Suicidal ideation in mothers of asthmatic children and adolescents in a subspecialty outpatient practice

Authors

DOI:

https://doi.org/10.15448/1980-8623.2022.1.37342

Keywords:

suicidal ideation, mental health, maternal behavior, asthma

Abstract

We aimed to investigate prevalence and factors associated with Suicide ideation (SI) in mothers of asthmatic children. This cross-sectional study included 362 dyads of mothers and children with asthma aged 2 to 14 years who attended two pediatric outpatient clinics in Brazil. We assessed the presence of SI (Self-Report Questionnaire-20), the occurrence of stressful events and maternal social support. The prevalence of SI was 8.6%. Low maternal education, exposure to serious illness, and low perception of social support in its affective–social interaction dimension remained significantly associated with SI in the final model. Thus, life stressors, social support and low maternal education accounted for most of the variation in prevalence of maternal SI. There were no effects of child asthma severity on maternal SI in this study.

Downloads

Download data is not yet available.

Author Biographies

Auxiliadora Damianne Pereira Vieira da Costa, Universidade Federal de Alagoas (UFAL), Maceió, AL, Brasil.

Doutora em Ciências da Saúde pela Universidade Federal de Alagoas (UFAL), em Maceió, AL, Brasil; mestre em Saúde da Criança e do Adolescente pela Universidade Federal de Pernambuco (UFPE), em Recife, PE, Brasil. Professora da Universidade Federal de Alagoas (UFAL), em Maceió, AL, Brasil.

Leticia Marques dos Santos, Universidade Federal da Bahia (UFBA), Salvador, BA, Brasil.

Doutora em Saúde Pública pela Universidade Federal da Bahia (UFBA), em Salvador, BA, Brasil; mestre em Psicologia pela Universidade Federal da Bahia (UFBA), em Salvador, BA, Brasil. Professora da Universidade Federal da Bahia (UFBA), em Salvador, BA, Brasil.

Mércia Lamenha Medeiros, Universidade Federal de Alagoas (UFAL), Maceió, AL, Brasil.

Doutora em Ciências Aplicada a Pediatria pela Universidade Federal de São Paulo (UNIFESP), em São Paulo, SP, Brasil; mestre em Saúde da Criança pela Universidade Federal de Alagoas (UFAL), em Maceió, AL, Brasil. Professora da Universidade Federal de Alagoas (UFAL), em Maceió, AL, Brasil.

Camila Oliveira Hansen, Universidade Federal de Alagoas (UFAL), Maceió, AL, Brasil.

Graduada em medicina pela Universidade Federal de Alagoas (UFAL), em Maceió, AL, Brasil.

Yasmin Cardoso Monteiro Formiga, Universidade Federal de Alagoas (UFAL), Maceió, AL, Brasil.

Graduada em medicina pela Universidade Federal de Alagoas (UFAL), em Maceió, AL, Brasil.

Claudio Torres de Miranda, Universidade Federal de Alagoas (UFAL), Maceió, AL, Brasil.

Doutor em Psiquiatria e Psicologia Médica pela Universidade Federal de São Paulo (UNIFESP), em São Paulo, SP, Brasil; mestre em Clinical Epidemiology - University of Pennsylvania, United States. Professor da Universidade Federal de Alagoas (UFAL), em Maceió, AL, Brasil.

References

Asher, I., & Pearce, N. (2014). Global burden of asthma among children. The international journal of tuberculosis and lung disease: the official journal of the International Union against Tuberculosis and Lung Disease, 18(11), 1269–78. https://doi.org/10.5588/ijtld.14.0170

Cha, C., Franz, P., Guzmán, E., Glenn, C., Kleiman, E., Nock, M. (2018). Annual Research Review: Suicide among youth – epidemiology, (potential) etiology, and treatment. Journal of Child Psychology and Psychiatry, 59(4), 460-482. https://doi.org/ 10.1111/jcpp.12831

Coutinho, L., Scazufca, M., Menezes, P. (2008). Métodos para estimar razão de prevalência em estudos de corte transversal. Revista de Saúde Pública, 42(6), 992–998. https://doi.org/10.1590/S0034-89102008000600003

