Risk mitigation strategies for children and young people admitted with mental health crisis to acute paediatric care: a systematic review with narrative synthesis

Marufu, TC, Kaltsa, A, Albelbisi, Z, Carter, T, Coad, J, Bolton, SJ, Breedon, P ORCID: https://orcid.org/0000-0002-1006-0942, Craven, MP, Frost, K, Harbottle, A, Hendron, E, Patel, J, Rad, L, White, P, Wood, D and Manning, JC, 2025. Risk mitigation strategies for children and young people admitted with mental health crisis to acute paediatric care: a systematic review with narrative synthesis. Journal of Child Health Care. ISSN 1367-4935

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Abstract

Globally, the number of Children and Young People (CYP) that experience mental health crisis and access paediatric acute hospital settings continues to increase. Many of these CYP present with thoughts and behaviours of self-harm and/or suicide and often experience severe and fluctuating emotional states. It is therefore important that the risk of self-harm/suicide is assessed during an inpatient admission and strategies implemented to mitigate risk. This study aimed to identify self-harm and suicidality risk management pathways that have been developed and evaluated for use with CYP admitted to acute hospital settings with mental health crisis. A systematic review was conducted. Eight online academic database were searched up to February 2022. The critical appraisal skills programme tool was used to assess the methodological rigour of included studies. Online searches identified 120 potential studies. Five studies met the predefined inclusion criteria. Six risk mitigation strategies were identified; safety huddles, urgent full mental psychiatric review within 2-h of assessment, feedback on screening responses, motivational and barrier-reducing intervention, 1:1 constant observations and environmental safety. All included strategies targeted environmental, family, and individual CYP involving modifications to equipment, surveillance, and communication to enhance safety.

Item Type:	Journal article
Publication Title:	Journal of Child Health Care
Creators:	Marufu, T.C., Kaltsa, A., Albelbisi, Z., Carter, T., Coad, J., Bolton, S.J., Breedon, P., Craven, M.P., Frost, K., Harbottle, A., Hendron, E., Patel, J., Rad, L., White, P., Wood, D. and Manning, J.C.
Publisher:	SAGE Publications
Date:	29 August 2025
ISSN:	1367-4935
Identifiers:	Number Type 10.1177/13674935251374808 DOI 40882215 PubMed ID 2490818 Other
Divisions:	Schools > School of Science and Technology
Record created by:	Jonathan Gallacher
Date Added:	08 Oct 2025 10:09
Last Modified:	08 Oct 2025 10:26
URI:	https://irep.ntu.ac.uk/id/eprint/54535

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