Evidence map›Paper›PMID 30604131›Full record

ArticleEuropean child & adolescent psychiatry2019

Association of birth order with adolescent mental health and suicide attempts: a population-based longitudinal study.

Kayleigh E Easey, Becky Mars, Rebecca Pearson, Jon Heron, David Gunnell

Open access · hybridAbstract read
In one paragraph

Article in European child & adolescent psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
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  4. Review
  5. Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria.African journal of primary health care & family medicine · 2025
    Article
  6. Article
  7. Misophonia, self-harm and suicidal ideation.PCN reports : psychiatry and clinical neurosciences · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kayleigh E EaseySchool of Psychological Science, University of Bristol, Bristol, UK. kayleigh.easey@bristol.ac.uk.ORCID http://orcid.org/0000-0002-3718-2915
Becky MarsCentre for Academic Mental Health, University of Bristol, Bristol, UK.
Rebecca PearsonMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Jon HeronMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
David GunnellCentre for Academic Mental Health, University of Bristol, Bristol, UK.
University Hospitals Bristol NHS Foundation Trust · GBCentre for Mental Health · GBUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous cohort studies have observed higher birth order to be associated with increased risk of suicidal behaviour. However, the mechanisms underlying this association are unclear. Using data from the Avon Longitudinal Study of Parents and Children (ALSPAC), we used multivariable logistic regression models and mediation analysis to investigate the associations of birth order with adolescent suicide attempts and psychiatric disorder. We investigated whether the number of maternal depressive episodes and father absence mediated the associations found. In fully adjusted models (n = 2571), higher birth order was associated with an increased risk of both suicide attempts (OR = 1.42, CI = 1.10-1.84) and psychiatric disorder (OR = 1.29, CI = 0.99-1.69). Maternal depression and father absence only partially mediated (8%; 12%) these associations. Whilst maternal depression and paternal absence partially mediated the associations between birth order, and suicidal behaviour and psychiatric disorder, other pathways may account for much of these associations. Future studies should investigate alternative mediating pathways.

Indexed as

AdolescentAdultBirth OrderFemaleHumansLongitudinal StudiesMaleMental HealthSuicide, AttemptedYoung AdultALSPACBirth orderMental healthSuicidal behaviour

Identifiers

PMID30604131
PMCPMC6675759
OpenAlexW2908024277

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.