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Youth psychiatrically hospitalized for suicidality: Changes in familial structure, exposure to familial trauma, family conflict, and parental instability as precipitating factors
Rice, J. L.,
Tan, T. X.
Year Published: 2017
Children and Youth Services Review
US youth experiencing suicidality are often placed in involuntary inpatient psychiatric hospitalization. Though some studies have examined treatment effectiveness and youths’ short- and long-term outcomes following discharge, little is known about youths’ perspectives on the life events that precipitated their crises. To address this gap, these authors analyzed clinical transcripts from therapy session notes, psychosocial assessments, and psychiatric evaluations comprising 220 patients' psychiatric medical records. Results revealed four main precipitating factors: changes in familial structure, exposure to familial trauma, family conflict, and parental instability. These factors highlight the role of high-risk familial conditions in the development, persistence, and deterioration of mental illness among youth that lead to suicidality. The authors discuss the clinical implications of these themes. Modified Author Abstract.