Longitudinal Assessment of Self-Harm Statements of Youth in Foster Care: Rates, Reporters, and Related Factors

Gabrielli, Joy; Hambrick, Erin P.; Tunno, Angela M.; Jackson, Yo; Spangler, Amanda; Kanine, Rebecca M.

doi:10.1007/s10578-014-0529-4

Cited by 14 publications

(3 citation statements)

References 37 publications

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“…Despite the fact that participants with no SR had significantly longer placements than high-risk participants, the PLS-PM analysis revealed that when all the other placement characteristics were taken into account, only placement type and contact with siblings were associated with lower SR. Placement in a foster family was associated with lower SR compared to placement in an institution. These results are congruent with those reported by Anderson (2011) and by Gabrielli et al (2015), and they extend the literature by showing that this protective effect does not only impact suicidal ideation and self-mutilation but suicidality more generally and that the effect is observed in adulthood as well. The different effects of these two placement types may be explained by the contrast between placement characteristics: compared to group care, more individualized support is provided within foster families, the needs of the child being taken into account more specifically and the foster caregiver being more adjusted to the child.…”

Section: Discussionsupporting

confidence: 91%

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The impact of out-of-home placement characteristics with regard to suicidal risk among adult survivors of childhood abuse

Touati¹,

Miljkovitch²,

Sirparanta³

et al. 2021

Developmental Child Welfare

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Background: Childhood abuse is associated with increased lifetime suicidal risk (SR). Among victims of abuse, children in out-of-home care are also at risk. Out-of-home placement is aimed at stopping further exposure to maltreatment and at providing the necessary security for proper development. Research suggests that placement arrangements may impact children’s mental health outcomes. Objective: The study was aimed at examining (1) the direct effects of different placement characteristics (i.e. age at first placement, number of placements, placement disruptions, total time in care, contact with biological parents, contact with siblings, placement with siblings) on SR and (2) whether these characteristics moderate the link between maltreatment and SR. Participants: The sample consisted of 77 adults (52 women; 25 men; mean age: 26.6 years) who received out-of-home care during childhood. Method: Participants completed the Childhood Trauma Questionnaire and the Mini International Neuropsychiatric Interview (for SR). Participants’ records were used to determine placement characteristics and maltreatment. Results: PLS-PM analyses suggest a significant role of risk (age at first placement, number of placements, placement disruptions, contact with biological parents) and protective factors (contact with siblings, foster home placement) on SR. Risk factors also moderate the link between maltreatment and SR. Conclusions: Interventions aimed at limiting risk factors during placement seem important to reduce SR.

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Section: Discussionsupporting

confidence: 91%

“…kinship care). Gabrielli et al (2015) reported similar results in a longitudinal study evaluating suicidal ideation among 135 children aged 8 to 11 years. Suicidal ideation was more common among children in institutional care, after controlling for age and gender.…”

Section: Introductionsupporting

confidence: 62%

The impact of out-of-home placement characteristics with regard to suicidal risk among adult survivors of childhood abuse

Touati¹,

Miljkovitch²,

Sirparanta³

et al. 2021

Developmental Child Welfare

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“…Bronsard et al (2013) reviewed the histories of 73 French young people in residential care and found that 25.5% had previously attempted suicide. Gabrielli et al (2015) reviewed the histories of 135 American children in foster care and found that 24% had reported a desire to self-harm. Hurley et al (2009) conducted an archival study on 1047 youth admitted to residential foster care across two cohorts (1995 and 2004) and reported rates of self-harm of 35% and 39%, respectively.…”

Section: International Comparisonsmentioning

confidence: 99%

Residential staff responses to adolescent self-harm: The helpful and unhelpful

Johnson¹,

Ferguson

Copley³

2017

Clin Child Psychol Psychiatry

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Adolescent self-harm is prevalent in residential and secure care and is the cause of distress to those harming themselves, to the staff caring for them and for other young people living with them. This article sought service user views on what staff supports were effective and what were counter-productive in order to improve the care offered to young people. Seven young people living in residential or secure care were interviewed. Thematic analysis was used to elicit key themes. Global themes of safety and care were elicited. The young people understood and accepted that the role of staff was to provide these. Within these themes, they noted numerous responses that had both helpful and unhelpful effects, including increased observation, removal of means and extra collaborative support. Service users made numerous recommendations to increase the helpful effects of staff support. Young people provided informed and helpful guidance on how best to care for them. Their views can help mental health professionals and care staff increase their helpful responses making them more effective and less counter-productive. This study is a rare representation of the views of young people in residential and secure care and how to respond to their self-harm behaviour.

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