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Parental bonding in severely suicidal adolescent inpatients

Published online by Cambridge University Press:  16 April 2020

O. Freudenstein ,
A. Zohar ,
A. Apter ,
G. Shoval ,
A. Weizman  and
G. Zalsman
O. Freudenstein
Affiliation:
Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tikva, Israel
A. Zohar
Affiliation:
The Ruppin College, Israel
A. Apter
Affiliation:
Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
G. Shoval
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, P.O. Box 102, 49100Petah Tikva, Israel
A. Weizman
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, P.O. Box 102, 49100Petah Tikva, Israel Felsenstein Medical Research Center, Tel Aviv University, Petah Tikva, Israel
G. Zalsman*
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, P.O. Box 102, 49100Petah Tikva, Israel Division of Molecular Imaging and Neuropathology, Department of Psychiatry, Columbia University College of Physicians & Surgeons, New York, NY, USA
*
*Corresponding author. Tel.: +972 3 9258 205; fax: +972 3 924 1041. E-mail address: [email protected] (G. Zalsman).
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Abstract

Family environment has a clear role in suicidal behavior of adolescents. We assessed the relationship between parental bonding and suicidal behavior in suicidal (n = 53) and non-suicidal (n = 47) adolescent inpatients. Two dimensions of parental bonding: care and overprotection, were assessed with the Parental Bonding Instrument. Results showed that adolescents with severe suicidal behavior tended to perceive their mothers as less caring and more overprotective compared to those with mild or no suicidal behavior. A discriminant analysis distinguished significantly between adolescents with high suicidality and those with low suicidality [χ2(5) = 15.54; p = 0.01] in 71% of the cases. The perception of the quality of maternal bonding may be an important correlate of suicidal behavior in adolescence and may guide therapeutic strategies and prevention.

Keywords

SuicideParental bondingDepressionAdolescence
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 8 , November 2011 , pp. 504 - 507
Copyright
Copyright © Elsevier Masson SAS 2011

