Katerina Kavalidou, James O'Mahony, Sally-Ann Lovejoy, Fiona McNicholas, Vincent Russell
{"title":"Thoughts of suicide and self-harm: A national study on young people presenting to non-paediatric acute hospitals in Ireland.","authors":"Katerina Kavalidou, James O'Mahony, Sally-Ann Lovejoy, Fiona McNicholas, Vincent Russell","doi":"10.2989/17280583.2025.2489157","DOIUrl":"https://doi.org/10.2989/17280583.2025.2489157","url":null,"abstract":"<p><p><i>Background:</i> In Ireland, acute hospital emergency departments (ED) become the default service for youth aged 16 to 18 years; and in the absence of paediatric EDs, for youth under 16 years. No previous research has explored adolescent presentations to non-paediatric hospitals with thoughts of self-harm or suicide at a national level.<i>Aim:</i> This study examines child and adolescent self-harm and suicidal ideation-related presentations to 24 non-paediatric hospital EDs in Ireland.<i>Method:</i> National data from a dedicated ED service for a suicidal crisis were used. Descriptive analyses were run for four age bands (≤ 15, 16-17, 18-19, and all other adults < 20 years), based on sociodemographic characteristics, clinical information, and type of self-harm or ideation.<i>Results</i>: Between 2018 and 2022, the National Clinical Programme for Self-Harm and Suicide-related Ideation (NCPSHI) clinicians assessed 53 359 presentations due to self-harm and suicide-related ideation. Among those 15 years and younger, 1.7% presented for self-harm, 0.9% for suicidal ideation, and 0.2% for self-harm ideation. Among the 16-17-year-olds, 3.4% presented with self-harm and 1.6% for suicidal ideation. Presentations for self-harm decreased with age, while suicide-related ideation increased. Cutting was most common among the youngest group (23%), and overdose was more frequent among 16 to 17-year-olds. Notably, 41% of those 15 year and younger were already attending mental health services.<i>Conclusions:</i> Our findings highlight that a significant number of adolescents with a self-harm-related crisis attend non-paediatric acute hospitals in Ireland. Careful initial assessment and transitional care are needed to ensure that youth at risk of suicide and/or mental illness are referred to appropriate services.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":0.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk and protective factors of suicide ideation and attempts among justice-involved black girls: A latent profile analysis.","authors":"Lin Liu","doi":"10.2989/17280583.2025.2477125","DOIUrl":"https://doi.org/10.2989/17280583.2025.2477125","url":null,"abstract":"<p><p><i>Background:</i> Justice-involved female youth from minority racial groups are a hard-to-reach youth population that are removed from schools, families, and communities. They are under-represented in school survey data. The present study aimed to utilise the Interpersonal-Psychological Theory of Suicide to examine the distinct patterns of risk and protective factors of suicide thoughts and behaviours (STBs) among black girls in juvenile justice facilities.<i>Methods:</i> Utilising state-wide screening data of black girls in juvenile justice facilities (<i>n</i> = 1 564; mean age = 13.55 years, SD = 1.69 years) collected over 11 years (2009 to 2019), the study employed latent profile analysis to identify different profiles of risk behaviour related to suicide. The \"Mclust\" package, an R statistical package, was used to conduct the latent profile analysis.<i>Results:</i> Six latent profiles emerged based on nine indicators of thwarted belongingness, burdensomeness, and acquired capacity. Membership in these latent groups significantly predicted lifetime and current suicide ideation and attempts.<i>Conclusions:</i> The Interpersonal-Psychological Theory of Suicide showed potential applicability to the population of justice-involved black girls. There was heterogeneity in suicide vulnerability in this population. Mental health, substance use, and traumatic experiences simultaneously characterised the suicide-vulnerable subgroups among justice-involved black girls.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-17"},"PeriodicalIF":0.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Who will be more likely to seek help? The relationship between suicidal ideation, suicide literacy, attitudes toward suicide and help-seeking intention in male and female adolescents.","authors":"Bich-Phuong Vu, Ha-Giang Nguyen, Hoang-Minh Dang","doi":"10.2989/17280583.2025.2490649","DOIUrl":"https://doi.org/10.2989/17280583.2025.2490649","url":null,"abstract":"<p><p><i>Objectives:</i> Among adolescents, suicide is a critical global concern, yet research is limited in low- and middle-income countries. The primary aim of this study is to investigate the interrelations among suicide-related factors (specifically, suicidal ideation, suicide literacy, attitudes toward suicide, and intended help-seeking sources) when experiencing suicidality in Vietnam. Additionally, it examines sex differences across these factors and identifies significant predictors of help-seeking intention for suicidality.