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Suicidal crisis among children and young people: Associations with adverse childhood experiences and socio-demographic factors

Ashworth, E, Jarman, I, McCabe, PG, McCarthy, M, Provazza, S, Crosbie, V, Quigg, Z and Saini, P (2023) Suicidal crisis among children and young people: Associations with adverse childhood experiences and socio-demographic factors. International Journal of Environmental Research and Public Health, 20 (2). ISSN 1660-4601

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Open Access URL: https://doi.org/10.3390/ijerph20021251 (published)


Suicide is a major public health issue and a leading cause of death among children and young people (CYP) worldwide. There is strong evidence linking adverse childhood experiences (ACEs) to an increased risk of suicidal behaviours in adults, but there is limited understanding regarding ACEs and suicidal crisis in CYP. This study aims to examine the ACEs associated with CYP presenting at Emergency Departments for suicidal crisis, and specifically the factors associated with repeat attendances. This is a case series study of CYP (aged 8–16) experiencing suicidal crisis who presented in a paediatric Emergency Department in England between March 2019 and March 2021 (n=240). The dataset was subjected to conditional independence graphical analysis. Results revealed a significant association between suicidal crisis and several ACEs. Specifically, evidence of clusters of ACE variables suggests two distinct groups of CYP associated with experiencing suicidal crisis: those experiencing ‘household risk’ and those experiencing ‘parental risk’. Female sex, history of self-harm, mental health difficulties, and previous input from mental health services were also as- sociated with repeat hospital attendances. Findings have implications for early identification of and intervention with children who may be at a heightened risk for ACEs and associated suicidal crisis.

Item Type: Article
Uncontrolled Keywords: Toxicology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Computer Science & Mathematics
Public Health Institute
Publisher: MDPI AG
SWORD Depositor: A Symplectic
Date Deposited: 06 Jan 2023 11:21
Last Modified: 21 Mar 2023 15:30
URI: https://researchonline.ljmu.ac.uk/id/eprint/18547
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