Global Initiative For Asthma. (2015). Global strategy for asthma management and prevention. GINA report. http://ginasthma.org/wp-content/uploads/2016/01/GINA_Report_2015_Aug11-1.pdf

Griep, R., Chor, D., Faerstein, E., Werneck, G., Lopes, C. (2005). [Construct validity of the Medical Outcomes Study’s social support scale adapted to Portuguese in the Pró-Saúde Study]. Cadernos de saude publica, 21(3), 703-14. https://doi.org/10.1590/S0102-311X2005000300004

Harding, T., Arango, M., Baltazar, J., Climent, C., Ibrahim, H., Ladrido-Ignacio, L., Murthy, R., Wig, N. (1980). Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychological medicine, 10(2), 231–41. https://doi.org/10.1017/s0033291700043993

Huang, H., Faisal-Cury, A., Chan, Y., Tabb, K., Katon, W., Menezes, P. (2012). Suicidal ideation during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil. Archives of Women’s Mental Health, 15(2), 135-138. https://doi.org/10.1007/s00737-012-0263-5

Huang, Y., Hsu, S., Hung, C., Wang, L., Chong, M. (2018). Mental health of caregivers of individuals with disabilities: Relation to Suicidal Ideation. Comprehensive psychiatry, 81, 22-27. https://doi.org/10.1016/j.comppsych.2017.11.003

Joiner, T. E. (2005). Why People Die By Suicide. Harvard Univ. Press.

Kang, B., Kang, J., Park, H., Cho, Y., Hur, Y., Sim, W., Byeon, G., Kim, K.(2017). The Mediating Role of Parental Support in the Relationship between Life Stress and Suicidal Ideation among Middle School Students. Korean journal of family medicine, 38(4), 213-219. https://doi.org/10.4082/kjfm.2017.38.4.213

Kim, S.-Y., & Park, S.-P. (2014). Suicidal ideation and risk factors in Korean migraine patients. Journal of Clinical Neuroscience, 21(10), 1699-1704. https://doi.org/10.1016/j.jocn.2014.03.016

Klonsky, E. D., & May, A. M. (2015). The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework. International Journal of Cognitive Therapy, 8(2), 114-129. https://www2.psych.ubc.ca/~klonsky/publications/3ST.pdf

Klonsky, E., May, A., Saffer, B. (2016). Suicide, Suicide Attempts, and Suicidal Ideation. Annual Review of Clinical Psychology, 12(1), 307-330. https://doi.org/10.1146/annurev-clinpsy-021815-093204

Klonsky, E., Qiu, T., Saffer, B. (2017). Recent advances in differentiating suicide attempters from suicide ideators. Current opinion in psychiatry, 30(1), 15-20. https://doi.org/10.1097/YCO.0000000000000294

Koyama, A., Matsushita, M., Hashimoto, M., Fujise, N., Ishikawa, T., Tanaka, H., Hatada, Y., Miyagawa, Y., Hotta, M., Ikeda, M. (2017). Mental health among younger and older caregivers of dementia patients. Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 17(2), 108-114. https://doi.org/10.1111/psyg.12200

Lise, F., Schwartz E., Milbrath, V., Santos, B., Feijó, A., Garcia, R. (2017). Criança Em Tratamento Conservador Renal: Experiências Das Cuidadoras Familiares. Texto & Contexto - Enfermagem, 26(3), e1110016. https://doi.org/10.1590/0104-07072017001110016

Liu, R. T., & Miller, I. (2014). Life events and suicidal ideation and behavior: A systematic review. Clinical Psychology Review, 34(3), 181–192. https://doi.org/10.1016/j.cpr.2014.01.006

Lopes, C., & Faerstein, E. (2001). Confiabilidade do relato de eventos de vida estressantes em um questionário autopreenchido: Estudo Pró-Saúde. Revista Brasileira de Psiquiatria, 23(3), 126-133. https://doi.org/10.1590/S1516-44462001000300004.

