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Suicidal ideation and behavior in children's homes.

R Hukkanen1, A Sourander, L Bergroth

  • 1Department of Child Psychiatry, Turku University Hospital, Finalnd. rvhukkan@netti.fi

Nordic Journal of Psychiatry
|May 15, 2003
PubMed
Summary

Self-destructive and suicidal behaviors are prevalent in children within child welfare institutions. These behaviors correlate with lower functioning, trauma, and higher scores on the Child Behavior Checklist (CBCL).

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Social Work in Child Welfare

Background:

  • Children in child welfare institutions face unique challenges.
  • Self-destructive and suicidal behaviors are significant concerns in this vulnerable population.

Purpose of the Study:

  • To investigate the prevalence of self-destructive and suicidal behaviors in children and adolescents residing in child welfare institutions.
  • To identify factors associated with suicidal ideation and attempts in this cohort.

Main Methods:

  • Cross-sectional study involving 98 children and adolescents.
  • Utilized Child Behavior Checklist (CBCL), Children's Global Assessment Scale (CGAS), and key worker-reported questionnaires.
  • Assessed suicidal thoughts, threats, and attempts within the past 6 months.

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Main Results:

  • 32% of participants reported suicidal thoughts, threats, or attempts in the previous 6 months.
  • Suicidality linked to lower general functioning (CGAS<61), self-mutilation, and violence.
  • Children with suicide attempts experienced more pre-placement trauma and higher somatization scores.

Conclusions:

  • Suicidal behaviors are common in institutionalized children and associated with poor functioning and trauma.
  • Early identification and intervention are crucial for this high-risk group.
  • Further research should explore targeted interventions for trauma and mental health in child welfare settings.