Taking the next step forward: Building a responsive mental health and addictions system for emerging adults

Taking the Next Step Forward: Building a Responsive Mental Health and Addictions System for Emerging Adults is a report produced by researchers from the Children’s Hospital of Eastern Ontario (CHEO) for the  MHCC’s Knowledge Exchange Centre (KEC).1 It considers the current state of Canadian and international policies and programs that support youth with mental health […]

What’s unique about lesbian, gay, bisexual, and transgender (LGBT) youth and young adults suicides? Findings from the National Violent Death Reporting System

Purpose: The purpose of the study was to explore variability in circumstances around suicide deaths among youth and young adults by sexual/gender identity category (gay male, lesbian/gay female, bisexual male, bisexual female, transgender male, transgender female, non-LGBT [lesbian, gay, bisexual, and transgender] male, and non-LGBT female). Methods: Secondary analysis of National Violent Death Reporting System (NVDRS) data […]

River of life: Aboriginal youth suicide workshop

The River of Life workshop is designed to provide information and interventions for caregivers working with youth at risk of suicide aged fifteen to twenty-four.

Sexual orientation‑related patterns of 12‑month course and severity of suicidality in a longitudinal, population‑based cohort of young adults in Sweden

Purpose We assessed sexual orientation-related patterns in the 1-year longitudinal course (i.e., onset, remittance, persistence) and severity of suicidality. Method Data were obtained from a prospective, population-based cohort representing nearly 2.4 million Swedish young adults. Results A higher proportion of sexual minorities remitted (14.6%) compared to heterosexuals (9.5%). However, over twice as many sexual minorities […]

Systematic review of suicide prevention studies with data on youth and young adults living in low-income and middle-income countries

Objectives This review aimed to provide a summary of peer-reviewed, published literature on suicide preventive interventions with data on youth and young adults in low-income and middle-income countries (LMIC). Design A systematic review was conducted using electronic databases of PubMed/MEDLINE, The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Education Resources Information Center and […]

Established outpatient care and follow-up after acute psychiatric service use among youths and young adults

Objective: This study explored follow-up after hospitalization and emergency room (ER) use for mental health among youths and young adults with private insurance. Methods: The IBM MarketScan commercial database (2013–2018) was used to identify people ages 12–27 with a mental health hospitalization (N=95,153) or ER use (N=108,576). Factors associated with outpatient mental health follow-up within […]

Dialectical behaviour therapy (DBT) for high-risk transgender and gender diverse (TGD) youth: A qualitative study of youth and mental health providers’ perspectives on intervention relevance

Objectives Despite the significant mental health challenges and unique treatment needs of transgender and gender diverse (TGD) youth, research on the acceptability of evidence-based treatments for these youth is limited. To address this gap, the current study explored the perceived relevance of dialectical behaviour therapy (DBT) for high-risk TGD youth. Methods Qualitative data were collected […]

Stepped care for suicide prevention in teens and young adults: Design and methods of a randomized controlled trial

Background Suicide is the second‑leading cause of death among adolescents and young adults in the United States, with rates rising over much of the last decade. The design, testing, and implementation of interventions to prevent suicide in this population is a public health priority. This manuscript outlines the design and methods for a research study […]

Defeat and entrapment mediate the relationship between insomnia symptoms and suicidal ideation in young adults

Aim In recent years, there has been a growing interest in understanding the relationship between sleep disturbance and suicide. The current study aimed to advance understanding of the psychological processes driving these relationships by examining whether insomnia symptoms are related to suicidal ideation via perceptions of defeat and entrapment. Methods Young adults (n = 259; 202 students […]

Young peoples’ perspectives on the role of harm reduction techniques in the management of their self-harm: A qualitative study

Objective Self-harm is a common phenomenon amongst young people, often used to regulate emotional distress. Over the last decade harm reduction approaches to self-harm have been introduced as a means to minimize risk and reinforce alternative coping strategies. However, there is a stark absence of research into the perceived usefulness of such techniques amongst adolescents, […]

Few do and to few: Disclosure of suicidal thoughts in friendship networks of young adults experiencing homelessness

Disclosure of one’s suicidal thoughts is a pivotal but under-investigated mechanism for preventing suicide among young adults experiencing homelessness (YAEH). In a sample of 527 YAEH, we adopted a multi-level perspective to assess patterns and correlates of disclosure in their friendship networks. Less than one-third of YAEH disclosed their suicidal thoughts—half of them doing so […]

