Self-harm and suicide death in the three years following hospitalization for intentional self-harm in adolescents and young adults: A nationwide study

Self-harm is frequent in youths. This study aimed to assess the risk of self-harm and mortality over a three-year period following self-harm hospitalization. Data were extracted from national databases in France. All patients aged 12 to 24 years and hospitalized for self-harm in 2013-2014 were included and compared to age- and sex-matched individuals with no […]

Risk and protective factors for self-harm in adolescents and young adults: An umbrella review of systematic reviews

We conducted an umbrella review to synthesise the evidence from systematic reviews and meta-analyses that examined the risk and protective factors for self-harm in young people. We searched six different databases and used the AMSTAR-2 checklist for quality assessment. The importance of each risk and protective factor was determined based on (1) the number of times it […]

An exploration of differences between deliberate self-harm with and without suicidal intent amongst a clinical sample of young people in Singapore: A cross-sectional study

This study examined differences between young people with mental illness who engage in deliberate self-harm with and without suicidal intent, as well as socio-demographic and clinical factors that are related to the increased likelihood of suicide attempt amongst self-harming young people. A total of 235 outpatients with mental illness who had engaged in deliberate self-harm […]

Attachment-based family therapy for adolescents and young adults with suicide ideation and depression: An open trial

Background: Suicide ideation among adolescents is difficult to treat. Attachment-based family therapy (ABFT) is a promising evidence-based family intervention developed to decrease depressive symptoms and suicide ideation among adolescents. Aims: This open trial assessed the feasibility of ABFT for adolescents (12–23 years) with suicide ideation and depression in an outpatient community mental health center in […]

Experiences of general practice care for self-harm: A qualitative study of young people’s perspectives

Background: Self-harm is a growing concern and rates of self-harm in young people (aged 12-25 years) presenting to general practice are rising. There is, however, little evidence about young people’s experiences of GP care and on accessing general practice. Aim: To explore the help-seeking behaviours, experiences of GP care, and access to general practice of young people […]

Feasibility of an integrated treatment approach for youth with depression, suicide attempts, and substance use problems

Depression, suicidal behaviors and substance use problems frequently co-occur, and treatment for youth with these co-occurring problems is often fragmented and challenging. An integrated cognitive-behavioral treatment  approach that builds upon a relapse prevention framework and applies common core skills, language, and approach for treating these related problems may be clinically beneficial. Following a description of […]

Exploring the link between the increase in high-rise buildings and youth jumping suicide in Taiwan: A longitudinal study

Introduction From 2010 to 2021, suicide rates in 15–24 age group in Taiwan increased by 70%, with jumping being the most common method in 2021. We examined the link between the rise in youth suicides and the increase in high-rise buildings during this period. Methods Spearman’s correlation coefficients and negative binomial mixed-effects models were employed […]

“I do want to stop, at least I think I do”: An international comparison of recovery from nonsuicidal self-injury among young people

Phenomenological and cultural understandings of recovery from the perspective of individuals who engage in nonsuicidal self-injury (NSSI) are rare. The primary study objective was to understand similarities across three samples in (a) how young people define recovery from NSSI and (b) what they consider helpful approaches taken by parents and professionals to assist their recovery. […]

The cumulative incidence of self-reported suicide-related thoughts and attempts in young Canadians

Objective: To estimate the cumulative incidence of self-reported suicide-related thoughts (SRTs) and suicide attempts (SAs) in males and females from 11 to 25 years of age in Canada. Methods: A cohort study was conducted by linking cycles 2 to 8 from the National Longitudinal Survey of Children and Youth, a representative survey of Canadians aged […]

A necessary pain: A literature review of young people’s experiences of self-harm

Background: Self-harm is defined as intentional self-injury without the wish to die. People who self-harm report feeling poorly treated by healthcare professionals, and nurses wish to know how best to respond to and care for them. Increased understanding of the meaning of self-harm can help nurses collaborate with young people who self-harm to achieve positive […]

Cultural Consensus Modeling to identify culturally relevant reasons for and against suicide among Black adolescents

Introduction The development of evidence-based treatments relies on accurate theoretical frameworks sensitive to the lived realities of the populations from which they are derived. Yet, the perspectives of Black youth are vastly underrepresented in extant theories of suicidal behavior. Cultural Consensus Modeling provides an evidence-based approach for developing a culturally informed understanding of suicide risk […]

Wakȟáŋyeža (Little Holy One): An intergenerational intervention for Native American parents and children: a protocol for a randomized controlled trial with embedded single-case experimental design

