Moving the dial on children’s rights in Manitoba: Summary assessment of government compliance with recommendations made under the Advocate for Children and Youth Act

This report, titled Moving the Dial on Children’s Rights in Manitoba, is the fourth compliance report that MACY has released, and signifies the fifth full year under the current ACYA legislation. With five years to reflect  upon, and 80 total recommendations issued, this is a fitting moment to take stock of the progress achieved so […]

Identifying causal risk factors for self-harm among adolescents with U.S. child protective services contact

Objectives: To estimate effects of potentially modifiable risk factors for self-harm among adolescents in the Child Protective Services (CPS) system. Methods: Data came from the National Survey of Child and Adolescent Well-being, a nationally representative longitudinal survey. Candidate risk factors included child’s feelings of worthlessness, the presence of supportive adults in the child’s life, and parental psychological […]

Suicidal behavior and deliberate self-harm: A major challenge for youth residential care in Spain

The aim of this study was to characterize and determine the incidence of suicidal behavior and deliberate self-harm among youth in residential care in Spain, and to explore the perceived knowledge and competence of direct care professionals with regard to recognizing and managing suicide risk. The sample comprised 185 adolescents aged between 12 and 18 years […]

Childhood contact with social services and risk of suicide or sudden death in young adulthood: Identifying hidden risk in a population-wide cohort study

Background: Childhood out-of-home care is associated with premature death in adulthood, in particular death by suicide, accidents and violence. However, little is known about the mortality risk in the much larger population of adults that had contact with social services in childhood but never entered out-of-home care. We determine the association between all tiers of […]

Interventions targeting the mental health and wellbeing of care-experienced children and young people in higher-income countries: Evidence map and systematic review

Background: The mental health and wellbeing of care-experienced children and young people (i.e. foster care, kinship care, residential care) is poorer than non-care-experienced populations. The Care-experienced children and young people’s Interventions to improve Mental health and well-being outcomes Systematic review (CHIMES) aimed to synthesise the international evidence base for interventions targeting subjective wellbeing, mental health […]

Interventions targeting the mental health and wellbeing of care‑experienced children and young people in higher‑income countries: Evidence map and systematic review

Background The mental health and wellbeing of care-experienced children and young people (i.e. foster care, kinship care, residential care) is poorer than non-care-experienced populations. The Care-experienced cHildren and young people’s Interventions to improve Mental health and wEll-being outcomes Systematic review (CHIMES) aimed to synthesise the international evidence base for interventions targeting subjective wellbeing, mental health […]

Self-harm and suicidal ideation among young people is more often recorded by child protection than health services in an Australian population cohort

Objective: We investigated patterns of service contact for self-harm and suicidal ideation recorded by a range of human service agencies – including health, police and child protection – with specific focus on overlap and sequences of contacts, age of first contact and demographic and intergenerational characteristics associated with different service responses to self-harm. Methods: Participants were 91,597 […]

Supportive practices for young people in out-of-home care who are at risk of suicidality

Suicide is the leading cause of death for young Australians aged 15–24 years and the fifth leading cause of death for children aged 1–14 (Australian Institute of Health and Welfare [AIHW], 2021). Evidence suggests children and young people in out-of-home care (OOHC) are almost five times more likely to display suicidal behaviour than peers with […]

The range of suicidal ideation among people with care experience: Occurrences of suicidal thoughts in a cross-national sample from England and Germany

Background: This paper investigates the range of suicidal ideation among people with care experience. People who grew up in care have an elevated risk of suicidal ideation, behavior and dying by suicide compared to people without care experience. Objective: A comprehensive and in-depth understanding of when suicidal ideation occurs and how care-experienced people experience suicidal […]

The Cedar Project: Relationship between child apprehension and attempted suicide among young Indigenous mothers impacted by substance use in two Canadian cities

Indigenous leaders are gravely concerned over disproportionate representation of Indigenous children in Canada’s child welfare systems. Forced separation from children is deeply traumatizing for mothers and detrimental to the wellbeing of Indigenous families, communities and Nations. This study examined relationships between child apprehension and suicide attempt within a cohort of young Indigenous women impacted by […]

Examining the association between suicidal behaviors and referral for mental health services among children involved in the child welfare system in Ontario, Canada

Although various studies have investigated factors associated with mental health service utilization, few studies have examined factors associated with referral for mental health services among maltreated children. The objective of this study was to examine the association between suicidal thoughts and self-harming behavior and referral for mental health services among children involved in the Child […]

