The range of suicidal ideation among people with care experience: Occurrences of suicidal thoughts in a cross-national sample from England and Germany

• Published in: Children and youth services review Vol. 150; p. 107008
• Main Author: Göbbels-Koch, Petra
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.07.2023
• Subjects: Leaving care; Mental health; People with care experience; Social work; Suicidal ideation; Suicide prevention; Leaving care; Suicidal ideation; Suicide prevention; People with care experience; Social work; Mental health
• ISSN: 0190-7409; 1873-7765
• DOI: 10.1016/j.childyouth.2023.107008

•Survey respondents had their first suicidal thoughts, on average, at 13.6 years.•Forms of suicidal thoughts were passive, active and chronic suicidal ideation.•During and after leaving care, suicidal thoughts can re-occur and intensify.•English and German samples show similar occurrences of suicidal thoughts.•English participants judge their care experience to affect their attitude towards life. This paper investigates the range of suicidal ideation among people with care experience. People who grew up in care have an elevated risk of suicidal ideation, behavior and dying by suicide compared to people without care experience. However, a comprehensive and in-depth understanding of when suicidal ideation occurs and how care-experienced people experience suicidal thoughts, especially when leaving care in England and Germany, is currently not available but would help to inform suicide prevention tailored to care-experienced people across different ages. Aiming to address this gap, the current study applied a mixed-methods approach, combining an online survey and semi-structured interviews with young adults with care experience from England and Germany. The survey included 45 adults with care experience, age 18–40, and interviews were conducted with 13 care-experienced young adults from both countries. Descriptive statistical and significance tests were conducted to analyze the survey data with SPSS. Framework analysis was used to analyze the interviews. The findings show that many participants experienced suicidal thoughts from a young age and at different times up to adulthood. A range of suicidal thoughts and trajectories are identified with an increased risk of suicide for young people with care experience, especially during transitions such as when leaving care in early adulthood. The study underlines the need for a stronger recognition of suicide prevention in social work and the (leaving) care system across different countries.