Evidence map›Paper›PMID 42084212›Full record

ArticleSuicide & life-threatening behavior2026

The Impact of Family Factors on Adolescent Intensive Outpatient Psychotherapy Outcomes for Suicidal Thoughts, Behaviors, and Depression.

Björn Schlier, Aidan G C Wright, Giovanna Porta, Edward Hamilton, Kimberly Poling, Kelsey Bero, David Brent, Giana Teresi, Tina R Goldstein, Aleksandra Kaurin

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In one paragraph

Article in Suicide & life-threatening behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

10 authors.

Björn SchlierDepartment of Psychology, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0002-9533-1819
Aidan G C WrightDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Giovanna PortaWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Edward HamiltonWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Kimberly PolingWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Kelsey BeroWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
David BrentWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-5756-2157
Giana TeresiWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Tina R GoldsteinWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Aleksandra KaurinDepartment of Psychology, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0002-8687-4395

Funding

State of Pennsylvania Appropriation Funds
6 · The paper itself

Abstract

backgroundAlthough they constitute well-established risk factors for suicidal thoughts and behaviors (STBs), few studies have investigated how family factors such as family cohesion and family conflict influence the trajectory of treatment response among depressed and suicidal adolescents. In this study, we examined the association between baseline family factors and response to an intensive outpatient program (IOP) for STBs in adolescents.

methodsParticipants (n = 637) either reported their satisfaction with family cohesion or family conflict levels at baseline and provided weekly self-reports of depression and STBs throughout IOP treatment. We calculated multi-level regression models to test for the interaction effects of treatment-day × family-factor-levels and explored further demographic and clinical moderators.

resultsHigher levels of family cohesion correlated with more reduction of STBs over time (β = -0.11). Moreover, the effects of family cohesion and family conflict on treatment were moderated by patient age, ethnic minority status, and symptom severity. DISCUSSION: STBs and depression improved with IOP, with family cohesion partially moderating treatment response. Differences due to family factors were more prominent in older and ethnically minoritized adolescents, and those with more severe symptoms. Future studies should elucidate how family factors co-vary with changes in STBs during treatment to better understand these effects.

Indexed as

DepressionFamilyFamily RelationsPsychotherapySuicidal IdeationSuicide, AttemptedAdolescentFamily ConflictFemaleHumansMaleOutpatientsRisk FactorsTreatment Outcome

Identifiers

PMID42084212
PMCPMC13141666

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