A pre-adolescent and adolescent clinical sample study about suicidal ideation, suicide attempt, and self-harming

Suicide is the second cause of death among adolescents, and nonsuicidal self-injury (NSSI) is one of the main risk factors for suicidal behavior. However, the possible variables specifically associated with suicidal ideation and suicide attempt, as well as the psychopathological characteristics linked to the concomitant presence of suicidal ideation/attempt and NSSI are still under-investigated in […]

Antidepressants in children and adolescents: Meta-review of efficacy, tolerability and suicidality in acute treatment

Antidepressants are prescribed for the treatment of a number of psychiatric disorders in children and adolescents, however there is still controversy about whether they should be used in this population. This meta-review aimed to assess the effects of antidepressants for the acute treatment of attention-deficit/hyperactivity disorder (ADHD), anxiety disorders (ADs), autistic spectrum disorder (ASD), enuresis, […]

The impact of gender and age on bullying role, self-harm and suicide: Evidence from a cohort study of Australian children

There has been limited longitudinal investigation to date into the association between bullying, self-harm, and suicidality in Australia and the impact of specific demographic differences on this relationship. This is despite the continued rise in the incidence of bullying, self-harm, and suicide. As such, the current study draws on data from the Longitudinal Survey of […]

Screening for depression and suicide risk in children and adolescents: Updated evidence report and systematic review for the US Preventive Services Task Force

Importance  Depression, suicidal ideation, and self-harm behaviors in youth are associated with functional impairment and suicide. Objective  To review the evidence on screening for depression or suicide risk in children and adolescents to inform the US Preventive Services Task Force (USPSTF). Data Sources  PubMed, Cochrane Library, PsycINFO, CINAHL, and trial registries through July 19, 2021; references, experts, and […]

Screening for anxiety in children and adolescents: Evidence report and systematic review for the US Preventive Services Task Force

Importance  Anxiety in children and adolescents is associated with impaired functioning, educational underachievement, and future mental health conditions. Objective  To review the evidence on screening for anxiety in children and adolescents to inform the US Preventive Services Task Force. Data Sources  PubMed, Cochrane Library, PsycINFO, CINAHL, and trial registries through July 19, 2021; references, experts, and surveillance through […]

Non-suicidal self-injury and emotional burden among university students during the COVID-19 pandemic: Cross-sectional online survey

Owing to restrictions of the COVID-19 pandemic, increased stress is evident in university students with a lifetime history of non-suicidal self-injury (NSSI). Therefore, we examined two groups of university students (n = 174) in an online survey, one that exhibited early NSSI in adolescence (n = 51) and another that exhibited continuous NSSI beyond the age of […]

Increasing trend in violence-related trauma and suicide attempts among pediatric trauma patients: A 6-year analysis of trauma mechanisms and the effects of the COVID-19 pandemic

Background: Trauma is the leading cause of morbidity and mortality in the pediatric population. During the COVID-19 pandemic (COVID-19), different trends for pediatric trauma (PT) were described. This study aims to explore the trend over time of PT in our center, also considering the effects of COVID-19, focusing on trauma mechanisms, violence-related trauma (VRT) and […]

Are trajectories of social isolation from childhood to mid‑adulthood associated with adult depression or suicide outcomes

Purpose Social isolation has been shown to have negative effects on mental health outcomes though little is known about trajectories across the life course. We examined the relationship between trajectory groups and selected mental health outcomes in mid-adulthood. Methods We previously created a typology of social isolation based on onset during the life course and […]

Talk About Self-Harm (TASH): Participatory action research with young people, GPs and practice nurses to explore how the experiences of young people who self-harm could be improved in GP surgeries

Background: The incidence of self-harm in young people in primary care is increasing dramatically, and many young people who self-harm visit their GP surgery as a first point of contact for help. Objective: To explore with young people, GPs and practice nurses (PNs): (i) why young people present with self-harm to primary care and (ii) whether young […]

School personnel experiences in notifying parents about their child’s risk for suicide: Lessons learned

BACKGROUND—Schools across the nation are increasingly implementing suicide prevention programs that involve training school staff and connecting students and their families to appropriate services. However, little is known about how parents are engaged in such efforts. METHODS—This qualitative study examined school staff perspectives on parent involvement in the implementation of a district-wide suicide prevention program […]

Contemporary characteristics and lethality correlates of serious suicide attempts in children and adolescents

Objective Adolescent suicide rates have increased in the past decade. Few studies have examined contemporary pediatric suicide attempters with medically serious suicide attempts, particularly among younger pediatric suicide attempters. Method This preliminary chart review study examined 200 adolescents with medically serious suicide attempts and sought to identify general cohort characteristics, differences in cohort characteristics based […]

