ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2020
Prevalence and clinical correlates of self-harm and suicidality during admission of children in a mental health inpatient unit.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Global adolescent self-harm (10-19 years): 1990-2021 trends, health inequalities, frontier analysis, and 2035 projections using global burden of disease data.Frontiers in public health · 2026Article
- Adolescent psychiatric hospitalization: a naturalistic observational study of statistical and clinical outcomes and moderating factors.Child and adolescent psychiatry and mental health · 2025Article
- Clinical characteristics of depressed children and adolescents with and without suicidal thoughts and behavior: a cross-sectional study.Frontiers in child and adolescent psychiatry · 2025Article
- Adolescent Inpatient Mental Health Admissions: An Exploration of Interpersonal Polyvictimization, Family Dysfunction, Self-Harm and Suicidal Behaviours.Child psychiatry and human development · 2024Article
- Self-harm and suicidal behaviors in children: perspectives of mental health clinicians.Journal of pediatric psychology · 2024Article
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Abstract
backgroundSelf-harm and suicidality are common presentations in children and adolescents requiring a mental health inpatient admission. Although there are several studies on adolescents, there is relatively limited research into childhood self-harm and suicidality during such admissions.
methodsA retrospective electronic file review was conducted on all children discharged from a national mental health inpatient children's unit over a 6-year period. Several independent variables were compared between self-harm/suicidal and non-self-harm/non-suicidal children. Separate analyses investigated changes in self-harm/suicidality, functional outcomes, and risk assessment ratings between admission and discharge.
resultsA total of 105 children were included in this study. During admission, 65.7% of them reported self-harm thoughts, 61% engaged in self-harm, 50.5% expressed suicidal thoughts, and 14.3% engaged in suicidal behavior. Thoughts and acts of self-harm were associated with previous self-harm, longer admissions, and Attention Deficit Hyperactivity Disorder. Suicidality overlapped with self-harm and was strongly predicted by previous self-harm. The prevalence of self-harm and suicidal thoughts and acts significantly decreased during admission. Children in the non-self-harm group had marginally better functional outcomes upon discharge compared to those in the self-harm group. Children and parents/caregivers were similarly satisfied with treatment, irrespective of children's self-harm/suicidality.
conclusionsSelf-harm and suicidality were widespread among children admitted to hospital. Better understanding of the mechanisms and factors related to self-harm and suicidality in this age group could help mitigate associated risks and improve existing safety strategies.
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