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. 2020 Apr-Jun;24(2):236-250.
doi: 10.1080/13811118.2019.1616018. Epub 2019 Jul 3.

Interpersonal Relationships and Suicidal Ideation in Youth with Bipolar Disorder

Craig Jeffrey Robb Sewall, Tina R Goldstein, Rachel H Salk, John Merranko, Mary K Gill, Michael Strober, Martin B Keller, Danella Hafeman, Neal D Ryan, Shirley Yen, Heather Hower, Fangzi Liao, Boris Birmaher

Interpersonal Relationships and Suicidal Ideation in Youth with Bipolar Disorder

Craig Jeffrey Robb Sewall et al. Arch Suicide Res. 2020 Apr-Jun.

Abstract

This study examines how relationship quality in family and peer domains are associated with suicidal ideation (SI) in youth with bipolar disorder (BP). We assessed 404 Course and Outcome of Bipolar Youth study participants for psychiatric disorders and SI at intake and for family/peer relationships the month after intake. Multivariate logistic regression examined associations between relationships and SI, controlling for significant covariates. There were 144 youth (36%) who reported SI at intake; bivariate analyses indicated they had significantly worse family/peer relationships. Multivariate analyses showed that family/peer relationships were associated with current SI, controlling for significant covariates. Results support associations between poor relationships and SI in BP youth, regardless of current mood symptom severity. Clinicians should assess relationships when completing risk assessments with BP youth.

Keywords: bipolar disorder; interpersonal relations; suicidal ideation; youth.

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