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

Overview

Journal Child Psychiatry Hum Dev

Specialties Pediatrics
Psychiatry

Date 2020 Feb 21

PMID 32076912

Citations 15

Authors

Shannon L Stewart

Angela Celebre

John P Hirdes

Jeffrey W Poss

Affiliations

Soon will be listed here.

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.

Citing Articles

A Snapshot of Peer Relationships in Children and Youth: Pre- Versus During COVID-19.

Manis J, Stewart S Int J Environ Res Public Health. 2025; 21(12.

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Identifying Factors Associated with Bullying Roles Using the interRAI Child and Youth Mental Health (ChYMH) Suite of Instruments.

Stewart S, Withers A, Graham A, Poss J Child Psychiatry Hum Dev. 2024; .

PMID: 38584249 DOI: 10.1007/s10578-024-01698-y.

Suicidal Behaviors in Early Adolescence: The Interaction Between School Connectedness and Mental Health.

Eugene D, Blalock C, Nmah J, Baiden P School Ment Health. 2024; 15(2):444-455.

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Treatment Seeking Children and Youth who have Experienced Warzone Trauma: Examining the Mental Health Care Planning Needs.

Stewart S, Dimos T, Poss J Child Psychiatry Hum Dev. 2023; .

PMID: 37428420 DOI: 10.1007/s10578-023-01570-5.

Age, Sex and Relationship Strengths: Internalizing Symptom Differences in Children and Youth Within a Clinical Sample.

Stewart S, Lapshina N, Semovski V, Usova A J Can Acad Child Adolesc Psychiatry. 2022; 31(4):189-201.

PMID: 36425015 PMC: 9661912.

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