Characteristics of Suicidal Ideation in Adolescents with Cohabiting Separated Parents
Keywords:
suicidal ideation, family relationships, mental health, Bayes theoremAbstract
Introduction: Adolescence involves several changes and challenges in its period of development, in which parenting plays an important role. However, parents’ separation has a negative influence on the school psychological well-being of adolescents, contrary to parents who live together with their children. Among the several psychological problems, suicidal ideation is a frequent one.
Objective: Identify if there are differences in suicidal ideation in a group of Peruvian adolescents with cohabiting separated parents.
Methods: A cross-sectional study with a quantitative and comparative approach was carried out. A convenience sample of 475 adolescents, who answered to a self-report of suicidal ideation, was analyzed. The Mann-Whitney U test for bayesian independent samples was used to compare both groups.
Results: Bayesian analysis showed that the observed data were more probable under the alternative hypothesis (BF10 = 51,727, δ = -0,380, 95 % CI: -0,574-0,196), with very strong evidence. This difference was higher in adolescents with separated parents (M = 9, 99) compared to cohabiting parents (M = 7, 98).
Conclusions: The findings showed that suicidal ideation is mostly in adolescents with separated parents, being the most vulnerable group and requiring more psychological support. The parental separation is an adverse experience in adolescence, being advisable that health professionals, when interviewing adolescents with separated parents, consider the assessment of suicidal ideation in their professional practice.
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References
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11. Buehler C. Family Processes and Children's and Adolescents' Well-Being. J Marriage Fam. 2020 [acceso: 28/09/22];82(1):145-74. Doi: https://doi.org/10.1111/jomf.12637
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18. González-Benítez N, Miranda-Sierra CA, Cruz-Rodríguez E, Roig-Contreras CD, Rodríguez-Ortega M. Factor bayesiano para estimar la presencia de diarreas en niños por rotavirus frente a condiciones climáticas. Ecuad Sci J. 2021 [acceso: 28/09/22];5(2): 1-15. Doi: https://doi.org/10.46480/esj.5.2.54
19. Ramos-Vera C. Un ejemplo de hallazgo de falso positivo mediante el factor Bayes para la investigación clínica. Rev Cubana Med Milit. 2021 [acceso: 28/09/22];50(3):1-2. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1143/766
20. Ato M, López JJ, Benavente A. Un sistema de clasificación de los diseños de investigación en psicología. An Psicol. 2013 [acceso: 29/09/22];29(3):1038-59. Doi: https://doi.org/10.6018/analesps.29.3.178511
21. Organización Mundial de la Salud. Adolescent health. 2017 [acceso: 29/09/22]. Disponible en: https://www.who.int/health-topics/adolescent-health#tab=tab_1
22. Baños-Chaparro J, Ynquillay-Lima P, Lamas Delgado F, Fuster Guillen FG. Inventario de Frecuencia de Ideación Suicida: Evidencias psicométricas en adultos peruanos. Rev Inf Cient. 2021 [acceso: 29/09/22];100(4):e3507. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3507/4801
23. Ministerio de Educación. Coronavirus: recomendaciones para la prevención de la COVID-19 en el retorno a clases. 2022 [acceso: 29/09/22]. Disponible en: https://www.gob.pe/20943-coronavirus-recomedaciones-para-la-prevencion-de-la-covid-19-en-el-retorno-a-clases-recomendaciones-de-bioseguridad-en-las-escuelas
24. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 [acceso: 29/09/22];310(20):2191-94. Doi: https://doi.org/10.1001/jama.2013.281053
25. Colegio de Psicólogos del Perú. Código de ética y deontología. 2017 [acceso: 29/09/22]. Disponible en: https://www.cpsp.pe/documentos/marco_legal/codigo_de_etica_y_deontologia.pdf
26. Jeon M, De Boeck P. Decision qualities of Bayes factor and p value-based hypothesis testing. Psychol Methods. 2017 [acceso: 30/09/22];22(2):340-60. Disponible en: https://psycnet.apa.org/record/2017-24635-005