<i>Methods:</i> A sample of 2 976 Vietnamese adolescents (mean age = 16.0 years, SD = 1.35 years; female = 50.6%) completed self-report measures as part of their annual school screenings.<i>Results:</i> More than one in four adolescents experienced some level of suicidal ideation. Overall, suicide literacy was low, particularly among males, who also reported higher levels of stigmatisation toward suicide. Low suicide literacy was linked to increased stigmatisation of suicidal individuals. Adolescents most commonly sought help from family and friends, rather than from professionals. Contrary to our hypothesis that females, those with lower stigma, and those with higher suicidal ideation would be more likely to seek help, it was found that males, those with higher stigma, and those with lower suicidal ideation demonstrated stronger help-seeking intentions. Additionally, male adolescents exhibited a polarised pattern, reporting both high intentions to seek and not seek help.<i>Conclusion:</i> These findings highlight the need for culturally sensitive and sex-based suicide prevention and intervention for Vietnamese adolescents, as cultural factors and sex roles may shape their perceptions and approaches to addressing suicide.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-17"},"PeriodicalIF":0.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring mental health literacy and its intersection with help-seeking behaviours and gender in adolescents in the Western Cape.","authors":"Michelle Scher, Naiema Taliep, Ghouwa Ismail","doi":"10.2989/17280583.2025.2465259","DOIUrl":"https://doi.org/10.2989/17280583.2025.2465259","url":null,"abstract":"<p><p><i>Background:</i> Adolescent mental illness contributes significantly to both the global and South African burden of mental health. Mental health literacy (MHL) promotes early recognition and intervention and consequently, determines mental health-promoting behaviours. We aimed to explore adolescent MHL and its intersection with help-seeking behaviour and gender in adolescents in the Western Cape.<i>Method:</i> The study instrument was a self-report survey/questionnaire. One hundred learners from public and independent schools in the Western Cape completed the survey.<i>Results:</i> There was a significant difference between first aid skills and help-seeking behaviours between the different genders. Specifically, girls were more prone to first aid skills and help-seeking behaviours than boys and other genders. Boys, on the other hand, were significantly more prone to using self-help strategies than girls and other genders. While gender differences were evident, these results are not sufficient to generalise to the larger population due to the limited sample.<i>Conclusion:</i> The results of this study are relevant to practitioners who wish to improve MHL and help-seeking behaviours among adolescents.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-14"},"PeriodicalIF":0.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clariana Vitória Ramos de Oliveira, Simoní Saraiva Bordignon, Rafaela Costa Martins, Cauane Blumenberg, Thais Martins-Silva, Francine Costa, Juraci Cesar, Paul Springer, Christian Loret de Mola
{"title":"Trajectories of maternal depression, anxiety, stress, and child developmental milestones at 24 months.","authors":"Clariana Vitória Ramos de Oliveira, Simoní Saraiva Bordignon, Rafaela Costa Martins, Cauane Blumenberg, Thais Martins-Silva, Francine Costa, Juraci Cesar, Paul Springer, Christian Loret de Mola","doi":"10.2989/17280583.2025.2452533","DOIUrl":"https://doi.org/10.2989/17280583.2025.2452533","url":null,"abstract":"<p><p><i>Background</i>: Literature suggests a link between maternal mental health and adverse child developmental outcomes. However, we do not know to what extent this is true in low and middle-income settings, and most studies do not explore mental health longitudinally since birth.<i>Objective</i>: We aimed to assess the association between maternal mental health and early child development outcomes in southern Brazil.<i>Methods</i>: We studied 992 mother-child pairs in a birth cohort from 2019 to 2022. We used standardised instruments to assess maternal depression, anxiety, and distress at different time points during the perinatal period. We used Group Based Trajectory Modelling to create maternal mental health trajectories. We assessed these trajectories associated with the child's social, language, cognitive, and motor development at 24 months using Poisson multiple regression models.<i>Results</i>: Children of mothers with elevated symptoms of depression experienced an 80% [RR = 1.80; 95%CI(1.19-2.71)] increase in language delays, 23% [RR = 1.23; 95%CI(1.01-1.51)] in cognitive delays, and 40% [RR = 1.40; 95%CI(1.07-1.83)] in motor delays. Children of mothers experiencing increasing symptoms of anxiety to moderate levels had 38% [RR = 1.38' 95%CI(1.07-1.82)] more language delays and 20% [RR = 1.20; 95%CI(1.05-1.38)] more cognitive delays. Low subjective distress led to 54% [RR = 1.54; 95%CI(1.15-2.05)] more language delays.