The self-perceived needs of adolescents with suicidal behaviour: a scoping review

Looijmans, Milou; van Bergen, Diana; Popma, Arne; van Eijk, Nikki; Mérelle, Saskia; van Veen, Sisco; Hawton, Keith; Gilissen, Renske

doi:10.1007/s00787-023-02342-1

“…The results showed that the young adults in this study have general needs in terms of breaking taboos and facilitating discussions about suicidal behavior and mental health, as well as specific requirements regarding education and healthcare. The needs of young adults with recent suicidal ideation do not appear to differ much from the needs of adolescents with suicidal behavior (32). Also older adults (75+) with prolonged death wishes) seem to share the need for meaningful conversations with caregivers and recognition and understanding also play a significant role (33).…”

Section: Discussionmentioning

confidence: 99%

“…Also often mentioned was the need to talk with professionals with lived experiences besides regular therapists. This need also arose in a number of studies of adolescents with suicidal behavior (32); however, while people with lived suicidal experience are increasingly being employed in health care, there is not yet much known in the scientific literature about how to do this in the most safe and effective way. Employing peer specialists offers many advantages, such as recognition and someone who truly understands the suicidal ideation but, at the same time, it is important to keep in mind the emotional burden that comes with working with clients who are suicidal for the peer specialists (50).…”

Section: Reducing Barriers In Mental Health Carementioning

confidence: 99%

Understanding the needs and perspectives of young adults with recent suicidal ideation: insights for suicide prevention

Looijmans,

Elzinga,

Popma

et al. 2024

Front. Child Adolesc. Psychiatry

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IntroductionSuicide rates among adolescents and young people are increasing, especially in Western countries. Suicidal ideation often precedes suicide attempts and suicide. Yet, research involving individuals with lived experience in suicide prevention, especially among young adults, remains scarce. Understanding their needs is crucial for effective interventions. This qualitative study aims to explore the needs and perspectives of young adults with lived experience to provide tailored recommendations for suicide prevention.MethodsSemi-structured interviews were carried out with 19 young adults who had experienced suicidal ideation within the past two years. Open-ended questions addressed the needs for help and support regarding suicide prevention. Data was thematically analyzed and, through an iterative process involving discussion among all authors, categorized into six themes.ResultsThe results indicated needs around more openness and understanding of suicide among the general public, advocating mental health education starting from a young age, reducing barriers in mental health care such as long waiting lists and enhancing informal support systems by facilitating online and offline peer connections. Participants also highlighted contemporary concerns such as social welfare, academic pressure, and social media as significant needs in the current time.ConclusionThis study highlights the necessity for comprehensive suicide prevention approaches catering to the diverse needs of young adults with recent suicidal ideation. It highlights the urgency of societal awareness, early mental health education, and improved access to services. Informal support networks and addressing societal stressors are also deemed crucial. Structural changes are urged to create supportive environments.

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“…The results showed that the young adults in this study have general needs in terms of breaking taboos and facilitating discussions about suicidal behavior and mental health, as well as specific requirements regarding education and healthcare. The needs of young adults with recent suicidal ideation do not appear to differ much from the needs of adolescents with suicidal behavior (32). Also older adults (75+) with prolonged death wishes) seem to share the need for meaningful conversations with caregivers and recognition and understanding also play a significant role (33).…”

Section: Discussionmentioning

confidence: 99%

“…Also often mentioned was the need to talk with professionals with lived experiences besides regular therapists. This need also arose in a number of studies of adolescents with suicidal behavior (32); however, while people with lived suicidal experience are increasingly being employed in health care, there is not yet much known in the scientific literature about how to do this in the most safe and effective way. Employing peer specialists offers many advantages, such as recognition and someone who truly understands the suicidal ideation but, at the same time, it is important to keep in mind the emotional burden that comes with working with clients who are suicidal for the peer specialists (50).…”

Section: Reducing Barriers In Mental Health Carementioning

confidence: 99%

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Young adults, particularly young women, account for an increasingly large share of Dutch mental healthcare expenditure over the period between 2015 and 2021

Dijkstra,

Gülöksüz,

Batalla

et al. 2024

Epidemiol Psychiatr Sci

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Aims There is increasing concern over the mental distress of youth in recent years, which may impact mental healthcare utilisation. Here we aim to examine temporal patterns of mental healthcare expenditures in the Netherlands by age and sex in the period between 2015 and 2021. Methods Comprehensive data from health insurers in the Netherlands at the 3-number postal code level were used for cluster weighted linear regressions to examine temporal patterns of mental healthcare expenditure by age group (18–34 vs 35–65). The same was done for medical specialist and general practitioner costs. Additionally, we examined interactions with gender, by adding the interaction between age, year and sex to the model. Results Mental healthcare costs for younger adults (18–34) were higher than those for older adults (35–65) at all time points (β = 0.22, 95%-CI = 0.19; 0.25). Furthermore there was an increase in the strength of the association between younger age and mental healthcare costs from β = 0.22 (95%-CI = 0.19; 0.25) in 2015 to β = 0.37 (95%-CI = 0.35; 0.40) in 2021 (p < 0.0001) and this was most evident in women (p < 0.0001). Younger age was associated with lower general practitioner costs at all time points, but this association weakened over time. Younger age was also associated with lower medical specialist costs, which did not weaken over time. Conclusions Young adults, particularly young women, account for an increasing share of mental healthcare expenditure in the Netherlands. This suggests that mental distress in young people is increasingly met by a response from the medical system. To mitigate this trend a public mental health approach is needed.

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The self-perceived needs of adolescents with suicidal behaviour: a scoping review

Cited by 4 publications

References 76 publications

Understanding the needs and perspectives of young adults with recent suicidal ideation: insights for suicide prevention

Understanding the needs and perspectives of young adults with recent suicidal ideation: insights for suicide prevention

Datasheet2.pdf

Young adults, particularly young women, account for an increasingly large share of Dutch mental healthcare expenditure over the period between 2015 and 2021

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