Social Support Reduces the Risk of Unfavorable Parenting Styles for Suicidal Behaviors in Early Adolescents

Objective Depression and perceived stress are important risk factors for suicidal behaviors among adolescents. The current study examined the joint effects of parenting styles on suicidal ideation (SI) and attempt (SA) in early adolescents while considering relevant individual factors, and evaluated whether social support can offset the risk. Methods The present study was part of a large cohort study aiming at tracing the mental health and risk behaviors in adolescents, and we utilized baseline data collected from 645 4th grade students with complete assessment of suicidal behaviors, social support, parental bonding, depression, and perceived stress. Participants' mean age was 9.97 years (SD = 0.38) with 53.02% boys. Logistic regression was performed to analyze the associations between independent variables and youth suicidal behaviors. Results 16.28% students reported to have SI and 4.96% had SA. Depression (SI: OR = 3.66-3.89; SA: OR = 3.98-4.50), father's low care and high authoritarian (LCHA) (SI: OR = 3.04; SA: OR = 2.43), and low acceptance and high authoritarian (LAHA) (SI: OR = 3.58; SA: OR = 4.77) parenting styles were strong risk factors, while overall social support (SI: OR = 0.98; SA: OR = 0.97) was a protective factor of SI and SA for early adolescents. Perceived stress (OR = 1.07-1.08) and mother's LCHA parenting style (OR = 2.03) were risk factors of SI. Overall, a family with LCHA parenting (OR = 2.82) or LAHA parenting (OR = 3.35-3.72) regardless parental gender had increased risk for SI and SA. Conclusion Family and social factors are important to consider in suicidal prevention and interventions among early adolescents, in addition to assessing individual risk factors.

Automated summary

Objective depression and perceived stress are important risk factors for adolescent suicidal behaviors. This study examined the joint effects of parenting styles on suicidal ideation (SI) and attempt (SA) in early adolescents, while considering individual factors, and evaluated the role of social support in mitigating the risk. The results showed that depression, father's low care and high authoritarian parenting styles, and low acceptance and high authoritarian parenting styles were strong risk factors, while overall social support was a protective factor for SI and SA in early adolescents. Perceived stress and mother's low care and high authoritarian parenting style were also identified as risk factors for SI. Overall, family and social factors should be considered in suicidal prevention and interventions for early adolescents.