Emotion Regulation in Elementary School-Aged Children with a Maternal History of Suicidal Behavior: A Pilot Study
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ORIGINAL ARTICLE
Emotion Regulation in Elementary School‑Aged Children with a Maternal History of Suicidal Behavior: A Pilot Study Arielle H. Sheftall1,2,8 · Emory E. Bergdoll3 · Monaé James4 · Connor Bauer1 · Elisabeth Spector5 · Fatima Vakil1 · Emily Armstrong1 · Jakob Allen6 · Jeffrey A. Bridge1,7
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Parental history of suicidal behavior is associated with an increased risk of early onset suicidal behavior in their offspring. The objective of this pilot study was to compare clinical characteristics, temperament, and emotion regulation in children, aged 6–9 years, with (PH+) and without (PH−) a maternal history of suicidal behavior to determine which factors could be markers of early vulnerability. At baseline, PH+ children, compared to PH− children, demonstrated more difficulties with temperament, emotion regulation, and experienced more life events in the year prior to their baseline appointment. At study follow-ups, however, no differences were found between PH+ and PH− children. Results suggest there are some signals of early vulnerability present in children with a maternal history of suicidal behavior and recruitment/retention of this group of youth is feasible. Keywords Early vulnerability · Prepubescent children · Suicidal behavior
Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10578-020-01010-8) contains supplementary material, which is available to authorized users. * Arielle H. Sheftall [email protected] 1
The Abigail Wexner Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA
2
Department of Pediatrics at The Ohio State University College of Medicine, Columbus, OH, USA
3
Department of Counseling, Xavier University, Cincinnati, OH, USA
4
The Rutgers School of Public Health, New Brunswick, NJ, USA
5
School of Law, Northeastern University, Boston, MA, USA
6
John Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
7
Departments of Pediatrics and Psychiatry & Behavioral Health at The Ohio State University College of Medicine, Columbus, OH, USA
8
Center for Suicide Prevention and Research, The Abigail Wexner Research Institute at Nationwide Children’s Hospital, Big Lots Behavioral Health Pavilion, 2nd Floor, 444 Butterfly Gardens Dr, Columbus, OH 43215, USA
Suicide is the second leading cause of death among youth in the U.S. and in 2017, accounted for 19.2% of deaths among individuals 10–24-years [1, 2]. A suicide attempt is the strongest risk factor associated with suicide death [3, 4] making the prevention of a first suicide attempt highly important. One risk factor associated with an earlier onset of suicidal behavior is a high familial loading of suicidal behaviors [5]. A parental history of suicidal behavior conveys nearly fivefold increased odds of suicide attempt in their offspring compared to those without a parental history [6]. These results persist even after controlling fo
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