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Indirect effects of the early childhood Family Check-Up on adolescent suicide risk: The mediating role of inhibitory control

Published online by Cambridge University Press:  02 August 2019

Arin M. Connell ,
Daniel Shaw ,
Melvin Wilson ,
Sarah Danzo ,
Chelsea Weaver-Krug ,
Kathryn Lemery-Chalfant  and
Thomas J. Dishion
Arin M. Connell*
Affiliation:
Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH, USA
Daniel Shaw
Affiliation:
Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
Melvin Wilson
Affiliation:
Department of Psychology, University of Virginia, Charlottesville, VA, USA
Sarah Danzo
Affiliation:
Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH, USA
Chelsea Weaver-Krug
Affiliation:
Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
Kathryn Lemery-Chalfant
Affiliation:
Department of Psychology, Arizona State University, Tempe, AZ, USA
Thomas J. Dishion
Affiliation:
Department of Psychology, Arizona State University, Tempe, AZ, USA
*
Author for Correspondence: Arin Connell, Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH 44106; E-mail: amc76@case.edu.
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Abstract

This study investigates suicide risk in late childhood and early adolescence in relation to a family-centered intervention, the Family Check-Up, for problem behavior delivered in early childhood. At age 2, 731 low-income families receiving nutritional services from Women, Infants, and Children programs were randomized to the Family Check-Up intervention or to a control group. Trend-level main effects were observed on endorsement of suicide risk by parents or teachers from ages 7.5 to 14, with higher rates of suicide risk endorsement in youth in the control versus intervention condition. A significant indirect effect of intervention was also observed, with treatment-related improvements in inhibitory control across childhood predicting reductions in suicide-related risk both at age 10.5, assessed via diagnostic interviews with parents and youth, and at age 14, assessed via parent and teacher reports. Results add to the emerging body of work demonstrating long-term reductions in suicide risk related to family-focused preventive interventions, and highlight improvements in youth self-regulatory skills as an important mechanism of such reductions in risk.

Keywords

early preventioninhibitory controlparentingsuicide
Type
Special Issue Articles
Information
Development and Psychopathology , Volume 31 , Special Issue 5: Honoring the Contributions and Legacy of Thomas Dishion , December 2019 , pp. 1901 - 1910
Copyright
Copyright © Cambridge University Press 2019 

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