Child and youth well-being review: Final report

The COVID-19 pandemic has affected the lives of every Albertan. It is the greatest public health crisis we have faced in more than a generation. This report outlines how the experience of the pandemic and the efforts to stay safe from the virus have affected children and youth in Alberta. A panel of experts was […]

Finding the way back: An aggregate investigation of 45 boys who died by suicide or homicide in Manitoba

The purposes of this special report are threefold: to advance understanding of boys who were involved in the child welfare system and who died by suicide or homicide in the last 10 years; to enable and empower First Nations boys to share their experiences walking through life; and to develop recommendations that increase the effectiveness […]

Vulnerable yet forgotten? A systematic review identifying the lack of evidence for effective suicide interventions for young people in contact with child protection systems

Children and young people in out-of-home care are at a higher risk of suicide than young people not involved with child protection systems. Despite this, there is a lack of evidence of effective suicide prevention interventions for this vulnerable population. We reviewed the types of suicide prevention interventions that have been used and evaluated with […]

Health services use by children in the welfare system who died by suicide

Objectives: To examine characteristics and health service use patterns of suicide decedents with a history of child welfare system involvement to inform prevention strategies and reduce suicide in this vulnerable population. Methods: A retrospective matched case-control design (120 suicide decedents and 1200 matched controls) was implemented. Suicide decedents included youth aged 5 to 21 who died by […]

Association of child placement in out-of-home care with trajectories of hospitalization because of suicide attempts from early to late adulthood

Importance  Children placed in out-of-home care (OHC) have higher rates of suicidal behaviors, including suicide attempts, compared with those who grow up in their family of origin. Several studies have shown that this elevated risk persists into young adulthood. Yet, our knowledge about any longer-term associations of OHC with suicide attempts is limited. Objective  To […]

Effectiveness of emotional intelligence therapy on suicide risk among adolescents in residential care

This study aimed to apply Emotional Intelligence Therapy (EIT) in a sample of adolescents in residential care and to examine its impact on three outcomes: suicide risk, perceived emotional intelligence (PEI), and basic psychological needs (BPN). Treatment consisted of 16 group sessions held on a weekly basis to develop the emotional skills of perception, facilitation […]

Mandatory reviews into child deaths: October 1, 2018–March 31, 2019

Between October 1, 2018 and March 31, 2019, the Advocate received notifications of the deaths of 10 young people who passed away. They were identified as children in need of intervention and were receiving child intervention services at the time of their death or within two years of their death, meeting the criteria for mandatory […]

Care leavers: A British affair

Individuals in and leaving care within the UK experience numerous dilemmas that include a lack of supportive housing and potential homelessness, lower educational attainment and occupational status, and greater likelihood of moving into poverty. These adverse situations—all of which are interrelated—shape their present and future health status. Models of these processes usually focus on individual […]

Experience of self-harm and its treatment in looked-after young people: An interpretative phenomenological analysis

We report the first Interpretative Phenomenological Analysis examination of self-harm and experience of clinical services in young people in the public care system. Qualitative interviews with 24 looked-after young people were completed. Prevalent themes were 1) Changes in care placement, 2) Feelings of anger, 3) Not wanting/feeling able to talk, 4) Developing coping techniques, 5) […]

A stronger, safer tomorrow: A public action plan for the Ministerial Panel on Child Intervention’s final recommendations.

The public action plan outlines a strategy for strengthening the child intervention system and better supporting children, youth and families. To address urgent needs, a number of specific actions will be implemented immediately, while work on all actions will be completed by 2022.

The cycle of child protection services involvement: A cohort study of adolescent mothers.

OBJECTIVES: To determine if adolescent mothers who were in the care of child protection services (CPS) when they gave birth to their first child are more likely to have that child taken into CPS care before the child’s second birthday than adolescent mothers who were not in the care of CPS. METHODS: Linkable administrative data were used […]

BC Coroners Service Death Review Panel: Review of MCFD-Involved youth transitioning to independence January 1, 2011 – December 31, 2016.

For the period of January 1, 2011 to December 31, 2016, 1,546 youth and young adults aged 17-25 years died from causes classified as accidental, suicide, undetermined, natural or homicide. Of these deaths, 200 (13%) deaths were among youth and young adults who at age of death or at age of majority were in care, were […]