Mari, J., & Williams, P. (1986). A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of Sao Paulo. British Journal of Psychiatry, 148(1), 23-26. https://doi.org/10.1192/bjp.148.1.23

Mcfeeters, D., Boyda, D., & O’neill, S. (2015). Patterns of stressful life events: distinguishing suicide ideators from suicide attempters. Journal of affective disorders, 175, 192-8. https://doi.org/10.1016/j.jad.2014.12.034

Nock, M., Borges, G., Bromet, E., Alonso, J., Angermeyer, M., Beautrais, A., Bruffaerts, R., Chiu, W., de Girolamo, G., Gluzman, S., de Graaf, R., Gureje, O., Haro, J., Huang, Y., Karam, E., Kessler, R., Lepine, J., Levinson, D., Medina-Mora, M., Ono, Y., … Williams, D. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry, 192(2), 98-105. https://doi.org/10.1192/bjp.bp.107.040113

O’connor, R. C. (2011). Towards an Integrated Motivational-Volitional Model of Suicidal Behaviour. In R. C. O’Connor, S. Platt, & J. Gordon (Eds.), International handbook of suicide prevention: Research, policy and practice (pp. 181–198). Wiley Blackwell. https://doi.org/10.1002/9781119998556.ch11

O’Connor, R., Wetherall, K., Cleare, S., Eschle, S., Drummond, J., Ferguson, E., O’Connor, D., O’Carroll, R. (2018). Suicide attempts and non-suicidal self-harm: national prevalence study of young adults. BJPsych open, 4(3), 142-148. https://doi.org/10.1192/bjo.2018.14

O’Dwyer, S., Moyle, W., Zimmer-Gembeck, M., & De Leo, D. (2016). Suicidal ideation in family carers of people with dementia. Aging & mental health, 20(2), 222–30. https://doi.org/10.1080/13607863.2015.1063109

Park, B., Kim, S., Shin, J., Sanson-Fisher, R., Shin, D., Cho, J., Park, J. (2013). Suicidal Ideation and Suicide Attempts in Anxious or Depressed Family Caregivers of Patients with Cancer: A Nationwide Survey in Korea. PLoS ONE, 8(4), e60230. https://doi.org/10.1371/journal.pone.0060230

Skeen, S., Tomlinson, M., Macedo, A., Croome, N., Sherr, L. (2014). Mental health of carers of children affected by HIV attending community-based programmes in South Africa and Malawi. AIDS care, 26(Suppl 1), S11-20. https://doi.org/10.1080/09540121.2014.906559

Turecki, G., & Brent, D. A. (2016). Suicide and suicidal behaviour. Lancet, 387(10024), 1227–39.

Wang, Y., Sareen, J., Afifi, T., Bolton, S., Johnson, E., Bolton, J. (2015). A population-based longitudinal study of recent stressful life events as risk factors for suicidal behavior in major depressive disorder. Archives of suicide research : official journal of the International Academy for Suicide Research, 19(2), 202–17. https://doi.org/10.1080/13811118.2014.957448

Wetherall, K., Cleare, S., Eschle, S., Ferguson, E., O’Connor, D., O’Carroll, R., & O’Connor, R. From ideation to action: Differentiating between those who think about suicide and those who attempt suicide in a national study of young adults. Journal of Affective Disorders, 241(0), 475-483, 2018. https://doi.org/10.1016/j.jad.2018.07.074

World Health Organization. (2014). Preventing suicide: a global imperative. WHO.

World Health Organization. (2015). Disease and injury country mortality estimates, 2000–2015 [Data files]. Acessado em 23 set. 2017, de http://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html.

Downloads

Published

2022-08-09

How to Cite

Costa, A. D. P. V. da, Santos, L. M. dos, Medeiros, M. L., Hansen, C. O., Formiga, Y. C. M., & Miranda, C. T. de. (2022). Suicidal ideation in mothers of asthmatic children and adolescents in a subspecialty outpatient practice. Psico, 53(1), e37342. https://doi.org/10.15448/1980-8623.2022.1.37342