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References

Ainsworth, M.D.S., Bell, SM, Styaton, DJInfant-mother attachment and social development: socialization as a product of reciprocal responsiveness to signals.Richards, MThe integration of the child into a social world Cambridge: Cambridge University Press; 1975Google Scholar
Alnaes, R, Torgersen, SParental representation in patients with major depression, anxiety disorder and mixed conditions. Acta Psychiatr Scand 1990; 81: 518–522.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Press; 1994.Google Scholar
Apter, A, Orvaschel, H, Laseg, M, Moses, T, Tyano, SPsychometric properties of the K-SADS-P in an Israeli adolescent inpatient population. J Am Acad Child Adolesc Psychiatry 1989; 28: 61–65.CrossRefGoogle Scholar
Blatt, SJLevels of object representation in anaclitic and introjective depression. Psychoanal Study Child 1974; 29: 107–157.CrossRefGoogle ScholarPubMed
Blatt, SJDepression and destructive risk-taking behavior in adolescence.Lipsitt, LPMitnick, LLSelf-regulatory behavior and risk-taking: causes and consequences 1991 Ablex Norwood, N.J185–309.Google Scholar
Blatt, SJThe destructiveness of perfectionism. Implications for the treatment of depression. Am Psychol 1995; 50: 1003–1020.CrossRefGoogle ScholarPubMed
Blatt, SJ, Homann, EParent–child interaction in the etiology of dependent and self-critical depression. Clin Psychol Rev 1992; 12: 47–91.CrossRefGoogle Scholar
Bowlby, JAttachment and loss. Attachment 1 1969 Hogarth Press LondonGoogle Scholar
Bowlby, JThe making and breaking of affectional bonds. I. Aetiology and psychopathology in the light of attachment theory. An expanded version of the Fiftieth Maudsley Lecture, delivered before the Royal College of Psychiatrists, 19 November 1976. Br J Psychiatry 1977; 130: 201–210.CrossRefGoogle Scholar
Gamsa, AA note on a modification of the Parental Bonding Instrument. Br J Med Psychol 60Pt 31987 291–294.CrossRefGoogle ScholarPubMed
Glenn, J.S.L.M., Bernstein, IThe role of parents in child analysis.Glenn, J, Scharfmann, MAChild analysis and therapy Northvale, NJ: Jason Avonson Inc; 1983.393–425.Google Scholar
Goldney, RDParental representation in young women who attempt suicide. Acta Psychiatr Scand 1985; 72: 230–232.CrossRefGoogle ScholarPubMed
Gomez-Beneyto, M, Pedros, A, Tomas, A, Aguilar, K, Leal, CPsychometric properties of the parental bonding instrument in a Spanish sample. Soc Psychiatry Psychiatr Epidemiol 1993; 28: 252–255.Google Scholar
Grossman, FK, Pollack, WS, Golding, EFathers and children: predicting the quality quantity of fathering. Dev Psychol 1988; 24: 82–91.CrossRefGoogle Scholar
Kohut, HThe analysis of the self: a systematic approach to the psychoanalytic treatment of narcissistic personality disorder. New York: International Universities Press; 1971Google Scholar
Lamb, ME, Pleck, JH, Charnov, EL, Levine, JAA biosocial perspective on paternal behavior and involvement.Lancaster, JB, Altmann, J, Rossi, AS, Sherrod, LRParenting across the life span: biosocial dimensions New York: Aldine de Gruyter; 1987Google Scholar
Main, M, Kaplan, N, Cassidy, J. Security in infancy, childhood and adulthood: a move to the level of representation 1985;50:66–104 [Growing points in attachment theory and research. Monographs of the Society for Research in Child Development. Ref Type: Serial (Book, Monograph)].CrossRefGoogle Scholar
Martin, G, Waite, SParental bonding and vulnerability to adolescent suicide. Acta Psychiatr Scand 1994; 89: 246–254.CrossRefGoogle ScholarPubMed
Offek, H, Weizman, T, Apter, AThe Child Suicidal Potential Scale: inter-rater reliability and validity in Israeli in-patien adolescents. Israel Journal of Psychiatry 1998; 35: 253–261.Google Scholar
Parker, GParental characteristics in relation to depressive disorders. Br J Psychiatry 1979; 134: 138–147.CrossRefGoogle ScholarPubMed
Parker, GReported parental characteristics of agoraphobics and social phobics. Br J Psychiatry 1979; 135: 555–560.CrossRefGoogle ScholarPubMed
Parker, GParental representations and affective symptoms: examination for an hereditary link. Br J Med Psychol 1982; 55: 57–61.CrossRefGoogle ScholarPubMed
Parker, GParental ‘affectionless control’ as an antecedent to adult depression. A risk factor delineated. Arch Gen Psychiatry 1983; 40: 956–960.CrossRefGoogle ScholarPubMed
Parker, GParental overprotection. A risk in psychosocial development. New York: Grune & Stratton; 1983Google Scholar
Parker, GThe Parental Bonding Instrument. A decade of research. Soc Psychiatry Psychiatr Epidemiol 1990; 25: 281–282.CrossRefGoogle ScholarPubMed
Pfeffer, CR, Conte, HR, Plutchik, R, Jerrett, ISuicidal behavior in latency-age children: an empirical study. J Am Acad Child Psychiatry 1979; 18: 679–692.CrossRefGoogle Scholar
Pfeffer, CR, Solomon, G, Plutchik, R, Mizruchi, MS, Weiner, ASuicidal behavior in latency-age psychiatric inpatients: a replication and cross validation. J Am Acad Child Psychiatry 1982; 21: 564–569.CrossRefGoogle ScholarPubMed
Pfeffer, CR, Plutchik, R, Mizruchi, MSSuicidal and assaultive behavior in children: classification, measurement, and interrelations. Am J Psychiatry 1983; 140: 154–157.Google ScholarPubMed
Pfeffer, CR, Plutchik, R, Mizruchi, MS, Lipkins, RAssaultive behavior in child psychiatric inpatients, outpatients, and nonpatients. J Am Acad Child Adolesc Psychiatry 1987; 26: 256–261.CrossRefGoogle ScholarPubMed
Shanee, N, Apter, A, Weizman, APsychometric properties of the K-SADS-PL in an Israeli adolescent clinical population. Isr J Psychiatry Relat Sci 1997; 34: 179–186.Google Scholar
Slade, A, Aber, JLAttachments, drives and development: conflict and convergences in theory.Barron, JWEagle, MNWolitzky, DLInterface of psychoanalysis and psychology Washington, DC: American Psychological Association; 1992Google Scholar
Tousignant, M, Bastien, MF, Hamel, SSuicidal attempts and ideations among adolescents and young adults: the contribution of the father's and mother's care and of parental separation. Soc Psychiatry Psychiatr Epidemiol 1993; 28: 256–261.Google Scholar
Winnicott, DWThe capacity to be alone.Winnicott, DWThe maturational process and the facilitating environment. 1990 ed. London: Karmic Books; 1958.29–36.Google Scholar
Zalsman, GTiming is critical: gene, environment and timing interactions in genetics of suicide in children and adolescents. Eur Psychiatry 2010; 25: 284–286.CrossRefGoogle ScholarPubMed
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