Ideation In Children Research Articles

Disability Status and Early Suicide Risk Among Children With and Without a History of Suspensions/Expulsions

Suicidal behaviors are relatively common among children, yet literature concerning the associated risks remains limited. Using a cumulative risk model, this study examined the effects of disability status, suspensions/expulsions, school disconnectedness, and negative peer relationships on suicidal behaviors. Data used were from The Future of Families and Child Wellbeing Study, which yielded an analytic sample ( N = 2,463) that was majority male (52%), Black and Hispanic (81%), and with an average age of 9.3 years. Using multivariate logistic regression with subgroup analysis, negative peer relationships and being male were associated with suicidal ideation in children without a history of suspension/expulsion. On the contrary, children with a history of suspension/expulsion and a disability status had three times higher odds of suicidal ideation in comparison to children with no disability status. These findings have important research and practical implications, which are discussed.

Longitudinal relationship between parent–child attachment and suicidal ideation in children: Mediating roles of beliefs about adversity and hope

Suicide has been an important topic in recent years, but no previous studies have investigated suicide from the perspective of parent–child attachment and positive psychological qualities. Thus, we aimed to examine the relationship between parent–child attachment and children's suicidal ideation, as well as the mechanism involved. In total, 681 fourth-grade students from three elementary schools in Suzhou, China, were surveyed for two years. The results showed the following. (1) Mother–child attachment directly predicted suicidal ideation in children whereas father–child attachment did not. (2) Mother–child attachment indirectly predicted suicidal ideation in children via beliefs about adversity and hope, and father–child attachment indirectly predicted suicidal ideation in children via beliefs about adversity. (3) Parent–child attachment indirectly predicted suicidal ideation in children through beliefs about adversity (M1) and hope (M2) as a mediator set. Revealing the mechanisms associated with the generation and formation of suicidal ideation in children can help prevent possible future suicidal behaviors in children.

6.79 Comparing Suicidal Ideation in Children and Adolescents Presenting to a Comprehensive Psychiatric Emergency Program Across 2 Years of the Pandemic

6.79 Comparing Suicidal Ideation in Children and Adolescents Presenting to a Comprehensive Psychiatric Emergency Program Across 2 Years of the Pandemic

Prediction of suicidal ideation in children and adolescents using machine learning and deep learning algorithm: A case study in South Korea where suicide is the leading cause of death

BackgroundKorea has the highest suicide rate among Organisation for Economic Co-operation and Development (OECD) countries. Consequently, central and local governments and private organizations in Korea cooperate in promoting various suicide prevention projects to actively respond to suicide problems. Machine learning has been used to predict suicidal ideation in the fields of health and medicine but not from a social science perspective. ObjectiveSince suicidal ideation is a major predictor of suicide attempts, being able to anticipate and mitigate it helps prevent suicide. Therefore, this study presents a data-based analysis method for predicting suicidal thoughts quickly and effectively and suggests countermeasures against the causes of suicidal thoughts. Participants and methodsTo predict early signs of suicidal ideation in children and adolescents, big data collected for approximately 4 years (from 2017 to 2020) from the Korea Youth Policy Institute (NYPI) were used. To accurately predict suicidal ideation, supervised ma- chine learning classification algorithms such as logistic regression, random forest, XGBoost, multilayer perceptron (MLP), and convolutional neural network (CNN) were used. ResultsUsing CNN, suicidal ideation was predicted with an accuracy of approximately 90 %. The logistic regression results showed that sadness and depression increased suicidal thoughts by more than 25 times, and anxiety, loneliness, and experience of abusive language increased suicidal thoughts by more than three times. ConclusionsMachine learning and deep learning approaches have the potential to predict and respond to suicidal thoughts in children, adolescents, and the general population, as well as help respond to the suicide crisis by preemptively identifying the cause.