Who is at risk of dyig young from suicide and sudden violent death? Common and specific risk factors among children, adolescents, and young adults

Objective Suicides and other sudden violent deaths are the most common causes of death among young people worldwide. This case–control study compared risk factors for suicide and other sudden violent death among young people. Method A total of 436 psychological autopsy interviews with next of kin were performed. The samples aged 10–25 years included 63 cases […]

Family unity or money? The roles of parent-child cohesion and socioeconomic status in the relationship between stressful life events and nonsuicidal self-injury among Chinese left-behind children

Objective Chinese left-behind children have faced a high level of stress and tend to engage in nonsuicidal self-injury (NSSI) behavior. However, the impacts of parental migration on NSSI are complex. The improved family’s socioeconomic status (SES) could have positive impacts on these children’s mental health, yet the parental absence could have negative influences. To explore […]

Clustering of suicides in children and adolescents

Suicide is one of the major causes of death in young people, in whom suicide can occur in clusters. In this Review, we have investigated definitions and epidemiology of such clusters, the factors associated with them, mechanisms by which they occur, and means of intervening and preventing them. Clustering of suicidal behaviour is more common […]

Treatment of childhood traumatic grief

Childhood traumatic grief (CTG) is a condition in which trauma symptoms impinge on children’s ability to negotiate the normal grieving process. Clinical characteristics of CTG and their implications for treatment are discussed, and data from a small number of open-treatment studies of traumatically bereaved children are reviewed. An empirically derived treatment model for CTG is […]

National guidelines for child and youth behavioral health crisis care

The National Guidelines for Child and Youth Behavioral Health Crisis Care offers best practices, implementation strategies, and practical guidance for the design and development of services that meet the needs of children, youth, and their families experiencing a behavioral health crisis. Additional technical guidance is provided in a companion report produced by SAMHSA in conjunction with the […]

Tattered teddies: An interactive handbook about the awareness and prevention of suicide in children

Tattered Teddies has been designed to provide information and to allow you, the readers, to engage with, and uniquely apply the knowledge to the children in your care. The content within Tattered Teddies provides current research and strategies for intervention with children at risk of suicide.

A comparison of suicide attempt histories of pediatric and adult medical inpatients and implications for screening

Objective A suicide attempt is the most potent predictor of future suicidal behavior, yet little is known about how to manage and respond to reports of attempt histories in hospitalized medical patients. This study aims to describe the prevalence and characteristics of pediatric and adult medical inpatients who report a past suicide attempt. Method Participants […]

Parent-reported suicidal ideation in three population-based samples of school-aged Korean children with autism spectrum disorder and autism spectrum screening questionnaire screen positivity

Objectives Higher prevalence of suicidality has been reported in individuals with ASD. This study aimed to (1) Estimate the prevalence of suicidal ideation (SI) in epidemiologically-ascertained, population-based, samples of children with ASD or Autism Spectrum Screening Questionnaire (ASSQ) Screen Positivity (ASP); (2) Determine whether ASD/ASP is an independent risk factor for SI, controlling for known […]

Suicide ideation and neurocognition among 9- and 10- year old children in the Adolescent Brain Cognitive Development (ABCD) study

Objective During the past decade, the pediatric suicide rate has nearly tripled. Yet, little is known about suicide behavior (SB) in children. Identification of risk factors associated with SB during childhood may be critical to preventing future attempts. The purpose of this study was to examine the relationship between neurocognitive performance and suicide ideation (SI) […]

Neurobiology of suicide in children and adolescents: Implications for assessment and treatment (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Pharmacologic and non-pharmacologic treatment of children and adolescents with suicidal thoughts and behavior have lagged behind the already sparse treatments for suicidal adults, leaving many at-risk youths undertreated. The following is a review of the neurobiological research literature focused on suicide risk in children and adolescents. Topics include the relationship of suicide risk to neuroimaging […]

Corticolimbic DCC gene co-expression networks as predictors of impulsivity in children

Inhibitory control deficits are prevalent in multiple neuropsychiatric conditions. The communication- as well as the connectivity- between corticolimbic regions of the brain are fundamental for eliciting inhibitory control behaviors, but early markers of vulnerability to this behavioral trait are yet to be discovered. The gradual maturation of the prefrontal cortex (PFC), in particular of the […]

Associations between genetic risk for adult suicide attempt and suicidal behaviors in young children in the US

Importance  Suicide rates have been increasing among youth in the US. While the heritability of suicide risk is well established, there is limited understanding of how genetic risk is associated with suicidal thoughts and behaviors in young children. Objective  To examine whether genetic susceptibility to suicide attempts (SAs) is associated with suicidal thoughts and behaviors in children. […]