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Youth psychiatrically hospitalized for suicidality: Changes in familial structure, exposure to familial trauma, family conflict, and parental instability as precipitating factors

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  • Rice, Jessica L.
  • Tan, Tony Xing

Abstract

In the US, youth experiencing suicidality are often placed in involuntary inpatient psychiatric hospitalization. Though some research has been conducted on the treatment effectiveness and short-and long-term outcomes of children following discharge from psychiatric hospitals, it remains unknown how hospitalized youth attribute precipitating factors for their hospitalizations. In the current study, we conducted a thematic analysis of clinical transcripts from therapy session notes, psychosocial assessments, and psychiatric evaluations that comprised 220 patients' psychiatric medical records to gain insights into youth's perspectives on the life events that precipitated their crises. We identified four main precipitating factors: changes in familial structure, exposure to familial trauma, family conflict, and parental instability, each of which highlights the role of high-risk familial conditions in the development, persistence, and deterioration of mental illness among youth leading to suicidality. The ways in which the overlap and accumulation of these themes jeopardize youth's mental health conditions are discussed, in addition to an exploration of clinical implications and treatment recommendations.

Suggested Citation

  • Rice, Jessica L. & Tan, Tony Xing, 2017. "Youth psychiatrically hospitalized for suicidality: Changes in familial structure, exposure to familial trauma, family conflict, and parental instability as precipitating factors," Children and Youth Services Review, Elsevier, vol. 73(C), pages 79-87.
    • Handle: RePEc:eee:cysrev:v:73:y:2017:i:c:p:79-87
    DOI: 10.1016/j.childyouth.2016.12.006
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    References listed on IDEAS

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    1. van de Wetering, E.J. & van Exel, N.J.A. & Brouwer, W.B.F., 2010. "Piecing the jigsaw puzzle of adolescent happiness," Journal of Economic Psychology, Elsevier, vol. 31(6), pages 923-935, December.
    2. Tally Moses, 2015. "Coping strategies and self-stigma among adolescents discharged from psychiatric hospitalization: A 6-month follow-up study," International Journal of Social Psychiatry, , vol. 61(2), pages 188-197, March.
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    Cited by:

    1. Crumé, Henry Joel & Nurius, Paula S. & Fleming, Christopher M., 2019. "Cumulative adversity profiles among youth experiencing housing and parental care instability," Children and Youth Services Review, Elsevier, vol. 100(C), pages 129-135.
    2. Cintia Csók & Gabriella Pusztai, 2022. "Parents’ and Teachers’ Expectations of School Social Workers," Social Sciences, MDPI, vol. 11(10), pages 1-13, October.
    3. Maria Ftanou & Nicola Reavley & Jo Robinson & Matthew J. Spittal & Jane Pirkis, 2021. "Developing Public Service Announcements to Help Prevent Suicide among Young People," IJERPH, MDPI, vol. 18(8), pages 1-13, April.

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