| Title | Risk of suicide and self-harm in kids: the development of an algorithm to identify high-risk individuals within the children’s mental health system |
| Publication Type | Journal Article |
| Year of Publication | 2020 |
| Authors | Stewart SL, Celebre A, Hirdes JP, Poss JW |
| Journal | Child Psychiatry & Human Development |
| Volume | 51 |
| Issue | 6 |
| Pagination | 913-924 |
| Date Published | Dec |
| ISBN Number | 0009-398X |
| Accession Number | 32076912 |
| Keywords | *Suicidal Ideation, Adolescent, Algorithms, Canada, Child, Children's mental health, Female, Humans, InterRAI, Male, Mental Disorders/*psychology, mental health services, Psychometrics, Risk Factors, Self-harm, Self-Injurious Behavior/*psychology, Suicidal Ideation, Suicide risk, Suicide/*psychology |
| Abstract | Suicide is the second leading cause of death in adolescents within Canada. While several risk factors have been found to be associated with increased risk, appropriate decision-support tools are needed to identify children who are at highest risk for suicide and self-harm. The aim of the present study was to develop and validate a methodology for identifying children at heightened risk for self-harm and suicide. Ontario data based on the interRAI Child and Youth Mental Health Screener (ChYMH-S) were analyzed to develop a decision-support algorithm to identify young persons at risk for suicide or self-harm. The algorithm was validated with additional data from 59 agencies and found to be a strong predictor of suicidal ideation and self-harm. The RiSsK algorithm provides a psychometrically sound decision-support tool that may be used to identify children and youth who exhibit signs and symptoms noted to increase the likelihood of suicide and self-harm. |
| DOI | 10.1007/s10578-020-00968-9 |
| Custom 1 | The authors declare that they have no conflict of interest. |
| PMCID | PMC7554002 |
| Short Title | Child Psychiatry & Human Development |
