"Risk of Suicide and Self-harm in Kids: The Development of an Algorithm" by Shannon L. Stewart, Angela Celebre et al.
 

Paediatrics Publications

Document Type

Article

Publication Date

12-1-2020

Journal

Child Psychiatry and Human Development

Volume

51

Issue

6

First Page

913

Last Page

924

URL with Digital Object Identifier

10.1007/s10578-020-00968-9

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.

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