evaluate sleep disturbances in preadolescent children (aged 9 and 10 years) in association with longitudinal risk for suicidal ideation and suicide attempts at the 2-year follow-up. This cohort study used data from the Adolescent Brain Cognitive Development Study between June 2016 and January 2021. This dataset included children aged 9 or 10 years at baseline and their parents or caregivers who were recruited at 21 sites across the US. Data were analyzed July 2023 to June 2024. The Sleep Disturbance Scale for Children, a 26-item parent-reported inventory, was administered at baseline, generating a total score and 6 subscales. Central covariates included the Child Behavior Checklist Anxiety and Depression subscale and demographic variables. The computerized Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS-COMP) assessed parent- and youth-reported suicidal behaviors and outcomes (none; passive, active nonspecific, and active specific suicidal ideation; and suicide attempt) at the 2-year follow-up. Sleep disturbance was further grouped by symptom severity (minimal, moderate, elevated, high, and severe). Of the 10 136 youths who reported no baseline suicidal ideation or behavior, 8807 youths (mean [SD] age, 9.9 [0.6] years; 4507 males [51.2%]; 197 Asian individuals [2.2%], 1273 Black individuals [14.5%], and 5775 White individuals [65.6%]) completed the K-SADS-COMP assessment at the 2-year follow-up and were included in the analysis. At the follow-up, 8044 participants (91.3%) had no suicidal behavior, 317 (3.6%) had passive suicidal ideation, 258 (2.9%) had active nonspecific suicidal ideation, 130 (1.5%) had active specific suicidal ideation, and 58 (0.7%) had a first-time suicide attempt. Baseline sleep disturbance was associated with increased incidence risk for suicidal behavior at age 12 years (odds ratio, 2.68; 95% CI, 1.44-4.98; P = .002), adjusting for covariates. Individual subscales or items demonstrating associations with risk included disorders of excessive somnolence and frequency of nightmares. Results of this longitudinal cohort study revealed that disturbed sleep at age 10 years was associated with risk for suicidal thoughts and behaviors in the next 2 years. The findings highlight the potential importance of sleep as a visible risk factor and intervention target in the prevention of youth suicide.

Making Sense of Complexity in Refugee Family Systems: Second-Generation Somali and Hmong Refugee Adults’ Reflections on Their Relationships with Their First-Generation Refugee Parents

ABSTRACT The current study aimed to understand the relationships of 2nd generation (2G) refugees during their formative years with their 1st generation (1G) parents. We used a phenomenological approach to conduct individual interviews with six 2G refugees (three Hmong-Americans and three Somali-Americans) in the U.S. who fit the study’s inclusion criterion of being affected by their parents’ migration trauma. Themes emerging from participants’ narratives describe 1) 2G Refugee Relationship Quality with 1G Refugee Parents; 2) Integrating All Dimensions of 2G Intersectional Identities; 3) 2G Resiliency Resources; and 4) Moving Forward. The current study’s findings suggest ways that intergenerational trauma affected 2G refugees’ relationships with their parents and added layers of complexity to the normative challenges of adolescent development. Researchers are encouraged to employ a family system lens to consider the effects of migration trauma across generations when examining relationship dynamics in refugee families. It is important for clinicians to consider the systemic impacts of refugee stress and trauma when working with refugee adolescents and their families.