title: Suicidality among preadolescent maltreated children in foster care.
abstract: This study sought to determine the prevalence of suicidal ideation, plans, and attempts among 515 preadolescent (aged 9-11 years) maltreated children who entered foster care within the prior year. Over a quarter (26.4%) of the children had a history of suicidality according to their own and/or their caregiver's report, 4.1% of whom were imminently suicidal. In bivariate analyses, children at higher risk of suicidality tended to be younger, non-Hispanic, abused, and to have experienced multiple types of maltreatment, more referrals to child welfare, more household transitions, and a longer length of time in foster care. There were no gender differences. Multiple regression analyses found physical abuse and chronicity of maltreatment to be the most robust predictors of suicidality. It is critically important that these high-risk children are screened for suicidality before adolescence and that caregivers and professionals are informed of their risk status so that they may implement mental health treatment, monitoring, and harm reduction measures.
authors.affiliation: Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado School of Medicine, Denver, CO, USA.
authors.forename: Heather N
authors.initials: HN
authors.lastname: Taussig
authors.forename: Scott B
authors.initials: SB
authors.lastname: Harpin
authors.forename: Sabine A
authors.initials: SA
authors.lastname: Maguire
mesh_terms: D000367:Age Factors; D002648:Child; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D002669:Child Welfare / Q000706:statistics & numerical data*; D015331:Cohort Studies; D005260:Female; D005581:Foster Home Care / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D015995:Prevalence; D012044:Regression Analysis; D012307:Risk Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data*; D013997:Time Factors
keywords: child maltreatment; foster care; preadolescent; screening; suicide