TY - JOUR
T1 - The importance of clinicians' and parents' awareness of suicidal behaviour in adolescents reaching the upper age limit of their mental health services in Europe
AU - van Bodegom, Larissa S.
AU - Gerritsen, Suzanne E.
AU - Dieleman, Gwendolyn C.
AU - Overbeek, Mathilde M.
AU - de Girolamo, Giovanni
AU - Scocco, Paolo
AU - Hillegers, Manon H.J.
AU - Wolke, Dieter
AU - Rizopoulos, Dimitris
AU - Appleton, Rebecca
AU - Conti, Patrizia
AU - Franić, Tomislav
AU - Margari, Francesco
AU - Madan, Jason
AU - McNicholas, Fiona
AU - Nacinovich, Renata
AU - Pastore, Adriana
AU - Paul, Moli
AU - Purper-Ouakil, Diane
AU - Saam, Melanie C.
AU - Santosh, Paramala J.
AU - Sartor, Anne
AU - Schulze, Ulrike M.E.
AU - Signorini, Giulia
AU - Singh, Swaran P.
AU - Street, Cathy
AU - Tah, Priya
AU - Tanase, Elena
AU - Tremmery, Sabine
AU - Tuomainen, Helena
AU - Maras, Athanasios
AU - the MILESTONE consortium
N1 - Funding Information:
SPS is part-funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care West Midlands (NIHR CLAHRC WM), now recommissioned as NIHR Applied Research Collaboration West Midlands. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. PS is the co-inventor of the HealthTrackerTM and is the Chief Executive Officer and shareholder in HealthTracker Ltd. AM was a speaker and advisor for Neurim, Shire, Infectopharm and Lilly (all not related to transition research).
Publisher Copyright:
© 2023 The Authors
PY - 2023/3/15
Y1 - 2023/3/15
N2 - 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.
AB - 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.
KW - Adolescent
KW - Mental health services
KW - Suicidal thoughts
KW - Transition to adult care
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U2 - 10.1016/j.jad.2022.12.164
DO - 10.1016/j.jad.2022.12.164
M3 - Article
C2 - 36621680
AN - SCOPUS:85146302098
SN - 0165-0327
VL - 325
SP - 360
EP - 368
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -
