Suicidal ideation and family functioning
DOI:
https://doi.org/10.68178/xjxjzg36Keywords:
suicidal ideation; family functioning; family cohesion; adaptability; adolescents.Abstract
Objective: To evaluate the association between suicidal ideation and family cohesion-adaptability among school adolescents. Methods: Quantitative, non-experimental, cross-sectional correlational study including 205 fourth- and fifth-year secondary school students aged 14-19 years, selected by stratified random probability sampling. An adapted 18-item version of the Scale for Suicide Ideation (SSI) and the 20-item FACES III were administered. Spearman correlation was used. Results: Overall, 61.5% of participants were female and 54.6% were in the fourth year of secondary school. According to the instrument categorization, 55.1% were classified as having a high level of suicidal ideation, 41.5% a medium level, and 3.4% a low level. Family cohesion-adaptability was moderately low in 35.6%, moderately high in 25.9%, high in 26.8%, and low in 11.7%. Family cohesion-adaptability was inversely correlated with suicidal ideation (rho=-0.724; p<0.001). Inverse correlations were also observed for wish to live or die (rho=-0.449), suicidal thinking (rho=-0.470), suicide attempt dimension (rho=-0.482), and hopelessness (rho=-0.728), all p<0.001. Conclusion: Better family cohesion and adaptability were associated with lower suicidal ideation. The cross-sectional design precludes causal inference, and instrument categories should not be interpreted as clinical diagnoses.
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1. Alanocca Quispe Y. Relación entre ideación suicida y cohesión, adaptación familiar en estudiantes del cuarto y quinto año de secundaria de la I.E.S.P Perú Birf de la ciudad de Juliaca - 2018 [tesis de licenciatura]. Juliaca: Universidad Peruana Unión; 2018.
2. World Health Organization. Suicide [Internet]. Geneva: WHO; 2026.
3. World Health Organization. Mental health of adolescents [Internet]. Geneva: WHO; 2025.
4. Biswas S, Shukla U, Maji S, Jordan G, Andriessen K. The impact of family-related psychosocial factors on suicidal ideation among adolescents: a systematic review. BMC Public Health. 2026;26(1):2743. doi:10.1186/s12889-026-27928-7. DOI: https://doi.org/10.1186/s12889-026-27928-7
5. Hammond NG, Semchishen SN, Geoffroy MC, Sikora L, Wafy G, Hsueh L, et al. Family dynamics and self-harm and suicidality in children and adolescents: a systematic review and meta-analysis. Lancet Psychiatry. 2025;12(9):660-672. doi:10.1016/S2215-0366(25)00217-2. DOI: https://doi.org/10.1016/S2215-0366(25)00217-2
6. Pu M, Guo L, Cheng P, Gao Q, Zhu H. Family dysfunction and risk of suicidal behavior in adolescents: a systematic review and meta-analysis. J Affect Disord. 2025;370:427-433. doi:10.1016/j.jad.2024.11.025. DOI: https://doi.org/10.1016/j.jad.2024.11.025
7. Benites Segura GN, Tuestas Carbajal FF, Alcántara-Obando MO, Caycho-Rodríguez T, Torales J, Ventriglio A. Associations Between School Victimization, Perceived Family Functioning, and Suicidal Behavior in Peruvian Adolescents. Int J Soc Psychiatry. 2026 Sep 1:207640261480716. doi:10.1177/00207640261480716. DOI: https://doi.org/10.1177/00207640261480716
8. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol. 1979;47(2):343-352. doi:10.1037/0022-006X.47.2.343. DOI: https://doi.org/10.1037/0022-006X.47.2.343
9. Olson DH, Sprenkle DH, Russell CS. Circumplex model of marital and family systems: I. Cohesion and adaptability dimensions, family types, and clinical applications. Fam Process. 1979;18(1):3-28. doi:10.1111/j.1545-5300.1979.00003.x. DOI: https://doi.org/10.1111/j.1545-5300.1979.00003.x
10. Olson DH. Circumplex Model of Marital and Family Systems. J Fam Ther. 2000;22(2):144-167. doi:10.1111/1467-6427.00144. DOI: https://doi.org/10.1111/1467-6427.00144
11. Olson DH, Waldvogel L, Schlieff M. Circumplex Model of Marital and Family Systems: an update. J Fam Theory Rev. 2019;11(2):199-211. doi:10.1111/jftr.12331. DOI: https://doi.org/10.1111/jftr.12331
12. Camacho Palomino P, León Nakamura CL, Silva Mathews ZI. Funcionamiento familiar según el Modelo Circumplejo de Olson en adolescentes. Rev Enferm Herediana. 2009;2(2):80-85.
13. Angulo Palomino MA. Funcionamiento familiar e ideación suicida en adolescentes de Lima Metropolitana [tesis de licenciatura]. Lima: Universidad Nacional Federico Villarreal; 2024.
14. Gavilanes Padilla EF, Gaibor Gonzalez IA. Funcionamiento familiar y su relación con el riesgo suicida en adolescentes. LATAM Rev Latinoam Cienc Soc Humanid. 2023;4(1):807-818. doi:10.56712/latam.v4i1.297. DOI: https://doi.org/10.56712/latam.v4i1.297
15. Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X, et al. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol Bull. 2017;143(2):187-232. doi:10.1037/bul0000084. DOI: https://doi.org/10.1037/bul0000084
16. Hawton K, Saunders KEA, O’Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379(9834):2373-2382. doi:10.1016/S0140-6736(12)60322-5. DOI: https://doi.org/10.1016/S0140-6736(12)60322-5
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