Evidence map›Paper›PMID 32853213›Full record

ArticlePloS one2020

A multi-method psychological autopsy study on youth suicides in the Netherlands in 2017: Feasibility, main outcomes, and recommendations.

Saskia Mérelle, Diana Van Bergen, Milou Looijmans, Elias Balt, Sanne Rasing, Lieke van Domburgh, Maaike Nauta, Onno Sijperda, Wico Mulder, Renske Gilissen and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 39 citations in OpenAlex.

  1. Return of Research Results to Participants in Longitudinal Cohort Studies in Health Research: Findings From 24 Cohorts of the Amsterdam Cohort Hub.Health expectations : an international journal of public participation in health care and health policy · 2026
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  18. The Need for a Data Ecosystem for Youth Mental Health in The Netherlands.International journal of environmental research and public health · 2022
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  20. Characteristics of Korean Children and Adolescents Who Die by Suicide Based on Teachers' Reports.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Saskia MérelleResearch Department, 113 Suicide Prevention, Amsterdam, The Netherlands.ORCID 0000-0003-1748-7700
Diana Van BergenResearch Department, 113 Suicide Prevention, Amsterdam, The Netherlands.
Milou LooijmansResearch Department, 113 Suicide Prevention, Amsterdam, The Netherlands.
Elias BaltResearch Department, 113 Suicide Prevention, Amsterdam, The Netherlands.
Sanne RasingChild and Adolescent Psychiatry, GGZ Oost Brabant, Boekel, The Netherlands.ORCID 0000-0002-6949-7022
Lieke van DomburghQuality of Care & Innovation, Pluryn, Nijmegen, The Netherlands.
Maaike NautaDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
Onno SijperdaForensic department, GGD Noord- en Oost-Gelderland, Warnsveld, The Netherlands.
Wico MulderYouth healthcare, Dutch Centre for Youth Health (NCJ), Utrecht, The Netherlands.
Renske GilissenResearch Department, 113 Suicide Prevention, Amsterdam, The Netherlands.
Gerdien FranxResearch Department, 113 Suicide Prevention, Amsterdam, The Netherlands.
Daan CreemersChild and Adolescent Psychiatry, GGZ Oost Brabant, Boekel, The Netherlands.
Arne PopmaChild and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands.
GGD Amsterdam · NLRadboud University Nijmegen · NLUniversity of Groningen · NLAmsterdam University Medical Centers · NLGGNet · NLNetherlands Youth Institute · NLPluryn · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn the Netherlands, there was a sharp increase in the number of suicides among 10- to 19-year-olds in 2017. A multi-method psychological autopsy study (PA) was conducted to assess feasibility, identify related factors, and study the interplay of these factors to inform suicide prevention strategies.

methodsCoroners identified youth suicides in 2017 in their records and then general practitioners (GPs) contacted the parents of these youths. Over a period of 7 months, 66 qualitative interviews were held with the parents, peers, and teachers, providing information on precipitating factors and five topics involving 35 cases (17 boys and 18 girls, mean age 17 years). Furthermore, 43 parents and care professionals filled in questionnaires to examine risk and care-related factors. Qualitative and quantitative analyses were performed.

resultsAlthough registration problems faced by coroners and resistance to contacting bereaved families by GPs hampered the recruitment, most parents highly appreciated being interviewed. Several adverse childhood experiences played a role at an individual level, such as (cyber) bullying, parental divorce, sexual abuse, as well as complex mental disorders, and previous suicide attempts. Two specific patterns stood out: (1) girls characterized by insecurity and a perfectionist attitude, who developed psychopathology and dropped out of school, and (2) boys with a developmental disorder, such as autism, who were transferred to special needs education and therefore felt rejected. In addition, adolescents with complex problems had difficulty finding appropriate formal care. Regarding potential new trends, contagion effects of social media use in a clinical setting and internet use for searching lethal methods were found.

conclusionThis first national PA study showed that, as expected, a variety of mostly complex clusters of problems played a role in youth suicides. An infrastructure is needed to continuously monitor, evaluate, and support families after each youth suicide and thereby improve prevention strategies.

Indexed as

AdolescentFeasibility StudiesFemaleHumansInterviews as TopicMaleNetherlandsSexual and Gender MinoritiesSocial MediaSuicideSuicide Prevention

Identifiers

PMID32853213
PMCPMC7451645
OpenAlexW3080613857

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.