The importance of clinicians' and parents' awareness of suicidal behaviour in adolescents reaching the upper age limit of their mental health services in Europe - HAL Accéder directement au contenu
Article dans une revue Journal of Affective Disorders Année : 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

Larissa S. van Bodegom
  • Fonction : Auteur
Suzanne E. Gerritsen
  • Fonction : Auteur
Gwen C. Dieleman
  • Fonction : Auteur
Mathilde M. Overbeek
  • Fonction : Auteur
Giovanni de Girolamo
Paolo Scocco
  • Fonction : Auteur
Manon H.J. Hillegers
Dieter Wolke
Dimitris Rizopoulos
Rebecca Appleton
  • Fonction : Auteur
Patrizia Conti
  • Fonction : Auteur
Tomislav Franić
Francesco Margari
Jason J. Madan
  • Fonction : Auteur
Fiona Mcnicholas
  • Fonction : Auteur
Renata Nacinovich
Adriana Pastore
  • Fonction : Auteur
Moli Paul
  • Fonction : Auteur
Melanie C. Saam
  • Fonction : Auteur
Paramala Janardhanan Santosh
Anne Sartor
  • Fonction : Auteur
Ulrike M.E. Schulze
  • Fonction : Auteur
Giulia Signorini
Swaran P. Singh
  • Fonction : Auteur
Cathy Street
  • Fonction : Auteur
Priya Tah
  • Fonction : Auteur
Elena Tanase
  • Fonction : Auteur
Sabine Tremmery
  • Fonction : Auteur
Helena Tuomainen
Athanasios Maras
  • Fonction : Auteur

Résumé

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.
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Licence : Paternité - CC BY 4.0
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Dates et versions

hal-04068566, version 1 (04-05-2023)

Licence

Paternité - CC BY 4.0

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Larissa S. van Bodegom, Suzanne E. Gerritsen, Gwen C. Dieleman, Mathilde M. Overbeek, Giovanni de Girolamo, et al.. 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, 2023, 325, pp.360-368. ⟨10.1016/j.jad.2022.12.164⟩. ⟨hal-04068566⟩
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