Safety planning and lethal means counseling with youth (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Lethal means counseling and safety planning (i.e., a written list of individualized coping strategies and sources of support) are empirically supported strategies to prevent suicidal behavior. Both approaches are often prescribed as ways to manage clients’ risk of suicide. However, there is limited guidance on how to effectively implement these strategies with youth. In this […]

Youth crisis hotlines: Merging best practice suicide prevention with a system of care (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

In the USA, crisis hotlines, such as the National Suicide Prevention Lifeline, have become a valued resource for individuals experiencing a suicidal crisis. Often staffed by trained counselors, crisis hotlines can provide immediate support and can help to identify a caller’s problem and potential solutions, ensure the caller’s safety, and connect them with appropriate resources. […]

The cultural theory and model of suicide for youth (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

This chapter identifies key guidelines and opportunities for the incorporation of cultural considerations into youth suicide prevention, assessment, and intervention. Cultural factors and principles from the Cultural Theory and Model of Suicide (Chu et al., 2010) are extended to ethnic, gender, and sexual minority youth, to identify cultural factors that are more salient or more […]

Suicide and self-harm prevention and intervention in LGBTQIA+ youth: Current research and future directions (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Youth who are lesbian, gay, bisexual, queer, and questioning their sexual identities (LGBQ+) and/or who are a gender distinct from their birth-assigned sex (i.e., trans gender and gender diverse), collectively LGBTQIA+, show nearly triple the risk for self-injurious thoughts and behaviors (SITBs), including nonsuicidal self-injury, suicide ideation, and suicide attempts (Marshal et al., 2011). Unfortunately, […]

Five-year mortality after hospitalisation for suicide attempt with a violent method

Objective This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment. Methods In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a suicide attempt using violent means. Vital status was […]

The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based Native American adolescents and young adults

Adverse childhood experiences (ACEs) are associated with numerous risk behaviors and mental health outcomes among youth. This study examines the relationship between the number of types of exposures to ACEs and risk behaviors and mental health outcomes among reservation-based Native Americans. In 2011, data were collected from Native American (N = 288; 15-24 years of […]

The effect of a therapeutic smartphone application on suicidal ideation in young adults: Findings from a randomized controlled trial in Australia

Suicidal ideation is a major risk for a suicide attempt in younger people, such that reducing severity of ideation is an important target for suicide prevention. Smartphone applications present a new opportunity for managing ideation in young adults; however, confirmatory evidence for efficacy from randomized trials is lacking. The objective of this study was to […]

Brief report: Exploratory evaluation of clinical features associated with suicidal ideation in youth with autism spectrum disorder

There has been a heightened awareness of an increased risk of suicidality among individuals with autism spectrum disorder (ASD) due to high rates of suicidal ideation (SI) in this population (11–66%). The current study investigated the rate of parent-endorsed SI and associated clinical features in 48 youths with ASD (Age; M: 12.97 years, SD: 2.33). SI was endorsed in […]

Calgary youth, health and the street: Final report

This is a report of a research study funded by CIHR. The study was in response to a needs assessment of youth on the streets conducted by AIDS Calgary in 1999. There was research and planning team involving many community-based groups as well as City of Calgary staff. The purpose of the Calgary Youth, Health […]

Being safe, being me 2019: Results of the Canadian trans and non-binary youth health survey

In 2014, Stigma and Resilience Among Vulnerable Youth Centre (SARAVYC) conducted a bilingual survey to learn about the health of transgender youth in Canada. It was the first and largest of its kind in Canada, with 923 young people responding. From this report, recommendations—such as developing safe, more inclusive schools and providing support for families […]

Systematic review and meta-analysis: First Nations, Inuit, and Metis youth mental health

Objective The ongoing effects of colonialism disproportionately place Indigenous youth at risk for mental health challenges. This meta-analysis examined lifetime and past-year prevalence estimates of mental health challenges among First Nations, Inuit, and Métis youth in Canada. Method Five electronic databases were searched from their inceptions until June 17, 2021. Studies were included if they […]

The health and situation of young LGBTQ people in Sweden: What do we know and where is more research needed?

In this report, Forte – the Swedish Research Council for Health, Working Life and Welfare – seeks to elucidate what we currently know about the lives and health of young LGBTQ people, and show differences and similarities in the experience of young lesbian, gay, bisexual, trans and queer people. The report provides knowledge-based data, recommends […]