Suicidal ideation and its relationship with mental health reported by different informants among children aged 6–12

BackgroundSuicidal ideation in children has received less attention than in adolescents. This study aimed to explore the self-reported prevalence of suicidal ideation among children aged 6–12 and to identify the relationship between self-reported suicidal ideation and children's mental health reported by different informants in Chinese setting. MethodThe study sample was 1479 children aged 6–12 from three elementary schools in Tianjin. Children completed the Dominic Interactive to report their mental health and suicidal ideation. Parents and teachers completed the Socio-Demographic Questionnaire and the Strengths and Difficulties Questionnaire (SDQ). ResultsThe prevalence of suicidal thoughts and death thoughts was 18.05 % and 16.90 %, respectively. Parent reported emotional symptoms, ADHD, and externalized problems were associated with death thoughts, and ADHD was associated with suicidal thoughts. For teacher's reports, emotional symptoms, and impact were associated with death thoughts, and ADHD, peer problems, internalized problems, and internalized and externalized comorbidity were associated with suicidal thoughts. All of the children's self-reported mental health problems were associated with suicidal thoughts and death thoughts. LimitationsCausality cannot be inferred in a cross-sectional study. ConclusionSuicidal ideation is not uncommon in Chinese children. The relationships between mental health problems and suicidal ideation varied in different informants. Suicide prevention in young children should be enhanced, and screening for suicidal ideation is recommended at the onset of different informants who reported specific mental health problems.

Prescription to Prevent Mental Health Problem and Gun Violence Ideation in Children?

Prescription to Prevent Mental Health Problem and Gun Violence Ideation in Children?

Assessment of suicidal ideation in children: a systematic review

Assessment of suicidal ideation in children: a systematic review

Executive Functions and Emotion Regulation Relationship of Suicidal Ideation in Children with ADHD

Objective: There is evidence that suicidal thoughts are increased in attention deficit/hyperactivity disorder (ADHD). The aim of this study is to investigate the relationship between executive function (EF) deficits and emotion regulation negativity/lability (ERNL) in children with ADHD who reported suicidal ideation. Method: This study was conducted in children aged 8-12 years with ADHD. Thirty-eight cases (ADHD + SI) with suicidal ideation and 41 cases without suicidal ideation (pure ADHD) were included in the study. Participants completed using the Children's depression inventory (CDI), the Screen for child anxiety-related emotional disorders (SCARED), the Behavior rating inventory of executive function (BRIEF) and the Emotion regulation checklist (ERC). Results: A significant difference was found between the 3 groups in terms of EF deficits and ERNL, CDI and SCARED. BRIEF subcomponents; there was a significant difference between inhibit, emotion control, monitor and behavior regulation index. Conclusion: Suicidal ideation is an important psychiatric health problem. Recognizing suicidal ideation in children; It can be effective in preventing suicidal behavior. Cognitive features such as EF deficits and ERNL may contribute negatively to suicidal ideation, especially in children with ADHD.

Examining Blunted Initial Response to Reward and Recent Suicidal Ideation in Children and Adolescents Using Event-Related Potentials: Failure to Conceptually Replicate Across Two Independent Samples

A previous study found that children with recent suicidal ideation had blunted neural reward processing (as measured by the reward positivity), compared with matched controls, and that this difference was driven by reduced neural responses to monetary loss rather than to reward. Here, we aimed to conceptually replicate and extend these findings in two samples ( n = 264, 27 with suicidal ideation; n = 314, 49 with suicidal ideation at baseline) of children and adolescents (11–15 years old and 8–15 years old, respectively). Results from both samples showed no evidence that children and adolescents with suicidal ideation have abnormal reward or loss processing nor that reward processing predicts suicidal ideation 2 years later. The results highlight the need for greater statistical power as well as continued research examining the neural underpinnings of suicidal thoughts and behaviors.

Fledgling psychopathy meets social determinants of health: Evidence of childhood homicidal ideation among pediatric emergency department patients