<i>Conclusion</i>: Our findings underscore the effect of maternal mental health on child developmental outcomes among this sample in southern Brazil.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-15"},"PeriodicalIF":0.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Subjective well-being and parenting in adolescence: Do peers matter when things are not so good?","authors":"Aikaterini Lampropoulou","doi":"10.2989/17280583.2025.2465275","DOIUrl":"https://doi.org/10.2989/17280583.2025.2465275","url":null,"abstract":"<p><p><i>Objective</i>: The study aimed to investigate the association between adolescents' subjective well-being and parenting, as well as the moderating role of peer relationships between the negative aspects of parenting and subjective well-being.<i>Method</i>: Adolescents (<i>n</i> = 331) attending Junior High School and High School (aged 12-18 years) in the broader area of Attica, Greece, participated in the study. Participants completed the Berne Questionnaire of Subjective Well-Being/Youth Form, the 40-item Egna Minnen Beträffande Uppfostran Child Version (EMBU-C) questionnaire (for ages 7-16 years), and the Friendship Quality Scale.<i>Results</i>: There was a positive association between parental emotional warmth and adolescents' satisfaction, as well as between parental rejection and adolescents' ill-being. Furthermore, closeness to friends moderated the association between adolescents' ill-being and rejection by mothers and fathers. Girls and older adolescents had higher scores in the negative factors of subjective well-being, while girls scored higher in all friendship factors. Finally, based on adolescents' perceptions, mothers had significantly higher scores than fathers in all parenting variables.<i>Conclusions</i>: Findings highlight the significance of the implementation of tailored interventions in schools and families for promoting adolescents' well-being.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-18"},"PeriodicalIF":0.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tayfun Kara, Orhan Kocaman, Pınar Aydoğan Avşar, Tacettin Kuru
{"title":"Coping skills and smartphone addiction in adolescents with ADHD: A predictive model and relationship.","authors":"Tayfun Kara, Orhan Kocaman, Pınar Aydoğan Avşar, Tacettin Kuru","doi":"10.2989/17280583.2025.2452519","DOIUrl":"https://doi.org/10.2989/17280583.2025.2452519","url":null,"abstract":"<p><p><i>Background:</i> We sought to examine the relationship between smartphone addiction and coping skills in adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), together with potential predictive factors.<i>Method:</i> Two hundred seventy-five participants (144 diagnosed with ADHD and 131 healthy controls) were included in the study. All participants were evaluated via DSM-5-based psychiatric examinations. Smartphone addiction levels were assessed using the Smartphone Addiction Scale-Short Version (SAS-SV), and coping skills were evaluated using the Coping Scale for Children and Youth (CSCY). The scores were then subjected to statistical comparisons.<i>Results:</i> Higher SAS-SV scores were observed in the adolescents with ADHD compared to the control group (<i>p</i> = 0.047). Significant positive correlations were found between cognitive avoidance (CAV) (<i>p</i> < 0.001, <i>r</i> = 0.377) and behavioural avoidance (BAV) (<i>p</i> < 0.001, <i>r</i> = 0.297) in the ADHD group. In contrast, significant negative correlations were found with Problem-solving (PROB) (<i>p</i> = 0.001, <i>r</i> =<b>-0</b>.281) and assistance-seeking (ASK) (<i>p</i> = 0.013, <i>r</i> = -0.206). Following model analysis, CAV emerged as a significant positive predictor of SAS-SV scores, and PROB as a significant negative predictor (<i>p</i> =0.005 and <i>p</i> = 0.016, respectively).<i>Conclusions:</i> The decrease in coping skills in adolescents diagnosed with ADHD was associated with an increase in smartphone addiction. Additionally, increased cognitive avoidance and low problem-solving skills also predicted addiction.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":0.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systematic review on executive functions in female adolescents with eating disorders: Implications on daily life and relevance to rehabilitation.","authors":"Hadeel Hamady-Saad, Batya Engel-Yeger","doi":"10.2989/17280583.2024.2438367","DOIUrl":"https://doi.org/10.2989/17280583.2024.2438367","url":null,"abstract":"<p><p><i>Background:</i> Eating Disorders (ED) are prevalent in female adolescents and have far-reaching effects on daily participation and quality of life (QoL). Daily participation highly depends on Executive Functions (EF). Existing knowledge about EF in ED, as expressed in real life, is not fully documented or clear.