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Self versus maternal reports of emotional and behavioral difficulties in suicidal and non-suicidal adolescents: An Israeli nationwide survey

Published online by Cambridge University Press:  28 April 2012

G. Shoval ,
I. Mansbach-Kleinfeld ,
I. Farbstein ,
R. Kanaaneh ,
G. Lubin ,
A. Apter ,
A. Weizman  and
G. Zalsman
G. Shoval
Affiliation:
Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, PO Box 102, 49100Petah Tiqva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
I. Mansbach-Kleinfeld
Affiliation:
Mental Health Services, Ministry of Health, Jerusalem, Israel
I. Farbstein
Affiliation:
Child and Adolescent Psychiatry, Ziv Hospital, Safed, Israel
R. Kanaaneh
Affiliation:
Child and Adolescent Psychiatry, Ziv Hospital, Safed, Israel
G. Lubin
Affiliation:
Mental Health Services, Ministry of Health, Jerusalem, Israel
A. Apter
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Schneider Children's Medical Center of Israel, Petah Tiqva, Israel
A. Weizman
Affiliation:
Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, PO Box 102, 49100Petah Tiqva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Felsenstein Medical Research Center, Sackler Faculty of Medicine, Tel Aviv University, Petah Tiqva, Israel
G. Zalsman*
Affiliation:
Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, PO Box 102, 49100Petah Tiqva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Division of Molecular Imaging and Neuropathology, Department of Psychiatry, Columbia University, New York, NY, USA
*
⁎Corresponding author. Tel.: +972 3 9258 205; fax: +972 3 9241041. Corresponding author. Tel.: +972 3 9258 205; fax: +972 3 9241041. E-mail address: zalsman@post.tau.ac.il (G. Zalsman).
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Abstract

There is relatively little research addressing parent-adolescent agreement as regards to reporting on adolescent suicidal behavior in general and their behavioral and emotional difficulties in particular. The objective of this study was to compare maternal and adolescents’ reports on behavioral and emotional difficulties among adolescents with and without suicidal behavior. This nationally-representative sample included 906 adolescents and their mothers. The mothers and adolescents were interviewed and evaluated separately using the Development and Well-Being Assessment Inventory (DAWBA) and the Strengths and Difficulties Questionnaire (SDQ). Self-rated SDQ scores of the suicidal adolescents were significantly higher in all SDQ problem scales compared to the non-suicidal participants. In contrast, maternal-rated SDQ assessments failed to discriminate between these groups, except the Hyperactivity scale. We demonstrated that mothers of suicidal adolescents in the community hardly recognize the emotional and behavioral difficulties of their offsprings.

Conclusion

The mental examination of the adolescent patient should be maintained as the central and most reliable source of information regarding the suicidal adolescent. Mental health services planning of national suicide prevention programs should take into account these poor mother-adolescent agreement findings.

Keywords

SuicideAttemptedParentsEpidemiologyAdolescentSDQ
Type
Original article
Information
European Psychiatry , Volume 28 , Issue 4 , May 2013 , pp. 235 - 239
Copyright
Copyright © European Psychiatric Association 2012

