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

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 progr...

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Published inDevelopment and psychopathology Vol. 31; no. 5; pp. 1901 - 1910
Main Authors Connell, Arin M, Shaw, Daniel, Wilson, Melvin, Danzo, Sarah, Weaver-Krug, Chelsea, Lemery-Chalfant, Kathryn, Dishion, Thomas J
Format Journal Article
LanguageEnglish
Published United States Cambridge University Press 01.12.2019
Subjects
Addictive behaviors
Adolescent
Adolescents
Age
Child
Child development
Children
Drug use
Family
Female
Humans
Infants
Intervention
Male
Mental depression
Parents - education
Public health
Self destructive behavior
Studies
Substance abuse treatment
Suicide
Suicide - prevention & control
Suicide, Attempted - prevention & control
Suicides & suicide attempts
Teenagers
early prevention
inhibitory control
parenting
suicide
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Summary: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.
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ISSN:0954-5794
1469-2198
DOI:10.1017/S0954579419000877