Family Conflict in Adolescents with Acute Suicidality, Depression, and Controls
Bibliographic record
Abstract
Objective Family conflict is associated with adolescent depression and suicidality. Whether the conflict level differs among adolescents based on presenting concern is unknown. This study compared family conflict between adolescents with self-injurious thoughts and behavior (SITB), those with depression, and healthy controls with neither condition.Method Data were collected from 495 adolescents with SITB (n = 151), depression (n = 256), and healthy controls (n = 88). Adolescents were between 12 and 17 years old (M = 15.07, SD = 1.60; 65.3% female, 24.3% male, 10.4% nonbinary; 61.4% White). Family conflict was assessed by adolescent and parent report on the Conflict Behavior Questionnaire and compared by informant across diagnostic groups, controlling for demographic variables and depression status.Results Adolescents with SITB experienced greater conflict with their mothers than adolescents with depression (p = .033), and greater conflict with their mothers (p < .001) and fathers (p = .029) compared with controls. Adolescents with depression reported more conflict with mothers (p = .015), and not fathers (p = .232), compared with controls. Parents of adolescents with SITB (p = .002) or depression (p < .001) both reported greater family conflict than parents of controls. Parent report of family conflict did not differ between the two clinical groups (p = .814).Conclusion Adolescent and parent perceptions of family conflict differ across diagnostic groups, with adolescents experiencing SITB reporting the highest family conflict. The link between family conflict and mental health problems may be a function of presenting clinical concern, informant, and parent role.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".