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References

Althoff, R.R.Rettew, D.C.Ayer, L.A.Hudziak, J.J.Cross-informant agreement of the Dysregulation Profile of the Child Behavior Checklist. Psychiatry Res 2010;178:550–555.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders Text Revision (DSM-IV-TR) IV-TR ed. Washington, DC: American Psychiatric Press; 2000.Google Scholar
Bird, H.R.Gould, M.S.Staghezza, B.Aggregating data from multiple informants in child psychiatry epidemiological research. J Am Acad Child Adolesc Psychiatry 1992;31:78–85.CrossRefGoogle ScholarPubMed
Breton, J.J.Tousignant, M.Bergeron, L.Berthiaume, C.Informant-specific correlates of suicidal behavior in a community survey of 12- to 14-year-olds. J Am Acad Child Adolesc Psychiatry 2002;41:723–730.CrossRefGoogle Scholar
Butner, J.Berg, C.A.Osborn, P.Butler, J.M.Godri, C.Fortenberry, K.T.et al.Parent-adolescent discrepancies in adolescents’ competence and the balance of adolescent autonomy and adolescent and parent well-being in the context of Type 1 diabetes. Dev Psychol 2009;45:835–849.CrossRefGoogle ScholarPubMed
Canavera, K.E.Wilkins, K.C.Pincus, D.B.Ehrenreich-May, J.T.Parent-child agreement in the assessment of obsessive-compulsive disorder. J Clin Child Adolesc Psychol 2009;38:909–915.CrossRefGoogle ScholarPubMed
Colins, O.Vermeiren, R.Schuyten, G.Broekaert, E.Soyez, V.Informant agreement in the assessment of disruptive behavior disorders in detained minors in Belgium: a diagnosis-level and symptom-level examination. J Clin Psychiatry 2008;69:141–148.CrossRefGoogle ScholarPubMed
Cremeens, J.Eiser, C.Blades, M.Factors influencing agreement between child self-report and parent proxy-reports on the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales. Health Qual Life Outcomes 2006;4:58.CrossRefGoogle ScholarPubMed
Edelbrock, C.Costello, A.J.Dulcan, M.K.Conover, N.C.Kala, R.Parent-child agreement on child psychiatric symptoms assessed via structured interview. J Child Psychol Psychiatry 1986;27:181–190.CrossRefGoogle ScholarPubMed
Farbstein, I.Mansbach-Kleinfeld, I.Levinson, D.Goodman, R.Levav, I.Vograft, I.et al.Prevalence and correlates of mental disorders in Israeli adolescents: results from a national mental health survey. J Child Psychol Psychiatry 2010;51:630–639.CrossRefGoogle ScholarPubMed
Ferdinand, R.F.van der Ende, J.Verhulst, F.C.Parent-adolescent disagreement regarding psychopathology in adolescents from the general population as a risk factor for adverse outcome. J Abnorm Psychol 2004;113:198–206.CrossRefGoogle ScholarPubMed
Freudenstein, O.Zohar, A.Apter, A.Shoval, G.Weizman, A.Zalsman, G.Parental bonding in severely suicidal adolescent inpatients. Eur Psychiatry 2011;26:504–507.CrossRefGoogle ScholarPubMed
Goodman, R.The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry 1999;40:791–799.CrossRefGoogle ScholarPubMed
Goodman, R.Ford, T.Richards, H.Gatward, R.Meltzer, H.The Development and Well-Being Assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. J Child Psychol Psychiatry 2000;41:645–655.CrossRefGoogle ScholarPubMed
Hamilton, B.E.Minino, A.M.Martin, J.A.Kochanek, K.D.Strobino, D.M.Guyer, B.Annual summary of vital statistics: 2005. Pediatrics 2007;119:345–360.CrossRefGoogle ScholarPubMed
Hawton, K.van, H.K.Suicide. Lancet 2009;373:1372–1381.CrossRefGoogle ScholarPubMed
Horesh, N.Zalsman, G.Apter, A.Suicidal behavior and self-disclosure in adolescent psychiatric inpatients. J Nerv Ment Dis 2004;192:837–842.CrossRefGoogle ScholarPubMed
Hoven, C.W.Doan, T.Musa, G.J.Jaliashvili, T.Duarte, C.S.Ovuga, E.et al.Worldwide child and adolescent mental health begins with awareness: a preliminary assessment in nine countries. Int Rev Psychiatry 2008;20:261–270.CrossRefGoogle ScholarPubMed
Isaac, M.Elias, B.Katz, L.Y.Belik, S.L.Deane, F.P.Enns, M.W.et al.Gatekeeper training as a preventative intervention for suicide: a systematic review. Can J Psychiatry 2009;54:260–268.CrossRefGoogle ScholarPubMed
Johnston, C.A.Steele, R.G.Herrera, E.A.Phipps, S.Parent and child reporting of negative life events: discrepancy and agreement across pediatric samples. J Pediatr Psychol 2003;28:579–588.CrossRefGoogle ScholarPubMed
Kalter, N.Children of divorce in an outpatient psychiatric population. Am J Orthopsychiatry 1977;47:40–51.CrossRefGoogle Scholar
