Clinical Characteristics of Youths With Substance use Problems and Implications for Residential Treatment

For a summary of the research findings presented in this study, please see SIEC #2004-1119

Lost Promise and Potential: Alberta’s Statistics on Youth Suicides. Programs and Challenges

Authored by an Alberta MLA, this report presents statisics regarding the fatalities (including suicides) of children aged 10 to 19 years in the care of the Alberta government between the years 1990 & 1998. The existence or lack of targeted suicide prevention & prevention training programs at each Regional Health Authority & each Child & […]

Issues and Answers

A staff member of a group home for adolescent girls asks how staff can distinguish between regular acting-out behaviour & behaviour that indicates real suicide intent. The response is that staff should focus on managing the behaviour & not on whether the behaviour may or may not be manipulative. An approach that is suggested is […]

Phencyclidine use in Delinquent Males Committed to a Training School

Delinquent males committed to a training school were interviewed to determine the extent & the effects of phencyclidine (PCP) use. 9 of 109 drug using subjects knowingly had used phencyclidine in the past. These subjects had started taking drugs at an average age of 9.38 years, significantly younger than non-phencyclidine users. Suicide attempts were made […]

Youth at Risk to be Socially Rejected: the Population of Youth Crisis Centres in The Netherlands

Suicidal Behavior Among Middle-Class Adolescents who Seek Crisis Services

This study assessed suicidal behaviour & risk factors among 1616 predominantly middle-class adolescents seeking crisis services in Oklahoma. 22.1% reported a past suicide attempt; half reported suicidal ideation in the month prior to seeking help. Attempters were significantly more likely than nonattempters to report suicidal ideation & family suicidal behaviour. Suicidal behaviours in the entire […]

Juvenile Suicide Prompts Closing of Facility (18th Column in a Series)

This column discusses the suicide of Matthew M., a 13-year-old boy admitted to the High Plains Youth Center in Colorado. Matthew was born with fetal alcohol syndrome. Eventually he was removed from his home & began a series of foster-care placements. During intake at the youth centre Matthew was deemed not to be suicidal even […]

Basic Psychological Skills for Front-Line Staff of Residential Youth Facilities (HV 863 F73 1993)

Chapter 1 of this book addresses learned helplessness & goal setting. Chapter 2 reviews communications with an emphasis on listening skills & the development of positive relationships. 3 perspectives on problem solving are presented in Chapter 3. The fourth chapter outlines a user-friendly presentation of behaviour modifications. Chapter 5 is on suicide risk assessment & […]

Suicide Prevention (IN: Basic Psychological Skills for Front-Line Staff of Residential Youth Facilities, by K France)

Potential suicide is seen as a problem for approximately 14% of all students in residential youth facilities. Front-line staff need to understand risk factors associated with suicide & should be familiar with basic intervention principles. When intervening with such residents, there are 5 considerations to keep in mind: arranging medical assistance, determining appropriate intervention, decreasing […]

Heroin Suicide ‘set off Alarm Bells’: Experts Rethink Approach to Rehabilitation as Opiate use Soars

This clipping tells the story of Ryan Crawford, 22-years-old, who died from a heroin overdose. Crawford’s death led to calls for changes in both the policies of the residential centre where he had been admitted & in treatment strategies for substance abusers.

The Descriptive Epidemiology of Unnatural Deaths in Oregon’s State Institutions: a 25-Year (1963-1987) Study. IV. The Reduction of Unnatural Death Rates During 1988-1992 in Three Facilities…

This article presents the 5-year (1988-1992) analysis of unnatural deaths in Oregon’s state mental & correctional institutions & compares it with data of previous years & with death rates for noninstitutionalized citizens in the county. It concluded that the highly significant reductions in unnatural death rates at 2 facilities are largely due to implementation of […]

Selfobject Functions of the Family: Implications for Family Therapy

A theory of the family as a supraordinate selfobject is developed. Clinical applications of the theory are explored. The family as a selfobject matrix enhances the development of the child by the provision of continuity through the maintenance of proximity over time, & by an enhanced quality & quantity of selfoject responsiveness for the individual. […]

