Evidence map›Paper›PMID 40347766›Full record

ArticlePsychiatry research2025

Dampened positive emotion and a PTSD diagnosis are related to suicidal thoughts and behavior in young children receiving intensive psychiatric care.

John Boekamp, Sarah Martin, Richard Liu, Zachary Kunicki, Anjali Gottipay, Lydia Lin, Claudia Paszek, Daniel Klein, Anthony Spirito

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Article in Psychiatry research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

John BoekampEmma Pendleton Bradley Hospital, USA; Alpert Medical School of Brown University, USA.
Sarah MartinSimmons University, USA.
Richard LiuEmma Pendleton Bradley Hospital, USA; Alpert Medical School of Brown University, USA.
Zachary KunickiEmma Pendleton Bradley Hospital, USA; Alpert Medical School of Brown University, USA.
Anjali GottipayAlpert Medical School of Brown University, USA.
Lydia LinEmma Pendleton Bradley Hospital, USA.
Claudia PaszekEmma Pendleton Bradley Hospital, USA.
Daniel KleinStony Brook University, This study was reviewed and approved by the Institutional Review Board of Brown Health system and Brown University, USA.
Anthony SpiritoAlpert Medical School of Brown University, USA. Electronic address: anthony_spirito@brown.edu.

Funding

Suicidal Thoughts and Behaviors in Young Children: Cognitive, Behavioral and Affective Risk FactorsR21MH115514 · NIMH · BROWN UNIVERSITY · PI BOEKAMP, JOHN RICHARD, SPIRITO, ANTHONY · 2018 to 2019
$448k
NIMH NIH HHS R21 MH115514
6 · The paper itself

Abstract

objectiveThis study examined the prevalence of suicidal thoughts and behavior (STB), as well as clinical characteristics, emotional responsiveness, as well as executive functioning and death understanding, in young children receiving intensive psychiatric treatment.

methodNinety children, 4 to 7 years of age in a Pediatric Partial Hospital Program (PPHP), were studied. A diagnosis of autism or a significant language delay were exclusion citeria. Most children were male (74 %) and White (63 %); 8 % were Black, and 26 % were multiracial or endorsed other races;18 % were Latine. Caregivers completed diagnostic interviews about their child as well as psychiatric history screening and measures of their own depression and STB. Children were administered lab tasks tapping cognitive and emotional risk factors as well as a death understanding interview.

resultsApproximately 44 % of children had a history of STB, as reported by a caregiver. Both MDD and PTSD were associated with increased rates of STB in univariate analyses but neither ODD or ADHD differentiated the groups. Preschoolers with a history of STB demonstrated a greater understanding of death and dampened positive emotion in interactive play compared to those without a history of STB. In multivariate analyses, older age, a PTSD diagnosis, and dampened positive emotion differentiated children with a history of STB from those without a history of STB.

conclusionContinued refinement of the clinical assessment of STB in young children referred for mental health care is important given the high rates of STB found in this study. A PTSD diagnosis appears especially important to consider in understanding STB in this age group as is the child's ability to experience positive emotion.

Indexed as

EmotionsMajor Depressive DisorderStress Disorders, Post-TraumaticSuicidal IdeationChildChild, PreschoolExecutive FunctionFemaleHumansMaleDeath understandingMDDParital hospitalizationPTSDResponse to positive emotionsSuicidal thoughts and behaviorYoung children

Identifiers

PMID40347766
PMCPMC13553131

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