27. Jeffreys H. Theory of Probability. Oxford: Oxford University Press; 1961.
28. Schmalz X, Biurrun Manresa J, Zhang L. What is a Bayes Factor? Psychol Methods. 2021 [acceso: 30/09/22]. Doi: https://doi.org/10.1037/met0000140
29. Obeid S, Al Karaki G, Haddad C, Sacre H, Soufia M, Hallit R, et al. Association between parental divorce and mental health outcomes among Lebanese adolescents: results of a national study. BMC Pediatr. 2021 [acceso: 30/09/22];21(1):1-9. Doi: https://doi.org/10.1186/s12887-021-02926-3
30. Park YS, Park EC. Association Between Parental Marital Status and Types of Suicidal Behavior Among Korean Adolescents: A Cross-sectional Study. J Prev Med Public Health. 2020 [acceso: 01/10/22];53(6):419-28. Doi: https://doi.org/10.3961/jpmph.20.004
31. Lindström M, Rosvall M. Parental separation in childhood, social capital, and suicide thoughts and suicide attempts: a population-based study. Psychiatry Res. 2015 [acceso: 01/10/22];229(1-2):206-13. Doi: https://doi.org/10.1016/j.psychres.2015.07.034
32. Auersperg F, Vlasak T, Ponocny I, Barth A. Long-term effects of parental divorce on mental health – A meta-analysis. J Psychiatr Res. 2019 [acceso: 01/10/22];119:107-15. Doi: https://doi.org/10.1016/j.jpsychires.2019.09.011
33. Kay-Flowers S. Childhood experiences of separation and divorce: Reflections from young adults. Bristol: Policy Press; 2019.
34. Kay-Flowers S. Moving between home and school, the experiences of children of separated parents; discussions with education professionals. Pastor Care Educ. 2021 [acceso: 01/10/22];39(4):292-311. Doi: https://doi.org/10.1080/02643944.2020.1827283
2. O'Connor RC, Kirtley, OJ. The integrated motivational–volitional model of suicidal behaviour. Philos Trans R Soc Lond B Biol Sci. 2018 [acceso: 28/09/2022];373(1754):20170268. Doi: https://doi.org/10.1098/rstb.2017.0268
3. Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite S, Selby EA, Joiner TE. The Interpersonal Theory of Suicide. Psychological Review. 2010 [acceso: 28/09/22];117(2):575-600. Doi: https://doi.org/10.1037/a0018697
4. Uddin R, Burton NW, Maple M, Khan SR, Khan A. Suicidal ideation, suicide planning, and suicide attempts among adolescents in 59 low-income and middle-income countries: a population-based study. Lancet Child Adolesc Health. 2019 [acceso: 28/09/22];3(4):223-33. Doi: https://doi.org/10.1016/S2352-4642(18)30403-6
5. Instituto Nacional de Salud Mental. Estudio Epidemiológico de Salud Mental en Lima Metropolitana y Callao Replicación 2012. Informe general. 2013 [acceso: 28/09/22]. Disponible en: http://www.insm.gob.pe/investigacion/archivos/estudios/2012%20ASM%20-EESM%20-LM.pdf
6. Baños-Chaparro J, Reyes-Arquiñego M. Escala de suicidalidad: Evidencias psicométricas en adolescentes peruanos. Rev Univ Zulia. 2022 [acceso: 28/09/22];13(37):291-304. Disponible en: https://produccioncientificaluz.org/index.php/rluz/article/view/38058
7. Roman-Lazarte V, Moncada-Mapelli E, Huarcaya-Victoria J. Evolución y diferencias en las tasas de suicidio en Perú por sexo y por departamentos, 2017-2019. Rev Colomb Psiquiatr. 2021 [acceso: 28/09/22];50(1):1-8. Doi: https://doi.org/10.1016/j.rcp.2021.03.005
