ArticleBMC psychiatry2022
Non-disclosing youth: a cross sectional study to understand why young people do not disclose suicidal thoughts to their mental health professional.
Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Pooled it
- Assessment of suicidal thoughts and behaviors in adults: A systematic review of measure psychometric properties and implications for clinical and research utility.Clinical psychology review · 2024Pooled it
- Long-term impact of the Fostering Healthy Futures for Preteens program on suicide-related thoughts and behaviors for youth in out-of-home care: A randomized controlled trial.American journal of community psychology · 2024Trial
- 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
- Enhancing Care for Youth at Elevated Suicide Risk: Impact of the Assessing and Managing Suicide Risk (AMSR) Training.The journal of behavioral health services & research · 2026Article
- A mixed-methods evaluation of a large-scale online gatekeeper training to prevent youth suicides in the Netherlands.BMC pediatrics · 2026Article
- Patterns of suicidal ideation disclosure among acute psychiatric inpatients.Annals of general psychiatry · 2026Article
- Why People Conceal Mental Health Problems: Qualitative Analysis of TikTok Posts.Journal of medical Internet research · 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
- Silent Suicidal Ideation: Low Rates of Disclosure Among Children and Adolescents Who Attempt Suicide.Child psychiatry and human development · 2026Article
- Development of a Repeat Suicide Risk Management Protocol for Emergency Department Patients With Suicide Attempts: An Exploratory Sequential Mixed-Methods Study.International journal of mental health nursing · 2026Article
- Cost-benefit analysis of a 24/7 text-based online emotional support platform for at-risk youth in Hong Kong.BMJ open · 2026Article
- Beyond Risk Prediction: Considering Upstream Universal Suicide Prevention to Decrease Risk and Increase Resilience.Behavioral sciences (Basel, Switzerland) · 2026Review
- Prevalence and correlates of suicidal behaviours among patients with depression and anxiety disorders in a multi-ethnic Asian setting.Frontiers in psychiatry · 2026Article
- Utility of HEARTSMAP-U for psychosocial screening and mental health resource navigation in the young adult population.PloS one · 2026Article
- Increased suicide-related behaviors, challenging behaviors, and anxiety symptoms in elementary and junior high school students after the coronavirus disease 2019 pandemic: A single-center case-control study.PCN reports : psychiatry and clinical neurosciences · 2025Article
- 'I did not think they could help me': Autistic adults' reasons for not seeking public healthcare when they last experienced suicidality.Autism : the international journal of research and practice · 2025Article
- Trends in prevalence of suicidal ideation, suicide attempt and sleep disturbance among Chinese High School Students, 2014-2023.European child & adolescent psychiatry · 2025Article
- Development and initial test of an online self-assessment of nonsuicidal self-injury severity.Journal of affective disorders · 2025Article
- Real-World Symptom Trajectories in Adolescents With and Without Suicide Risk Receiving Care from Rula Health: Retrospective Study.JMIR pediatrics and parenting · 2025Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevalence of suicidal ideation increases rapidly in adolescence, and many choose not to seek help and disclose their ideation. Young people who do disclose suicidal ideation, prefer to do so with peers and family compared to mental health professionals, who are best placed to provide evidence-based treatment. This study aimed to identify key factors associated with young people's decision to, or not to disclose suicidal thoughts to their mental health practitioner.
methodsA community-based sample of young Australians (16 - 25 years), who had experienced suicidal ideation and engaged with a mental health professional, completed an online questionnaire (N=513) which assessed demographic characteristics, severity of depression, anxiety, psychological distress, and suicidal ideation, lifetime suicide attempts, exposure to suicide loss, personal suicide stigma, prioritisation of mental health issues, and therapeutic alliance. Logistic regression analyses were used to identify factors associated with disclosure.
resultsThough the full sample had engaged in therapy, 39% had never disclosed suicidal ideation to their clinician. Those who had disclosed were more likely to report greater therapeutic alliance (OR=1.04, 95% CI=1.02-1.06), personal suicide stigma (OR=1.04, 95% CI=1.01-1.06), prioritisation of suicidal ideation (OR=.24, 95% CI=0.14-0.42), and lifetime history of suicide attempt (OR=.32, 95% CI=0.18-0.57). The most common reason for not disclosing was concern that it would not remain confidential.
conclusionThese findings provide new insights into why young people may not seek help by disclosing suicidal ideation, despite having access to a mental health professional, and establish evidence to inform practice decisions and the development of prevention strategies to support young people for suicide.
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Registered trials
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