PurposeHomicide is a leading cause of death among adolescents in the United States, yet criminological research on homicidal ideation is limited. The present study examines the role of social determinants of health (SDoH) and fledgling psychopathy among children and adolescent with emergency department diagnoses of homicidal ideations. MethodsA large sample (n = 35,419,403) of 5-to-14-year-olds admitted to emergency departments in the United States between the fourth quarter of 2015 and the end of 2017 was utilized for this analysis. Logistic regression models and predictive margins were used to assess the relationship between SDoH and fledgling psychopathy on homicidal ideation. ResultsA greater number of reported SDoH (one: aOR = 5.38, p < 0.001; two: aOR = 7.21, p < 0.001; three or more: 14.83, p < 0.001), ADHD (aOR = 4.77, p < 0.001), conduct disorder (aOR = 8.25, p < 0.001) and fledgling psychopathy (aOR = 14.62, p < 0.001) were positively associated with a homicidal ideation diagnosis, with the greatest odds present for patients who reported three or more SDoH and had a conduct disorder diagnosis or met the criteria for fledgling psychopathy. ConclusionsEfforts to improve SDoH may be effective targets for behavioral interventions to reduce homicidal ideation in children and the risk of lethal violence perpetration.

Paediatric Psychosocial Emergencies in Two Inner-City London Hospitals: Review of the Current Management and Critical Evaluation Using NICE Self-Harm Quality Standards (QS34)

AimsThe paediatric wards support many children presenting with psychosocial crises. This has been increasing in recent years. NICE quality standards recommend that children who have self-harmed receive: a comprehensive psychosocial assessment, are assessed within 24 hours of referral if at high risk of suicide, a collaboratively developed risk management plan and monitoring to reduce risk of further self-harm. We aim to measure the number of referrals made by hospitals for acute psychiatric presentations and the adherence to the above quality standards by the Service for Adolescent and Families in Enfield.MethodsWe retrospectively audited inpatients referred by North Middlesex hospital and Barnet hospital. Referral data were collected over 5 years. Data collected between April 2018 and March 2019 were evaluated to review good practice and adherence to the NICE quality standards. For each patient, we collected data on whether they have had a comprehensive psychosocial assessment, if the assessment was completed within 24 hours, 7-day follow-up review and a documented risk assessment.ResultsThere has been a 141% increase in hospital referrals to the service from 2014/15 to 2018/19. The service had 130 referrals between April 2018 and March 2019. 72% of referrals came from North Middlesex hospital and 28% were from Barnet hospital. Ages were between 5 and 18. Girls formed 74% of all presentations. 87% of patients presented with deliberate self-harm, suicidal ideation or suicide attempt. Of all referrals 100% had a comprehensive psychosocial assessment, 93% were seen within 24 hours of being referred, 97% had a documented risk assessment and 92% had a 7-day follow-up review.ConclusionSelf-harm and suicidal ideation in children are rising, especially among girls aged 13 to 16 years (increased by 68% between 2011 and 2014). The gender inequality in our referrals further supports these findings. Higher rates of self-harm have been shown in more deprived areas and could be associated with gang involvement, bullying, abuse, gender identity and family issues. We have developed an assessment protocol and safety plan, are liaising with hospitals daily to arrange assessments and follow-up. Paediatric nurses have been trained in the time to talk programme and a full-time crisis liaison nurse has been employed. This will be re-audited to measure effectiveness of interventions.

Increased Anxiety, Depression and Suicidal Ideation in Children with Neuromyelitis Optica (P3-5.002)

Increased Anxiety, Depression and Suicidal Ideation in Children with Neuromyelitis Optica (P3-5.002)

The Effect of Social Support on Suicidal Ideation In Children of Cross-Border Marriage Couples

The Effect of Social Support on Suicidal Ideation In Children of Cross-Border Marriage Couples

Predictors of Suicidal Thoughts in Children with Autism Spectrum Disorder and Anxiety or Obsessive-Compulsive Disorder: The Unique Contribution of Externalizing Behaviors.

Children with autism spectrum disorder (ASD) are at elevated risk of suicidal ideation, particularly those with comorbid anxiety disorders and/or obsessive-compulsive disorder (OCD). We investigated the risk factors associated with suicidal ideation in 166 children with ASD and comorbid anxiety disorders/OCD, and the unique contribution of externalizing behaviors. Suicidal ideation was reported in the child sample by 13% of parents. Controlling for child age, sex, and IQ, perceived loneliness positively predicted the likelihood of suicidal ideation. In addition, externalizing behaviors positively predicted suicidal ideation, controlling for all other factors. Reliance on parental report to detect suicidal ideation in youth with ASD is a limitation of this study. Nonetheless, these findings highlight the importance of assessing and addressing suicidal ideation in children with ASD and comorbid anxiety disorders/OCD, and more importantly in those with elevated externalizing behaviors and perceptions of loneliness.

