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Parent–Child Relationship Characteristics and Psychiatric Symptoms as Predictors of Passive Suicidal Ideation among Adolescents in Outpatient Substance Use Treatment.

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Title: Parent–Child Relationship Characteristics and Psychiatric Symptoms as Predictors of Passive Suicidal Ideation among Adolescents in Outpatient Substance Use Treatment.
Authors: Lee, Jacquie1 (AUTHOR), Tubman, Jonathan G.1 (AUTHOR) jtubman@american.edu
Source: Child & Adolescent Social Work Journal. Feb2026, Vol. 43 Issue 1, p181-191. 11p.
Subject Terms: *Parent-child relationships, *Drug addiction, *Internalizing behavior, *Research methodology, *Research, *Factor analysis, *Alcoholism, *Adolescence, Substance abuse treatment, Risk assessment, Pearson correlation (Statistics), Suicidal ideation, Outpatient services in hospitals, Research funding, Secondary analysis, Medical care, Questionnaires, Interviewing, Sex distribution, Descriptive statistics, One-way analysis of variance, Statistics, Data analysis software, Psychosocial factors
Abstract: Adolescents with substance use disorders (SUDs) are at higher risk for negative outcomes including suicidal ideation (SI). This is due in part to high rates of comorbid psychiatric disorders among adolescents diagnosed with a SUD. Among adolescents, SI is a sign of psychological distress that may interfere with substance use treatment engagement and completion. Identification of factors that are significant predictors of SI among adolescents engaged in risky substance use can provide valuable information for customized treatment planning. The present study is a secondary analysis of data from a racially and ethnically diverse sample of 396 adolescents receiving outpatient substance use treatment services to identify predictors of SI. Hierarchical multiple regression analyses were conducted by entering variables sequentially in four blocks: (a) gender, (b) internalizing psychiatric symptoms, externalizing psychiatric symptoms, (c) drug abuse and dependence symptoms, alcohol abuse and dependence symptoms, and (d) negative parent relations, positive parent relations to determine the unique contribution of each block. This analysis revealed that internalizing psychiatric disorder symptoms, gender, and alcohol abuse and dependence symptoms were each significant predictors of mean SI scores. Overall, the results suggested that female clients entering substance abuse treatment may have higher levels of distress than male clients and require more careful screening. Additionally, tailored integrated treatment planning for clients with complex patterns of comorbid internalizing disorder symptoms and alcohol use disorder symptoms may lead to better overall treatment outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Child & Adolescent Social Work Journal is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Parent–Child Relationship Characteristics and Psychiatric Symptoms as Predictors of Passive Suicidal Ideation among Adolescents in Outpatient Substance Use Treatment.
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  Data: <searchLink fieldCode="JN" term="%22Child+%26+Adolescent+Social+Work+Journal%22">Child & Adolescent Social Work Journal</searchLink>. Feb2026, Vol. 43 Issue 1, p181-191. 11p.
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– Name: Abstract
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  Data: Adolescents with substance use disorders (SUDs) are at higher risk for negative outcomes including suicidal ideation (SI). This is due in part to high rates of comorbid psychiatric disorders among adolescents diagnosed with a SUD. Among adolescents, SI is a sign of psychological distress that may interfere with substance use treatment engagement and completion. Identification of factors that are significant predictors of SI among adolescents engaged in risky substance use can provide valuable information for customized treatment planning. The present study is a secondary analysis of data from a racially and ethnically diverse sample of 396 adolescents receiving outpatient substance use treatment services to identify predictors of SI. Hierarchical multiple regression analyses were conducted by entering variables sequentially in four blocks: (a) gender, (b) internalizing psychiatric symptoms, externalizing psychiatric symptoms, (c) drug abuse and dependence symptoms, alcohol abuse and dependence symptoms, and (d) negative parent relations, positive parent relations to determine the unique contribution of each block. This analysis revealed that internalizing psychiatric disorder symptoms, gender, and alcohol abuse and dependence symptoms were each significant predictors of mean SI scores. Overall, the results suggested that female clients entering substance abuse treatment may have higher levels of distress than male clients and require more careful screening. Additionally, tailored integrated treatment planning for clients with complex patterns of comorbid internalizing disorder symptoms and alcohol use disorder symptoms may lead to better overall treatment outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Child & Adolescent Social Work Journal is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s10560-025-01010-4
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 181
    Subjects:
      – SubjectFull: Parent-child relationships
        Type: general
      – SubjectFull: Drug addiction
        Type: general
      – SubjectFull: Internalizing behavior
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Alcoholism
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Suicidal ideation
        Type: general
      – SubjectFull: Outpatient services in hospitals
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Secondary analysis
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      – SubjectFull: Medical care
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: One-way analysis of variance
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      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
    Titles:
      – TitleFull: Parent–Child Relationship Characteristics and Psychiatric Symptoms as Predictors of Passive Suicidal Ideation among Adolescents in Outpatient Substance Use Treatment.
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              Text: Feb2026
              Type: published
              Y: 2026
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