IntroductionParents and adolescents are often discrepant in their reports of adolescent psychosocial factors. Few studies have addressed parent–adolescent discrepancies in subjective ratings of familial dysfunction and depression as longitudinal predictor variables, and none have done so in a treatment setting for adolescents with acute suicidality. This study examined how parent–adolescent discrepancies in familial dysfunction and depression impact adolescent treatment response in an intensive outpatient program for suicidality.MethodsAdolescents (N = 315) were assessed at treatment entry and exit for familial dysfunction, depression, and suicidal ideation. Parents received parallel assessments of familial dysfunction and adolescent depression at each time point. A polynomial regression was conducted to determine whether parent–adolescent discrepancies in reports of familial dysfunction and depression at entry related to the treatment outcome of adolescent‐reported depression and suicide ideation at exit.ResultsSignificant discrepancies were present with on average adolescents reporting more depression and familial dysfunction than parents. Entry discrepancy in familial dysfunction (but not depression) predicted suicide ideation at exit.ConclusionsOur results suggest that parent–adolescent discrepancies in perception of familial dysfunction is a risk factor for poor outcomes in suicidal youth and might be a fruitful target in treatment programs.

中文翻译：

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父母与青少年在家庭功能障碍和抑郁症报告中的差异对青少年自杀意念的影响

简介 父母和青少年对青少年心理社会因素的报告常常存在差异。很少有研究将父母与青少年对家庭功能障碍和抑郁症的主观评价差异作为纵向预测变量进行研究，而且没有一项研究在针对患有急性自杀倾向的青少年的治疗环境中这样做。本研究探讨了在自杀倾向强化门诊项目中，父母与青少年在家庭功能障碍和抑郁方面的差异如何影响青少年的治疗反应。氮= 315）在治疗开始和结束时评估家庭功能障碍、抑郁和自杀意念。父母在每个时间点都接受了家庭功能障碍和青少年抑郁症的平行评估。进行多项式回归以确定进入时父母与青少年在家庭功能障碍和抑郁症报告中的差异是否与退出时青少年报告的抑郁症和自杀意念的治疗结果相关。功能障碍比父母还多。家庭功能障碍（但不是抑郁症）的进入差异可以预测退出时的自杀意念。结论我们的结果表明，父母与青少年对家庭功能障碍的认知差异是自杀青少年不良结局的危险因素，并且可能是治疗计划中富有成效的目标。