Evidence map›Paper›PMID 25901775›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2015

Pathways to suicide-related behavior in offspring of mothers with depression: the role of offspring psychopathology.

Gemma Hammerton, Stanley Zammit, Liam Mahedy, Rebecca M Pearson, Ruth Sellers, Anita Thapar, Stephan Collishaw

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  16. Attendance of routine childcare visits in primary care for children of mothers with depression: a nationwide population-based cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Gemma HammertonInstitute of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. Electronic address: hammertongl@cf.ac.uk.
Stanley ZammitInstitute of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK; Centre for Academic Mental Health, University of Bristol, Bristol, UK.
Liam MahedyInstitute of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.
Rebecca M PearsonCentre for Academic Mental Health, University of Bristol, Bristol, UK.
Ruth SellersInstitute of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.
Anita ThaparInstitute of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.
Stephan CollishawInstitute of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.
Cardiff University · GBUniversity of Bristol · GB

Funding

Medical Research Council 092731Medical Research Council MC_PC_15018Medical Research Council MR/L010305/1Wellcome Trust 097822/Z/11/ZRWellcome Trust 102215
6 · The paper itself

Abstract

objectiveOffspring of mothers with depression are a high-risk group for the development of suicide-related behavior. These offspring are therefore a priority for preventive interventions; however, pathways contributing to risk, including specific aspects of offspring psychopathology, remain unclear. The aim of this study was to examine whether offspring symptoms of major depressive disorder (MDD), generalized anxiety disorder (GAD), disruptive behavior disorder (DBD), attention-deficit/hyperactivity disorder (ADHD), and alcohol abuse independently mediate the association between maternal depression and offspring suicide-related behavior.

methodData were used from a population-based birth cohort, the Avon Longitudinal Study of Parents and Children (ALSPAC). Three distinct classes of depression symptoms across the mothers' first 11 years of their child's life were identified (minimal, moderate, chronic-severe). Offspring psychopathology was assessed at age 15 years and suicide-related behavior at age 16 years. Data were analyzed using structural equation modeling.

resultsThere was evidence for increased risk of suicidal ideation in offspring of mothers with chronic-severe depression symptoms in comparison to offspring of mothers with minimal symptoms (odds ratio = 3.04, 95% CI = 2.19, 4.21). This association was independently mediated by offspring MDD, GAD, and DBD symptoms. The same mechanisms were found for offspring of mothers with moderate depression symptoms over time. Results were similar for offspring suicide attempt except for additional evidence of an indirect effect through offspring ADHD symptoms.

conclusionFindings highlight that suicide prevention efforts in offspring of mothers with depression should not only be targeted at offspring with MDD; it is also important to consider offspring with other forms of psychopathology.

Indexed as

Suicidal IdeationAdolescentAlcoholismAnxiety DisordersAttention Deficit and Disruptive Behavior DisordersAttention Deficit Disorder with HyperactivityChild of Impaired ParentsDepressionFemaleHumansLogistic ModelsLongitudinal StudiesMajor Depressive DisorderMaleMothersOdds RatioALSPACmaternal depressionpsychopathologysuicide-related behavior

Identifiers

PMID25901775
PMCPMC4411216
OpenAlexW2016794651

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.