{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:45:42Z","timestamp":1782456342657,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp; Life Threat Behav"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although they constitute well\u2010established risk factors for suicidal thoughts and behaviors (STBs), few studies have investigated how family factors such as family cohesion and family conflict influence the trajectory of treatment response among depressed and suicidal adolescents. In this study, we examined the association between baseline family factors and response to an intensive outpatient program (IOP) for STBs in adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009637) either reported their satisfaction with family cohesion or family conflict levels at baseline and provided weekly self\u2010reports of depression and STBs throughout IOP treatment. We calculated multi\u2010level regression models to test for the interaction effects of treatment\u2010day \u00d7 family\u2010factor\u2010levels and explored further demographic and clinical moderators.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher levels of family cohesion correlated with more reduction of STBs over time (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.11). Moreover, the effects of family cohesion and family conflict on treatment were moderated by patient age, ethnic minority status, and symptom severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>STBs and depression improved with IOP, with family cohesion partially moderating treatment response. Differences due to family factors were more prominent in older and ethnically minoritized adolescents, and those with more severe symptoms. Future studies should elucidate how family factors co\u2010vary with changes in STBs during treatment to better understand these effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/sltb.70104","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T11:49:17Z","timestamp":1777981757000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Family Factors on Adolescent Intensive Outpatient Psychotherapy Outcomes for Suicidal Thoughts, Behaviors, and Depression"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9533-1819","authenticated-orcid":false,"given":"Bj\u00f6rn","family":"Schlier","sequence":"first","affiliation":[{"name":"Department of Psychology University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidan G. C.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Michigan  Ann Arbor Michigan USA"},{"name":"Eisenberg Family Depression Center University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Porta","sequence":"additional","affiliation":[{"name":"Western Psychiatric Hospital University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Western Psychiatric Hospital University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Poling","sequence":"additional","affiliation":[{"name":"Western Psychiatric Hospital University of Pittsburgh Medical Center  Pittsburgh Pennsylvania 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 Pittsburgh Pennsylvania USA"},{"name":"Department of Psychology University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8687-4395","authenticated-orcid":false,"given":"Aleksandra","family":"Kaurin","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2018.12.013"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"issue":"4","key":"e_1_2_11_4_1","first-page":"237","article-title":"Development of a Short Questionnaire for Use in Epidemiological Studies of Depression in Children and Adolescents","volume":"5","author":"Angold A.","year":"1995","journal-title":"International Journal of 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