Demographic and clinical correlates of suicidality in adolescents attending a specialist community mental health service: a naturalistic study.
Background: Adolescents comprise a unique and often challenging group of patients with diverse presentations to the Mental Health Services; suicidal behavior being one of them. Aims: The main aim of this naturalistic project was to investigate demographic and clinical correlates of adolescent suicid...
| Publicado en: | Journal of Mental Health Vol. 24; no. 4; pp. 225 - 230 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2015
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110222754&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 110222754 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638237 JHM jtl: Journal of Mental Health issn: 09638237 maglogo: N pubinfo: dt: Aug2015 vid: 24 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 110222754 110222754 110222754 10.3109/09638237.2015.1022249 NLM26203534 110222754 ppf: 225 ppct: 5 formats: tig: atl: Demographic and clinical correlates of suicidality in adolescents attending a specialist community mental health service: a naturalistic study. aug: au: Posporelis, Sotirios Paspali, Aspasia Takayanagi, Yoichiro Sawa, Akira Banerjea, Partha Kyriakopoulos, Marinos affil: Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA sug: subj: Demography Suicidal Ideation Diagnosis Suicide, Attempted Diagnosis Community Mental Health Services Human Cross Sectional Studies England Descriptive Statistics Logistic Regression Substance Use Disorders Self-Injurious Behavior Risk Taking Behavior Psychotropic Drugs Therapeutic Use Risk Assessment Child Adolescence Male Female Data Analysis Software Sex Factors Confidence Intervals Odds Ratio Psychological Tests Clinical Assessment Tools Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background: Adolescents comprise a unique and often challenging group of patients with diverse presentations to the Mental Health Services; suicidal behavior being one of them. Aims: The main aim of this naturalistic project was to investigate demographic and clinical correlates of adolescent suicidal and self-harm events, which may be of value to decision-making in clinical practice. Method: All adolescents (n = 149) registered and actively managed by a specialist community mental health service in South London were included in the study. Clinical information from their files was used to determine suicidality/self-harm events. The Columbia Classification Algorithm of Suicide Assessment (C-CASA) was utilised for classification purposes. Logistic regression was used to explore the effects of age, sex, diagnosis, medication, substance use (alcohol and/or cannabis) and ethnicity on suicidality/self-harming behaviors. Results: Age, sex and use of psychotropic medication were identified to play a significant role in determining the risk of engaging in self-harming behavior. The risk was higher with increasing age and female sex. Medication seemed to have a protective effect. Reporting a 20% prevalence of non-suicidal self-injury (NSSI) in our population, we highlight the importance of NSSI as a distinct diagnostic category. Conclusions: Our findings have implications for risk assessment and appropriate decision-making in clinical settings. Results are translatable and relevant to other metropolitan areas. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|