Background Trauma within Native American communities compromises parents’ parenting capacity; thus, increasing childrens’ risk for substance use and suicide over the lifespan. The objective of this manuscript is to describe the Wakȟáŋyeža (Little Holy One) intervention and evaluation protocol, that is designed to break cycles of intergenerational trauma, suicide, and substance use among Fort Peck […]

Best practice for integrating digital interventions into clinical care for young people at risk of suicide: A Delphi study

Background Digital tools have the capacity to complement and enhance clinical care for young people at risk of suicide. Despite the rapid rise of digital tools, their rate of integration into clinical practice remains low. The poor uptake of digital tools may be in part due to the lack of best-practice guidelines for clinicians and […]

Impact of a virtual suicide safety planning training on clinician knowledge, self-efficacy, and use of safety plans in community mental health clinics

Objective: Safety planning is a critical evidence-based intervention used to prevent suicide among individuals who report suicidal ideation or behavior. There is a dearth of research on optimal ways to disseminate and implement safety plans in community settings. The present study examined one implementation strategy, a 1-hour virtual pre-implementation training, designed to teach clinicians to effectively […]

Worsening symptoms of anxiety, depression, and sleep problems in caregivers following youth’s suicide-related emergency department visit

Objective: Although families assume considerable responsibility in caring for their child after a suicidal crisis, little is known about caregiver well-being following a suicide-related pediatric Emergency Department (ED) visit. This study aimed to (1) describe the course of caregiver distress symptoms (e.g., anxiety, depression, and negative affect) and sleep problems following their child’s suicide-related ED visit […]

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 […]

Racial and gender disparities in suicide and mental health care utilization in a pediatric primary care setting

Purpose: We examined racial and gender disparities in the underrecognition of mental health disorders in adolescents and young adults as defined by a suicide-related diagnosis without a previous mental or behavioral health diagnosis. Methods: We employed a series of adjusted mixed multilevel logistic regression models to determine the odds of specific mental health diagnoses (anxiety, […]

The prevalence and association of adverse childhood experiences with suicide risk behaviors among adolescents and youth in Zimbabwe

Suicide poses a significant public health concern, particularly among adolescents and youth exposed to adverse childhood experiences (ACEs). However, little research exists on understanding ACEs’ prevalence and suicidality consequences in Zimbabwe. Therefore, this study examined the prevalence and association between individual and cumulative ACEs with suicide risk among adolescents and youth in Zimbabwe. The study […]

Youth suicidality in the context of disasters

Purpose of Review The purpose of this review is to summarize the current literature regarding youth suicidality (suicidal ideation, suicidal behavior, and completed suicide) in the context of disasters. Recent Findings There are fewer studies that examine the effect of disasters on suicidality specifically in children and youth than studies that focus on adults or […]

Generalisability of the interpersonal theory of suicide to latent profiles of young people attending treatment in a suicide prevention service

Objective: The Interpersonal Theory of Suicide (ITS) could help identify differences in groups of suicidal adolescents and inform treatment. Method: Latent Profile Analysis (LPA) using thwarted belongingness (TB), perceived burdensomeness (PB), hopelessness, and capability was conducted on data from an at-risk clinical sample (N = 500). The ITS prediction that changes in TB and PB are associated […]

Seasonal trends in antidepressant prescribing, depression, anxiety and self-harm in adolescents and young adults: An open cohort study using English primary care data

Background There is an increasing demand for mental health services for young people, which may vary across the year. Objective To determine whether there are seasonal patterns in primary care antidepressant prescribing and mental health issues in adolescents and young adults. Methods This cohort study used anonymised electronic health records from general practices in England contributing to QResearch. […]

Suicide bereavement and postvention approaches for young people in Scotland (IN The Routledge International Handbook of Child and Adolescent Grief in Contemporary Contexts, edited by C. Traher and L.J. Breen)

Suicide is a leading cause of death globally, and each suicide can have a profound impact on those grieving the loss, including young people. Suicide loss is a risk factor for adverse health and social outcomes including complicated grief and subsequent suicides. Young people coping with such a death may face additional complexities in their […]

Effectiveness of emergency department-based and initiated youth suicide prevention interventions: A systematic review

Objective: This systematic review examined the effectiveness of Emergency Department-based and initiated youth suicide prevention interventions for suicide attempts, suicidal ideation, hospitalization, family system functioning, and other mental health symptoms. Methods: We searched five databases for randomized controlled trial (RCT) studies that examined Emergency Department-based and initiated suicide prevention interventions among youth aged 10 to 18 years […]