Kaufman, J.Birmaher, B.Brent, D.Rao, U.Flynn, C.Moreci, P.et al.Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997;36:980–988.CrossRefGoogle ScholarPubMed
King, C.A.Segal, H.G.Naylor, M.Evans, T.Family functioning and suicidal behavior in adolescent inpatients with mood disorders. J Am Acad Child Adolesc Psychiatry 1993;32:1198–1206.CrossRefGoogle ScholarPubMed
Klassen, A.F.Miller, A.Fine, S.Agreement between parent and child report of quality of life in children with attention-deficit/hyperactivity disorder. Child Care Health Dev 2006;32:397–406.CrossRefGoogle ScholarPubMed
Klaus, N.M.Mobilio, A.King, C.A.Parent-adolescent agreement concerning adolescents’ suicidal thoughts and behaviors. J Clin Child Adolesc Psychol 2009;38:245–255.CrossRefGoogle ScholarPubMed
Klimes-Dougan, B.Screening for suicidal ideation in children and adolescents: methodological considerations. J Adolesc 1998;21:435–444.CrossRefGoogle ScholarPubMed
Mansbach-Kleinfeld, I.Levinson, D.Farbstein, I.Apter, A.Levav, I.Kanaaneh, R.et al.The Israel Survey of Mental Health Among Adolescents: aims and methods. Isr J Psychiatry Relat Sci 2010;47:244–253.Google ScholarPubMed
Mansbach-Kleinfeld, I.Apter, A.Farbstein, I.Levine, S.Ponizovsky, A.A population-based psychometric validation study of the Strengths and Difficulties Questionaire- Hebrew version. Front Psychiatry 2010;1:1–12.CrossRefGoogle Scholar
Mansbach-Kleinfeld, I.Farbstein, I.Levinson, D.Apter, A.Erhard, R.Palti, H.et al.Service use for mental disorders and unmet need: results from the Israel Survey on Mental Health Among Adolescents. Psychiatr Serv 2010;61:241–249.CrossRefGoogle ScholarPubMed
Martin, J.L.Ford, C.B.Dyer-Friedman, J.Tang, J.Huffman, L.C.Patterns of agreement between parent and child ratings of emotional and behavioral problems in an outpatient clinical setting: when children endorse more problems. J Dev Behav Pediatr 2004;25:150–155.CrossRefGoogle Scholar
Merikangas, K.R.He, J.P.Burstein, M.Swanson, S.A.Avenevoli, S.Cui, L.et al.Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 2010;49:980–989.CrossRefGoogle Scholar
Merikangas, K.R.He, J.P.Brody, D.Fisher, P.W.Bourdon, K.Koretz, D.S.Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics 2010;125:75–81.CrossRefGoogle ScholarPubMed
Nguyen, N.Whittlesey, S.Scimeca, K.DiGiacomo, D.Bui, B.Parsons, O.et al.Parent-child agreement in prepubertal depression: findings with a modified assessment method. J Am Acad Child Adolesc Psychiatry 1994;33:1275–1283.CrossRefGoogle ScholarPubMed
Pfeffer, C.R.Diagnosis of childhood and adolescent suicidal behavior: unmet needs for suicide prevention. Biol Psychiatry 2001;49:1055–1061.CrossRefGoogle ScholarPubMed
Robson, B.E.Children of disrupted families: reducing the harmful effects. Can Fam Physician 1991;37:436–440.Google ScholarPubMed
Rothen, S.Vandeleur, C.L.Lustenberger, Y.Jeanpretre, N.Ayer, E.Gamma, F.et al.Parent-child agreement and prevalence estimates of diagnoses in childhood: direct interview versus family history method. Int J Methods Psychiatr Res 2009;18:96–109.CrossRefGoogle ScholarPubMed
Shaffer, D.Diagnostic considerations in suicidal behavior in children and adolescents. J Am Acad Child Psychiatry 1982;21:414–415.CrossRefGoogle ScholarPubMed
Shaffer, D.Epidemiological aspects of some problems in child and adolescent psychiatry. Epidemiol Psichiatr Soc 1998;7:151–155.CrossRefGoogle ScholarPubMed
Shaffer, D.Fisher, P.The epidemiology of suicide in children and young adolescents. J Am Acad Child Psychiatry 1981;20:545–565.CrossRefGoogle ScholarPubMed
Sourander, A.Helstela, L.Helenius, H.Parent-adolescent agreement on emotional and behavioral problems. Soc Psychiatry Psychiatr Epidemiol 1999;34:657–663.CrossRefGoogle ScholarPubMed
Wasserman, D.Carli, V.Wasserman, C.Apter, A.Balazs, J.Bobes, J.et al.Saving and empowering young lives in Europe (SEYLE): a randomized controlled trial. BMC Public Health 2010;10:192.CrossRefGoogle ScholarPubMed
Weems, C.F.Feaster, D.J.Horigian, V.E.Robbins, M.S.Parent and Child Agreement on Anxiety Disorder Symptoms Using the DISC Predictive Scales. Assessment 2010.Google ScholarPubMed
Zimmerman, J.K.Asnis, G.M.Parents’ knowledge of children's suicide attempts. Am J Psychiatry 1991;148:1091–1092CrossRefGoogle ScholarPubMed
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