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Adolescent suicide risk, firearm access, and family functioning: Screening in primary care
Journal article   Open access   Peer reviewed

Adolescent suicide risk, firearm access, and family functioning: Screening in primary care

Guy Weissinger, Karoline Myhre, Linda Ruan-Iu, Catherine Van Fossen and Guy Diamond
Families systems & health
19 May 2022
PMID: 35588383
url
https://doi.org/10.1037/fsh0000680View
Accepted (AM)Open Access (Publisher-Specific) Open

Abstract

Suicide is a serious mental health concern and the second leading cause of death for adolescents in the United States. Suicide risk is a complex interaction of social, psychological, and physiological factors. Previous research has identified family functioning as being related to adolescent suicide risk, but it is not well studied in clinical settings. This study uses the Behavioral Health Screen-Primary care (BHS-PC) to examine the relationship between current suicide risk in adolescent and a dysfunctional family environment. Adolescents presenting for primary care appointments ( = 6,609; age 14-17) completed the BHS-PC, a broad-based, psychometrically validated screening tool that measures a wide range of adolescent behavioral and mental health concerns. Using data from the BHS-PC, hierarchical logistic regression modeling was used to build and compare models of current suicide risk to determine the effect of including family factors. Fisher's Exact test was utilized to examine the relationship between family functioning and firearm access, a critical factor in youth safety and risk of completing suicide. In the final model, three family functioning related variables were associated with current suicide risk in adolescents: never talking to adult family member about their concerns, witnessing violence in the home, and arguing in the home. In addition, all but one family functioning factor was related to adolescent firearm access. Family functioning and access to firearms are critical to understanding adolescent suicide risk. Utilizing a holistic approach in primary care to screen for adolescent suicide risk may improve clinical response and linkages to care. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

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4 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Family Studies
Health Care Sciences & Services
Public, Environmental & Occupational Health
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