8. Park H, Lee KS. The association of family structure with health behavior, mental health, and perceived academic achievement among adolescents: a 2018 Korean nationally representative survey. BMC Public Health. 2020 [acceso: 28/09/22];20:510. Doi: https://doi.org/10.1186/s12889-020-08655-z
9. Chau K, Schweitzer-Troester C, Leroy B, Kabuth B. Associations between school difficulties and family type and the role of socioeconomic, behavior and health-related difficulties in early adolescents: a population-based study. Nord J Psychiatry. 2022 [acceso: 28/09/22]. Doi: https://doi.org/10.1080/08039488.2022.2030402
10. Goldberg JS, Carlson MJ. Parents’ Relationship Quality and Children’s Behavior in Stable Married and Cohabiting Families. J Marriage Fam. 2014 [acceso: 28/09/22];76(4):762-77. Disponible en: https://www.jstor.org/stable/24582744
11. Buehler C. Family Processes and Children's and Adolescents' Well-Being. J Marriage Fam. 2020 [acceso: 28/09/22];82(1):145-74. Doi: https://doi.org/10.1111/jomf.12637
12. Crouch E, Radcliff E, Strompolis M, Srivastav A. Safe, Stable, and Nurtured: Protective Factors against Poor Physical and Mental Health Outcomes Following Exposure to Adverse Childhood Experiences (ACEs). J Child Adolesc Trauma. 2018 [acceso: 28/09/22];12(2):165-73. Doi: https://doi.org/10.1007/s40653-018-0217-9
13. Himayanti Y, Ratnawati R, Yuliatun L, Windarwati HD. Phenomenology Study of High School Students' Experiences Who Do Suicidal-Attempt in Malang City, Indonesia. Int J Sci Soc. 2020 [acceso: 28/09/22];2(3):259-68. Doi: https://doi.org/10.54783/ijsoc.v2i3.168
14. Halsey LG, Curran-Everett D, Vowler SL, Drummond GB. The fickle P value generates irreproducible results. Nat Methods. 2015 [acceso: 28/09/22];12(3):179-85. Doi: https://doi.org/10.1038/nmeth.3288
15. Baños-Chaparro J. Análisis bayesiano de la ideación suicida en adultos peruanos. Medisan. 2021 [acceso: 28/09/22];25(5):1158. Disponible en: http://www.medisan.sld.cu/index.php/san/article/view/3787
16. Fuster Guillen FG, Baños-Chaparro J. Análisis Bayesiano del compromiso académico en estudiantes de psicología: diferencias según sexo y edad. Rev Inv Psic. 2021 [acceso: 28/09/22];24(1):5-18. Doi: https://doi.org/10.15381/rinvp.v24i1.20210
17. Puentes-Bencomo ER, Puentes-Borges AE, González-Benítez N. Análisis bayesiano de los factores psicológicos de la variabilidad en la ejecución del gesto deportivo. SERIE. 2020 [acceso: 28/09/22];13(8):81-92. Disponible en: https://publicaciones.uci.cu/index.php/serie/article/view/624
18. González-Benítez N, Miranda-Sierra CA, Cruz-Rodríguez E, Roig-Contreras CD, Rodríguez-Ortega M. Factor bayesiano para estimar la presencia de diarreas en niños por rotavirus frente a condiciones climáticas. Ecuad Sci J. 2021 [acceso: 28/09/22];5(2): 1-15. Doi: https://doi.org/10.46480/esj.5.2.54
19. Ramos-Vera C. Un ejemplo de hallazgo de falso positivo mediante el factor Bayes para la investigación clínica. Rev Cubana Med Milit. 2021 [acceso: 28/09/22];50(3):1-2. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1143/766
20. Ato M, López JJ, Benavente A. Un sistema de clasificación de los diseños de investigación en psicología. An Psicol. 2013 [acceso: 29/09/22];29(3):1038-59. Doi: https://doi.org/10.6018/analesps.29.3.178511
21. Organización Mundial de la Salud. Adolescent health. 2017 [acceso: 29/09/22]. Disponible en: https://www.who.int/health-topics/adolescent-health#tab=tab_1
