Volume 34, Issue 4 (June 2026)
JSSU 2026, 34(4): 10120-10133 |
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Ethics code: (IR.IAU.SHIRAZ.REC.1404.169)
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Parhizgar N, khabir L, Samani S, Hooman F. Familial and Personal Psychiatric Correlates of Suicide Attempt: A Case–Control Study Using a Brief Family History Screening Tool. JSSU 2026; 34 (4) :10120-10133
URL: http://jssu.ssu.ac.ir/article-1-6534-en.html
URL: http://jssu.ssu.ac.ir/article-1-6534-en.html
Abstract: (17 Views)
Introduction: Suicide is a leading cause of death worldwide. Both individual psychopathology and family history are robust of suicide behavior, and they often interact with one another.
Methods: In this case–control study (n = 60 informants), we administered a 12-item Persian screening version of the Family History Screen (FHS). The instrument demonstrated strong content/face validity (I-CVI 0.80–1.00; S-CVI/Ave = 0.95) as well as acceptable test–retest reliability (Cohen’s κ ≳ 0.60). Data were analyzed using SPSS version 16. Group comparisons were conducted using Chi-square and Fisher's exact tests, odds ratios were estimated from 2×2 contingency tables, and multivariate logistic regression (enter method) was applied to control for demographic variablesa.
Results No significant differences were observed between cases and controls regarding their sociodemographic features. Cases reported elevated levels of both familial and personal psychopathology—specifically, maternal major depressive disorder (66.7% vs. 26.7%, p = 0.002), participant impulse-control deficits (43.3% vs. 6.7%, p < 0.001), and paternal substance-use problems (53.3% vs. 13.3%, p < 0.001). In adjusted models, significant associations included maternal MDD (aOR = 7.47, 95% CI = 2.14–26.05, p = 0.002), maternal panic disorder (aOR = 6.17, 95% CI = 1.28–30.45, p = 0.025), participant impulse-control traits (aOR = 37.91, 95% CI = 3.68–390.56, p = 0.002), and participant substance-use problems (aOR = 23.63, 95% CI = 2.34–238.64, p = 0.007); furthermore, paternal externalizing behavior were also associated with case status.
Conclusion: Suicide risk is notably associated with family mood disorders as well as externalizing problems in both individuals and parents. Concise family history screening tools can help in the identification of high-risk individuals within clinical and healthcare settings, providing a framework for targeted prevention and intervention programs.
Methods: In this case–control study (n = 60 informants), we administered a 12-item Persian screening version of the Family History Screen (FHS). The instrument demonstrated strong content/face validity (I-CVI 0.80–1.00; S-CVI/Ave = 0.95) as well as acceptable test–retest reliability (Cohen’s κ ≳ 0.60). Data were analyzed using SPSS version 16. Group comparisons were conducted using Chi-square and Fisher's exact tests, odds ratios were estimated from 2×2 contingency tables, and multivariate logistic regression (enter method) was applied to control for demographic variablesa.
Results No significant differences were observed between cases and controls regarding their sociodemographic features. Cases reported elevated levels of both familial and personal psychopathology—specifically, maternal major depressive disorder (66.7% vs. 26.7%, p = 0.002), participant impulse-control deficits (43.3% vs. 6.7%, p < 0.001), and paternal substance-use problems (53.3% vs. 13.3%, p < 0.001). In adjusted models, significant associations included maternal MDD (aOR = 7.47, 95% CI = 2.14–26.05, p = 0.002), maternal panic disorder (aOR = 6.17, 95% CI = 1.28–30.45, p = 0.025), participant impulse-control traits (aOR = 37.91, 95% CI = 3.68–390.56, p = 0.002), and participant substance-use problems (aOR = 23.63, 95% CI = 2.34–238.64, p = 0.007); furthermore, paternal externalizing behavior were also associated with case status.
Conclusion: Suicide risk is notably associated with family mood disorders as well as externalizing problems in both individuals and parents. Concise family history screening tools can help in the identification of high-risk individuals within clinical and healthcare settings, providing a framework for targeted prevention and intervention programs.
Keywords: suicide attempt, family characteristics, impulsive behavior, substance-related disorders, major depressive disorder.
Type of Study: Original article |
Subject:
Psychology
Received: 2025/10/6 | Accepted: 2026/01/13 | Published: 2026/07/6
Received: 2025/10/6 | Accepted: 2026/01/13 | Published: 2026/07/6
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