Suicide Ideation and Neurocognition Among 9- and 10-Year Old Children in the Adolescent Brain Cognitive Development (ABCD) Study

Objective During the past decade, the pediatric suicide rate has nearly tripled. Yet, little is known about suicide behavior (SB) in children. Identification of risk factors associated with SB during childhood may be critical to preventing future attempts. The purpose of this study was to examine the relationship between neurocognitive performance and suicide ideation (SI) in children. Method The present study utilized baseline data from 11,875 participants in the Adolescent Brain Cognitive Development (ABCD) study, a longitudinal study that follows 9- and 10-year-old children through late adolescence to examine factors that influence developmental trajectories. Suicidality was assessed by the Kiddie Schedule for Affective Disorder and Schizophrenia (KSADS) suicide module completed by the parent. Neurocognitive ability was assessed using the NIH Toolbox Cognition measures administered to the youth. Results Children with a history of SI reported by their parent or concordant parent and youth report of SI demonstrated lower performance on the NIH Toolbox Picture Sequence Memory Test compared to children without SI. The difference in performance on the memory task remained significant when including demographic characteristics, family history of suicide, and internalizing symptoms in the model as covariates. Conclusions To our knowledge, this is the first study to identify decreased episodic memory in children with SI. These findings are similar to results from adult and adolescent studies which have reported decreased memory performance among suicide attempters. Deficits in episodic memory may impact a child’s ability to problem-solve and generate potential future outcomes, which may increase the risk for SB. Early identification of memory deficits in children may inform suicide prevention and intervention efforts. Highlights 6% of parents and children reported a history of active suicide ideation in children. Children with a history of suicide ideation had lower episodic memory performance. Early identification of memory deficits may inform suicide intervention efforts.

Psychotic symptoms and suicidal ideation in child and adolescent bipolar I disorder.

The purpose of this study was to explore associations between specific types of hallucinations and delusions and suicidal ideation in a sample of children and adolescents with bipolar I disorder. Participants (N=379) were children and adolescents aged 6-15years (M=10.2, SD=2.7) with DSM-IV diagnoses of bipolar I disorder, mixed or manic phase. The study sample was 53.8% female and primarily White (73.6% White, 17.9% Black, and 8.5% Other). Presence and nature of psychotic symptoms, suicidal ideation, and functioning level were assessed through clinician-administered measures. A series of logistic regressions was performed to assess the contribution of each subtype of psychotic symptom to the presence of suicidal ideation above and beyond age, sex, socio-economic status, age at bipolar disorder onset, and global level of functioning. Hallucinations overall, delusions of guilt, and number of different psychotic symptom types were uniquely associated with increased odds of suicidal ideation after accounting for covariates. Other forms of delusions (eg, grandiose) and specific types of hallucinations (eg, auditory) were not significantly uniquely associated with the presence of suicidal ideation. Findings of this study suggest the presence of hallucinations as a whole, delusions of guilt specifically, and having multiple concurrent types of psychotic symptoms are associated with the presence of suicidal ideation in children and adolescents with bipolar I disorder. Psychotic symptom subtypes, as opposed to psychosis as a whole, are an under-examined, potentially important, area for consideration regarding suicidal ideation in pediatric bipolar I disorder.

Influence of Physical Symptoms and Lifestyle on Suicidal Ideation of Senior Grade Students in Elementary School

This study was conducted to analyze physical symptom-related and life-style factors affecting suicidal ideation of senior grade students in elementary school. Physical symptom-related and life-style factors were used to investigate suicidal ideation among 663 elementary school students. From February 11 to 15, 2018, data were collected using a structured questionnaire and analyzed using the x2 test, Pearson correlation analysis, and logistic regression analysis in SPSS for Windows version 22.0. The factors affecting suicidal ideation were gender, family structure, economic status, academic performance, exposure to school violence during the past year, physical symptoms, drinking experience, smoking experience, sleeping time, and ramen noodle consumption. The regression analysis showed that exposure to school violence during the past year (odds ratio [OR]: 102.99, 95% confidence interval [CI]: 51.19~207.19, p=.001), number of physical symptoms (OR: 1.25, 95% CI: 1.12~1.41, p=.001), drinking experience (OR: 3.17, 95% CI: 1.66~6.06, p=.001), and game and internet usage time (OR: 2.08, 95% CI: 1.08~4.01, p=.029) affected suicidal ideation. This study revealed that physical symptoms and life-style significantly influenced suicidal ideation. Therefore, interventions to reduce suicidal ideation in children must focus on improving children's physical symptoms and life-style.

