Objective:

Suicidal ideation (SI) is significantly higher for youth with pediatric bipolar disorder (PBD), yet clinical correlates of suicidality remain poorly understood in this population. The current study investigates how change in risk factors for SI relate to change in SI intensity over a 6-month period of treatment.

Method:

Children ages 9 to 13 (N = 71; 41% female; 54% Caucasian; Mean age = 9.17) engaged in one of two psychotherapy treatment conditions and completed assessments of SI risk factors and psychopathology symptoms at baseline (pre-treatment), 4 and 8 weeks (during treatment), 12 weeks (post-treatment), and 39 weeks (follow-up assessment at 6 months post-treatment). Children also completed assessments of SI intensity at baseline, post-treatment (12 weeks), and 6 months post-treatment.

Results:

Mixed-effects regression models indicate that increases in health-related quality of life in the family, mobilization of the family to acquire/accept help for PBD, and child self-concept were associated with decreased SI intensity over time.

Conclusions:

Findings highlight the importance of family and child level factors in influencing longitudinal change in SI intensity in youth with PBD. Clinical implications and future directions are discussed.

中文翻译：

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评估青少年在儿童双相情感障碍治疗中自杀意念强度的变化

客观的：

患有儿科双相情感障碍 (PBD) 的青年的自杀意念 (SI) 明显较高，但在这一人群中，自杀的临床相关性仍然知之甚少。目前的研究调查了 SI 风险因素的变化与 6 个月治疗期间 SI 强度的变化之间的关系。

方法：

9 至 13 岁的儿童（N  = 71；41% 女性；54% 高加索人；平均年龄 = 9.17）参与两种心理治疗治疗条件之一，并在基线（治疗前）完成对 SI 风险因素和精神病理学症状的评估，4 8 周（治疗期间）、12 周（治疗后）和 39 周（治疗后 6 个月的随访评估）。儿童还在基线、治疗后（12 周）和治疗后 6 个月完成了对 SI 强度的评估。

结果：

混合效应回归模型表明，随着时间的推移，家庭健康相关生活质量的提高、家庭获得/接受 PBD 帮助的动员以及儿童自我概念的增加与 SI 强度的降低有关。

结论：

研究结果强调了家庭和儿童水平因素在影响 PBD 青年 SI 强度纵向变化中的重要性。讨论了临床意义和未来方向。