@article{ref1,
title="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="Journal of affective disorders",
year="2023",
author="van Bodegom, Larissa S. and Gerritsen, Suzanne E. and Dieleman, Gwendolyn C. and Overbeek, Mathilde M. and de Girolamo, Giovanni and Scocco, Paolo and Hillegers, Manon H. J. and Wolke, Dieter and Rizopoulos, Dimitris and Appleton, Rebecca and Conti, Patrizia and Franic, Tomislav and Margari, Francesco and Madan, Jason and McNicholas, Fiona and Nacinovich, Renata and Pastore, Adriana and Paul, Moli and Purper-Ouakil, Diane and Saam, Melanie C. and Santosh, Paramala J. and Sartor, Anne and Schulze, Ulrike M. E. and Signorini, Giulia and Singh, Swaran P. and Street, Cathy and Tah, Priya and Tanase, Elena and Tremmery, Sabine and Tuomainen, Helena and Maras, Athanasios",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2022.12.164",
url="http://dx.doi.org/10.1016/j.jad.2022.12.164"
}