Longitudinal trajectories of suicidal ideation among child welfare-involved 7- to 12-year-old children.

Autor: Ayer L; RAND Corporation, Arlington, VA, USA., Hassler G; RAND Corporation, Santa Monica, CA, USA., Ohana E; RAND Corporation, Arlington, VA, USA., Sheftall AH; University of Rochester Medical Center, Rochester, NY, USA., Anderson NW; University of California-Los Angeles, Los Angeles, CA, USA., Griffin BA; RAND Corporation, Arlington, VA, USA.
Jazyk: angličtina
Zdroj: Journal of child psychology and psychiatry, and allied disciplines [J Child Psychol Psychiatry] 2024 Nov; Vol. 65 (11), pp. 1453-1465. Date of Electronic Publication: 2024 Apr 24.
DOI: 10.1111/jcpp.13999
Abstrakt: Background: Young children involved in the child welfare system (CWS) are at high risk for suicidal ideation (SI) at a time when overall rates of suicide death in this age group are rising. Yet risk factors for and changes in SI over time are poorly understood in this population.
Method: We combined data from two large representative longitudinal studies of children involved in the United States CWS. We examined patterns of SI among children who were between ages 7 and 12 years at the initial survey wave (N = 2,186), assessed at three waves using a measure of SI in the past 2 weeks. We conducted a multinomial regression to understand the baseline demographic, child maltreatment, and mental health characteristics that distinguish the trajectories.
Results: There were eight different subgroups (Non-Ideators, Late Ideators, Boomerang Ideators, Delayed Ideators, Desisters, Boomerang Non-Ideators, Late Desisters, and Persisters). Differences in race, type of maltreatment, sex, and mental health symptoms were identified when comparing Persisters (SI at all three waves) to other groups.
Conclusions: These findings can help researchers and practitioners to develop strategies for better identifying CWS-involved children who are in greatest need of suicide risk monitoring and intervention.
(© 2024 Association for Child and Adolescent Mental Health.)
Databáze: MEDLINE
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