<i>Aim:</i> We aimed to (i) characterise literature on EF deficits in ED among female adolescents; (ii) examine common methodologies of evaluating EED difficulties; (iii) identify literature gaps regarding EF implications on daily participation and QoL; and (iv) clarify concepts pertaining EF's role in ED to optimise rehabilitation.<i>Methods:</i> A systematic review was conducted using thematic synthesis to analyse relevant studies from four databases, covering the period between January 2000 and December 2023. The quality of the studies was assessed using the Critical Appraisal Skills Program Qualitative Research Checklist tool. We followed the guidelines of the PRISMA statement.<i>Results:</i> Forty-four articles met the inclusion criteria, 79.5% showed significant evidence of EF deficits in female adolescents with ED. Up to 19% of adolescents with ED showed EF deficits that explained ED symptomatology, reduced daily participation, and deteriorated QoL. Most studies used neuropsychological tools to measure EF. Ecological measurements that reflect EF implications on daily life were rarely used.<i>Conclusion:</i> ED rehabilitation should integrate ecological measures to evaluate EF implications on daily life. This approach is specifically relevant during adolescence to optimise development, daily participation, and QoL.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-33"},"PeriodicalIF":0.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Huiming Ding, Patrick Callaghan, Qing Gu, Liesel Ebersöhn
{"title":"Validation of the Child and Youth Resilience Measure (CYRM-R) in rural contexts in South Africa.","authors":"Huiming Ding, Patrick Callaghan, Qing Gu, Liesel Ebersöhn","doi":"10.2989/17280583.2024.2438368","DOIUrl":"https://doi.org/10.2989/17280583.2024.2438368","url":null,"abstract":"<p><p><i>Introduction:</i> Resilience is central to young children's healthy and happy development. The Child and Youth Resilience Measure (CYRM-R) has been widely used in several countries. However, its construct validity among young children in rural South Africa has not been examined. We investigated the construct structure of the CYRM-R for foundation-phase learners (i.e., grades R/0-3) in rural primary schools in South Africa.<i>Methods:</i> The CYRM-R was translated into the local language Setswana and tested on 1 088 learners attending 10 schools in socioeconomically disadvantaged rural communities in the North West province. Confirmatory factor analysis (CFA) was conducted to validate the CYRM-R scale and examine its construct structure.<i>Results:</i> Our findings suggested a two-factor (i.e., personal resilience, caregiver resilience) structure of the CYRM-R with some items removed or reclassified as preferable or relative to other examined solutions. CFA results showed that the optimal model represents a good fit to the data (RMSEA = 0.037, CFI = 0.929, TFI = 0.915), explaining 83.4% of the variance.<i>Conclusion:</i> The Setswana version of the CYRM-R is a reliable and valid measure of resilience in young children in a rural South African context and can be used to assess resilience in young children in Setswana-speaking populations.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":0.3,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing and validating a training package for the provision of telephone crisis intervention services to children and adolescents at risk of suicide.","authors":"Maedeh Parvizi, Zahra Shahrivar, Nasrin Dodangi, Salman Ghaderi, Saeid Norouzi, Elham Salari, Mojgan Khademi, Fariba Arabgol, Javad Mahmoudi-Gharaei","doi":"10.2989/17280583.2024.2395885","DOIUrl":"https://doi.org/10.2989/17280583.2024.2395885","url":null,"abstract":"<p><p><i>Background:</i> Telephone crisis intervention is a readily available and discreet method through which troubled youths can seek assistance.<i>Objective:</i> We aimed to design an intervention training package to be used by telephone counselling system experts working with children and adolescents at risk of suicide and its preliminary evaluation. <i>Method:</i> Currently available guidelines and related articles were reviewed performing an extensive search across the databases of PubMed/Medline, Google Scholar, and Scopus from January 2003 to August 2024, and examined the reference lists of included articles to identify additional studies. After developing the initial content of the manual, we evaluated and recorded the face validity and content validity of the training package as informed by a group of specialists and experts.<i>Results:</i> The training package showed good content and face validity. Following feedback, the content of the initial training package was revised, and the final package was prepared.<i>Conclusion:</i> This training package can be used as a valid manual by experts working at crisis lines to acquire the necessary information and skills to assist children and adolescents at risk of suicide. Further research is needed to assess the feasibility and utility of the package in real-world practice.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":0.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}