Psychiatry research · 2025
Dampened positive emotion and a PTSD diagnosis are related to suicidal thoughts and behavior in young children receiving intensive psychiatric care.
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Boekamp John, Martin Sarah, Liu Richard, Kunicki Zachary, Gottipay Anjali, Lin Lydia, Paszek Claudia, Klein Daniel, Spirito Anthony
Аннотация
OBJECTIVE: This study examined the prevalence of suicidal thoughts and behavior (STB), as well as clinical characteristics, emotional responsiveness, as well as executive functioning and death understanding, in young children receiving intensive psychiatric treatment.
METHOD: Ninety children, 4 to 7 years of age in a Pediatric Partial Hospital Program (PPHP), were studied. A diagnosis of autism or a significant language delay were exclusion citeria. Most children were male (74 %) and White (63 %); 8 % were Black, and 26 % were multiracial or endorsed other races;18 % were Latine. Caregivers completed diagnostic interviews about their child as well as psychiatric history screening and measures of their own depression and STB. Children were administered lab tasks tapping cognitive and emotional risk factors as well as a death understanding interview.
RESULTS: Approximately 44 % of children had a history of STB, as reported by a caregiver. Both MDD and PTSD were associated with increased rates of STB in univariate analyses but neither ODD or ADHD differentiated the groups. Preschoolers with a history of STB demonstrated a greater understanding of death and dampened positive emotion in interactive play compared to those without a history of STB. In multivariate analyses, older age, a PTSD diagnosis, and dampened positive emotion differentiated children with a history of STB from those without a history of STB.
CONCLUSION: Continued refinement of the clinical assessment of STB in young children referred for mental health care is important given the high rates of STB found in this study. A PTSD diagnosis appears especially important to consider in understanding STB in this age group as is the child's ability to experience positive emotion.
METHOD: Ninety children, 4 to 7 years of age in a Pediatric Partial Hospital Program (PPHP), were studied. A diagnosis of autism or a significant language delay were exclusion citeria. Most children were male (74 %) and White (63 %); 8 % were Black, and 26 % were multiracial or endorsed other races;18 % were Latine. Caregivers completed diagnostic interviews about their child as well as psychiatric history screening and measures of their own depression and STB. Children were administered lab tasks tapping cognitive and emotional risk factors as well as a death understanding interview.
RESULTS: Approximately 44 % of children had a history of STB, as reported by a caregiver. Both MDD and PTSD were associated with increased rates of STB in univariate analyses but neither ODD or ADHD differentiated the groups. Preschoolers with a history of STB demonstrated a greater understanding of death and dampened positive emotion in interactive play compared to those without a history of STB. In multivariate analyses, older age, a PTSD diagnosis, and dampened positive emotion differentiated children with a history of STB from those without a history of STB.
CONCLUSION: Continued refinement of the clinical assessment of STB in young children referred for mental health care is important given the high rates of STB found in this study. A PTSD diagnosis appears especially important to consider in understanding STB in this age group as is the child's ability to experience positive emotion.