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Suicide and Deliberate Self-injurious Behavior in Juvenile Correctional Facilities: A Review.

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1
Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba.

Abstract

in English, French

OBJECTIVE:

Describe the rates of suicidal ideation, self-injury, and suicide among detained youth as well as risk factors and preventive measures that have been attempted.

METHOD:

Literature searches in PubMed, PsycINFO, and the Social Science Citation Index were undertaken to identify published studies written in English. Governmental data was also included from English-speaking nations.

RESULTS:

The adjusted risk of suicide was 3 to 18 times higher than age-matched controls. The prevalence of lifetime suicidal ideation ranged from 16.9% to 59% while lifetime self-injury ranged from 6.2% to 44%. Affective disorders, borderline personality traits, substance use disorders, impulse control disorders, and anxiety disorders were associated with suicidal thoughts and self-injury. Screening for suicidal ideation upon entry was associated with a decreased rate of suicide.

CONCLUSIONS:

All youth should be screened upon admission. Identified co-morbid disorders should also be treated.

KEYWORDS:

delinquent; self-harm; suicide; youth

PMID:
23667357
PMCID:
PMC3647627
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