22. Baños-Chaparro J, Ynquillay-Lima P, Lamas Delgado F, Fuster Guillen FG. Inventario de Frecuencia de Ideación Suicida: Evidencias psicométricas en adultos peruanos. Rev Inf Cient. 2021 [acceso: 29/09/22];100(4):e3507. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3507/4801
23. Ministerio de Educación. Coronavirus: recomendaciones para la prevención de la COVID-19 en el retorno a clases. 2022 [acceso: 29/09/22]. Disponible en: https://www.gob.pe/20943-coronavirus-recomedaciones-para-la-prevencion-de-la-covid-19-en-el-retorno-a-clases-recomendaciones-de-bioseguridad-en-las-escuelas
24. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 [acceso: 29/09/22];310(20):2191-94. Doi: https://doi.org/10.1001/jama.2013.281053
25. Colegio de Psicólogos del Perú. Código de ética y deontología. 2017 [acceso: 29/09/22]. Disponible en: https://www.cpsp.pe/documentos/marco_legal/codigo_de_etica_y_deontologia.pdf
26. Jeon M, De Boeck P. Decision qualities of Bayes factor and p value-based hypothesis testing. Psychol Methods. 2017 [acceso: 30/09/22];22(2):340-60. Disponible en: https://psycnet.apa.org/record/2017-24635-005
27. Jeffreys H. Theory of Probability. Oxford: Oxford University Press; 1961.
28. Schmalz X, Biurrun Manresa J, Zhang L. What is a Bayes Factor? Psychol Methods. 2021 [acceso: 30/09/22]. Doi: https://doi.org/10.1037/met0000140
29. Obeid S, Al Karaki G, Haddad C, Sacre H, Soufia M, Hallit R, et al. Association between parental divorce and mental health outcomes among Lebanese adolescents: results of a national study. BMC Pediatr. 2021 [acceso: 30/09/22];21(1):1-9. Doi: https://doi.org/10.1186/s12887-021-02926-3
30. Park YS, Park EC. Association Between Parental Marital Status and Types of Suicidal Behavior Among Korean Adolescents: A Cross-sectional Study. J Prev Med Public Health. 2020 [acceso: 01/10/22];53(6):419-28. Doi: https://doi.org/10.3961/jpmph.20.004
31. Lindström M, Rosvall M. Parental separation in childhood, social capital, and suicide thoughts and suicide attempts: a population-based study. Psychiatry Res. 2015 [acceso: 01/10/22];229(1-2):206-13. Doi: https://doi.org/10.1016/j.psychres.2015.07.034
32. Auersperg F, Vlasak T, Ponocny I, Barth A. Long-term effects of parental divorce on mental health – A meta-analysis. J Psychiatr Res. 2019 [acceso: 01/10/22];119:107-15. Doi: https://doi.org/10.1016/j.jpsychires.2019.09.011
33. Kay-Flowers S. Childhood experiences of separation and divorce: Reflections from young adults. Bristol: Policy Press; 2019.
34. Kay-Flowers S. Moving between home and school, the experiences of children of separated parents; discussions with education professionals. Pastor Care Educ. 2021 [acceso: 01/10/22];39(4):292-311. Doi: https://doi.org/10.1080/02643944.2020.1827283
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2023-11-06
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Baños-Chaparro J, López-Vega DJ, Ynquillay-Lima P. Characteristics of Suicidal Ideation in Adolescents with Cohabiting Separated Parents. Rev. Hosp. Psiq. Habana [Internet]. 2023 Nov. 6 [cited 2025 Aug. 17];20(3). Available from: https://revhph.sld.cu/index.php/hph/article/view/387
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