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The importance of clinicians' and parents' awareness of suicidal behaviour in adolescents reaching the upper age limit of their mental health services in Europe

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van Bodegom, Larissa S., Gerritsen, Suzanne E., Dieleman, Gwendolyn C., Overbeek, Mathilde M., de Girolamo, Giovanni, Scocco, Paolo, Hillegers, Manon H. J., Wolke, Dieter, Rizopoulos, Dimitris, Appleton, Rebecca et al.
(2023) The importance of clinicians' and parents' awareness of suicidal behaviour in adolescents reaching the upper age limit of their mental health services in Europe. Journal of Affective Disorders, 325 . pp. 360-368. doi:10.1016/j.jad.2022.12.164 ISSN 0165-0327.

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Official URL: http://dx.doi.org/10.1016/j.jad.2022.12.164

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Abstract

Background:
To study clinicians' and parents' awareness of suicidal behaviour in adolescents reaching the upper age limit of their Child and Adolescent Mental Health Service (CAMHS) and its association with mental health indicators, transition recommendations and mental health service (MHS) use.

Methods:
763 CAMHS users from eight European countries were assessed using multi-informant and standardised assessment tools at baseline and nine months follow-up. Separate ANCOVA's and pairwise comparisons were conducted to assess whether clinicians' and parents' awareness of young people's suicidal behaviour were associated with mental health indicators, clinician's recommendations to continue treatment and MHS use at nine months follow-up.

Results:
53.5 % of clinicians and 56.9 % of parents were unaware of young people's self-reported suicidal behaviour at baseline. Compared to those whose clinicians/parents were aware, unawareness was associated with a 72–80 % lower proportion of being recommended to continue treatment. Self-reported mental health problems at baseline were comparable for young people whose clinicians and parents were aware and unaware of suicidal behaviour. Clinicians' and parents' unawareness were not associated with MHS use at follow-up.

Limitations:
Aspects of suicidal behaviour, such as suicide ideation, -plans and -attempts, could not be distinguished. Few young people transitioned to Adult Mental Health Services (AMHS), therefore power to study factors associated with AMHS use was limited.

Conclusion:
Clinicians and parents are often unaware of suicidal behaviour, which decreases the likelihood of a recommendation to continue treatment, but does not seem to affect young people's MHS use or their mental health problems.

Item Type: Journal Article
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RC Internal medicine
R Medicine > RJ Pediatrics
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Science > Psychology
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Children -- Suicidal behavior, Teenagers -- Suicidal behavior, Suicidal behavior, Suicide -- Prevention, Teenagers -- Mental health services
Journal or Publication Title: Journal of Affective Disorders
Publisher: Elsevier Science BV
ISSN: 0165-0327
Official Date: 15 March 2023
Dates:
DateEvent
15 March 2023Published
6 January 2023Available
31 December 2022Accepted
Volume: 325
Page Range: pp. 360-368
DOI: 10.1016/j.jad.2022.12.164
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 12 January 2023
Date of first compliant Open Access: 13 January 2023
Contributors:
ContributionNameContributor ID
Research GroupThe Milestone consortium, UNSPECIFIED

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