Psychometric Properties of the Suicidal Ideation Questionnaire in American Indian Adolescents

This paper examines the psychometric properties, dimensional characteristics, & validity (both convergent & divergent) of the Suicidal Ideation Questionnaire (Junior High School Version) (SIQ-JR) when used in an American Indian boarding school setting. 173 samples were collected for this study. Results indicate that the SIQ-JR is an internally consistent instrument for this sample of adolescents. […]

Youth Suicide in Custody: an Overview

This article reports data from recent studies on suicidal ideation, prior hospitalization, suicide attempts, & suicide completions in USA juvenile institutions. Studies include: 1993 national study on conditions of confinement in juvenile facilities; State of Virginia evaluation of 4,000 adolescents for institutional placement (1989-92); 1990 Florida detention center study of 399 youth, & USA Children […]

Suicidal Elders in Long-Term Care Facilities: Preventive Approaches and Management (IN: Now I lay me Down: Suicide in the Elderly, edited by D Lester & M Tallmer)

This chapter focuses on the elderly institutionalized in nursing homes & other long-term care facilities & their special problems & concerns. Factors that contribute to suicide in this population are examined. In addition to the more frequently used medication & psychotherapeutic interventions, newer techniques are discussed including the use of humor therapy, therapeutic touch, & […]

Attempted Suicide Among Adolescents: a Stepwise Discriminant Analysis

A sample of 40 adolescents, (mean age=14.8 years), 20 of whom had attempted suicide & 20 who had not, were compared on a number of life history & psychological variables (affective & cognitive). Stepwise discriminant analyses produced one discriminant function (Wilk’s Lambda=0.23; p

Stressful Life Events and Co-Occurring Depression, Substance Abuse and Suicidality Among American Indian and Alaska Native Adolescents

Depression, suicidality & substance abuse disorders were examined with an emphasis on the role of stressful life events in predicting severity & patterns of comorbidity among American Indian & Alaska Native adolescents in boarding schools. Of the 124 adolescents with a depression diagnosis, current suicidal ideation was the most common additional diagnosis. Females had a […]

Family Reunification Following Shelter Placement: Child, Family, and Program Correlates

Factors associated with family reunification following a short-term stay in a shelter for runaway & troubled youth were examined. Children who were not reunified with their caretakers following their stay reported more family problems, appeared to be at a higher risk of suicide, as measured by the Suicide Probability Scale (Cull & Gill, 1982), & […]

Critical Issues in Residential Care for Young Mothers and Infants: an Overview of Model Licensing Rules

The author describes a model, based on a number of sources, which suggests how state licensing agencies that regulate residential programs can ensure that the special needs of adolescent parents are met. The rules focus on staff & training (e.g. in adolescent growth & development, behaviour management, the dynamics of depression & suicide), staff-client ratio, […]

Evaluation of Imminent Danger for Suicide Risk. A Training Manual

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Suicide in Residential Treatment: Causes, Assessment, and Treatment Issues

This paper examines attitudes, myths & causes associated with suicide in children & adolescents. Treatment issues & risk assessment are discussed with special attention to limitations in predicting risk. Ethical & legal issues are reviewed. Finally, management of the suicidal patient in a treatment setting is discussed with special attention given to assisting staff who […]

Child-Related Characteristics Associated With Preventing Out-of-Home Child Placement in Home-Based Family-Centered Programs: a Research Note

The relationship of 12 variables related to children at risk for out-of-home placement & successful placement outcome for families who had received short-term, home-based, family-centered services was examined. Data were obtained from 139 case files. Age, gender, physical aggression, delinquency, problem school behaviour, physical & sexual abuse, neglect & suicidal behaviour were unrelated to placement […]

Suicidal Threats by Brain Damaged Clients: a Facility Responds

Examines problems in assessing suicidality for head injury survivors in residential treatment settings. These include the vocabulary of life & death, clients who forget, lack of executive function, initiative, inability to switch set & concrete thinking, & aphasias & word-finding difficulties. The importance of a thorough, early interdisplinary assessment, including the cognitive landscape, is emphasized.