Prevalence of comorbid depressive symptoms and suicidal ideation in children with autism spectrum disorder and elevated anxiety symptoms

Objective: Children with autism spectrum disorder (ASD) often have comorbid depressive symptoms and suicidal ideation. The aim of this study was to examine levels of depressive symptoms and suicidal ideation in a sample of children with ASD, normal cognitive functioning and elevated anxiety.Methods: In total, 93 children aged 8–16 years with ASD and with normal cognitive functioning and (sub)clinical anxiety symptoms participated in the present study. Both parents and children filled in questionnaires to measure the level of depressive symptoms. Moreover, children reported their level of suicidal ideation.Results: More than 35% of the children with ASD reported clinical levels of depressive symptoms while, according to parents, even more than 75% of these children showed clinical levels of depressive symptoms. Girls reported significantly higher levels of depressive symptoms than boys. Moreover, 32.2% of the children with ASD and anxiety had suicidal thoughts and 2.2% of the children showed active suicidal ideation. No gender differences were found in suicidal ideation.Conclusions: The findings indicated that children with ASD, normal cognitive functioning and anxiety symptoms have an increased prevalence of clinical depressive symptoms and suicidal ideation. Therefore, depressive symptoms and suicidal ideation should be assessed when working with anxious children with ASD.

Leading by example: Exploring the influence of design examples on children's creative ideation

• Design examples can inspire creativity but may also constrain children's ideation in participatory design (PD). • Design example use can result in both fixation and recycling behaviours in children. • Recycling from design examples can ensure the relevance of children's ideas. • Recycling from design examples can also invite novelty in children's ideas. • In PD the use of design examples need to be carefully planned and introduced to inspire and scaffold children's ideas. Creative ideation is integral to the design process; to be considered creative an idea must be deemed both novel and appropriate. Design examples are often provided to inspire creativity but may also constrain designers’ imaginations (design fixation), a phenomenon observed during children's ideation in participatory design (PD). This paper addresses a gap in the literature by empirically investigating this phenomenon through an exploratory case study of two game narrative design workshops involving 37 children. Children's design ideas from these workshops were systematically coded by two researchers following a deductive content analysis approach and inter-rater reliability was established. Our findings show that utilising design examples can ensure appropriateness (i.e. narrative relevance and coherence), and albeit some design fixation more often facilitates the creative process by enabling existing ideas to be recycled and combined with novel ideas. This research contributes potential methodological adaptations to better foster children's creativity during PD.

Association of atopic dermatitis with depression, anxiety, and suicidal ideation in children and adults: A systematic review and meta-analysis

Atopic dermatitis (AD) has been associated with anxiety and depression, but the magnitude of the alleged association is unknown. To perform a systematic review and meta-analysis of the association between AD in children and adults and, respectively, depression, anxiety, and suicidal behavior. The medical databases PubMed, Embase, and PsychINFO were searched. There was a significant association between adult AD and, respectively, depression (pooled odds ratio [OR], 2.19; 95% confidence interval [CI], 1.87-2.57) and anxiety (pooled OR, 2.19; 95% CI, 1.75-2.73). AD was also associated with depression in children (pooled OR, 1.27; 95% CI, 1.12-1.45); few data were available for anxiety. A positive association was found between AD in adults and adolescents and suicidal ideation (pooled OR, 4.32; 95% CI, 1.93-9.66). Only a few studies examined the risk of completed suicide,but the majority showed a positive association between completed suicide and AD. Included studies used different definitions of depression and anxiety, and few studies examined the severity of AD. Depression, anxiety, and suicidal ideation should be considered by doctors when treating patients with AD. Because AD disease improvement appears to reduce these risks, this should be a priority.