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Self-Injurious Thoughts and Behaviors Among Juvenile Legal System-Involved Adolescent Girls: A Scoping Review
Summary
Adolescent girls in the juvenile legal system (JLS) show high rates of self-injurious thoughts and behaviors (SITBs). Factors like mental health issues and adverse childhood experiences contribute, necessitating trauma-informed care.
Area of Science:
- Adolescent Health
- Mental Health Services
- Legal System Impact
Background:
- Adolescents in the juvenile legal system (JLS) face heightened risks for self-injurious thoughts and behaviors (SITBs).
- Racial/ethnic and gender inequities exacerbate these risks.
- This review focuses on JLS-involved adolescent girls aged 12-17 years.
Purpose of the Study:
- To identify rates of SITBs among JLS-involved adolescent girls.
- To examine factors associated with SITBs in this population.
- To explore racial/ethnic differences in SITB rates and contributing factors.
Main Methods:
- A scoping review was conducted following PRISMA-ScR guidelines.
- Literature published between 2014 and 2024 was synthesized.
- The review focused on studies examining SITBs in JLS-involved adolescent girls.
Main Results:
- High rates of suicide attempts (15-48%), suicidal ideation (37-50%), and nonsuicidal self-injury (22-43%) were reported across 17 reports.
- Key associated factors include mental health concerns and adverse childhood experiences.
- Research on protective factors remains limited.
Conclusions:
- JLS-involved adolescent girls exhibit elevated rates of SITBs.
- Trauma-informed, culturally-responsive screening is recommended for clinical settings.
- Strengths-based approaches should be prioritized in interventions.
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