ArticleResearch on child and adolescent psychopathology2022
Exploring Adolescent Experiences with Disclosing Self-Injurious Thoughts and Behaviors Across Settings.
Article in Research on child and adolescent psychopathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Brief Interventions for Self-injurious Thoughts and Behaviors in Young People: A Systematic Review.Clinical child and family psychology review · 2023Pooled it
- Using Automated Coding of Nonverbal Behavior During a Suicide Assessment to Inform Risk Detection: Mixed Cross-Sectional and Exploratory Prospective Study.JMIR formative research · 2026Article
- Reasons for nondisclosure of suicide ideation or attempts among adolescents from ethnoracially and socioeconomically diverse backgrounds with a recent suicidal episode.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- A mixed-methods evaluation of a large-scale online gatekeeper training to prevent youth suicides in the Netherlands.BMC pediatrics · 2026Article
- Using Digital Mental Health and Measurement-Based Care With Youth Experiencing Suicidal Thoughts and Behaviors: Qualitative Study of Clinician Barriers and Facilitators.JMIR human factors · 2026Article
- Computational text analysis of emotional expressions related to non-suicidal self-injury in Chinese social media.Scientific reports · 2026Article
- Barriers to and Facilitators of Implementing Suicide Risk Screening in Pediatric Primary Care: A Qualitative Study.Academic pediatrics · 2026Article
- Understanding the Impact of Exposure to Different Types of Suicidal Thoughts and Behaviors.AJPM focus · 2026Article
- Navigating self-injury in a digital world: adolescents' perspectives on coping, help-seeking, and technology.Frontiers in digital health · 2026Article
- Understanding adolescents' perspectives on suicide risk screening in primary care: Implications and insights for implementation and practice.PLOS mental health · 2026Article
- Care pathways following disclosure of adolescent non-suicidal self-injury: a dyadic qualitative study.Frontiers in psychiatry · 2026Article
- Principles of practice for a whole school approach to self-harm: a qualitative study.BMC public health · 2025Article
- Impact of Perceived Responses to Suicide-Related Disclosure on Future Suicide Ideation and Attempts among Adolescents.Research on child and adolescent psychopathology · 2025Article
- Exploring Parents' Immediate Reactions to Digital Suicide Risk Alerts: Descriptive Study.Journal of medical Internet research · 2025Article
- Measurement Choices for Youth Suicidality.Child psychiatry and human development · 2025Review
- Inconsistent reporting of past self-injurious thoughts and behaviors in children: A longitudinal analysis of data from the adolescent Brain Cognitive Development study.Journal of psychopathology and clinical science · 2025Article
- Characterizing Silence: Adolescents' Nondisclosure of Their Suicidal Thoughts and Behaviors to Their Family and Peers.JAACAP open · 2025Article
- Type, content, and triggers for self-injurious thoughts and behaviors in autistic youth and their disclosure to caregivers.Autism : the international journal of research and practice · 2025Article
- Protective factors for suicidality: a qualitative follow-up of the youth and mental health study cohort.BMC public health · 2025Article
- Navigating Through the Darkness: An Exploratory Study Unraveling the Experience of Hospitalization of Adolescents and Their Caregivers Amid Suicidal Presentations.Research on child and adolescent psychopathology · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Disclosure of self-injurious thoughts and behaviors (SITBs) is critical to current treatment and prevention programs. Limited research has examined patterns of and barriers to SITB disclosure in adolescents. This work is critical given the limits of confidentiality in this population. Over 1,000 adolescents aged 13-17 with a history of mental health treatment and SITBs were recruited online. Participants reported their history with disclosing SITBs across a range of relationships, honesty in and barriers to disclosure to health care providers, and their experiences with breaches of confidentiality to parents/guardians. We examined relationships among these experiences and a range of outcomes, including perceived likelihood of future disclosure. Participants reported most frequent disclosure of all SITBs to friends, and more frequent disclosure of nonsuicidal self-injury compared to suicide ideation or attempts. Adolescents were most likely to disclose SITBs when directly asked by health care providers, though many participants reported continued SITB concealment. The most commonly endorsed barrier to disclosure was fear that the provider would tell a parent/guardian. Experiences with confidentiality breaches involving a non-collaborative breach were negatively associated with future disclosure, mental health symptoms, and adolescent-parent relationships. SITB disclosure is a cornerstone to their treatment and prevention. Better understanding of to whom and when, barriers, and the impact of disclosure experiences is critical. Our research suggests that most adolescents do not want their parents to know about their SITBs, and that fear of parent involvement prevents disclosure. Results have several implications for SITB assessment across physical and mental healthcare settings.
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Registered trials
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.