PS09 - Building the Evidence for Suicide Prevention in Vulnerable Youth: Findings, Recommendations and Implications from Multiple European Studies

Understanding Suicidal Behaviour in Foster Youth: Lived Experiences, Results, and Recommendations from Qualitative Interviews with Foster Parents and Foster Children in the Netherlands
August, 29 | 08:30 - 10:00

Introduction. Youngsters who grow up in foster families, have a three to four times higher risk to be burdened by suicidality (suicidal thoughts and behaviors) compared to children from non-foster families. Although foster children are a high-risk group, foster parents are often not adequately informed or trained to cope with stressful situations related to their child’s suicidality. This study aimed to learn from the lived experiences of Dutch foster children and foster parents about the (lack of) help they received. Foster childrens’ and foster parents’ wishes, preferences, and needs regarding care for foster children with suicidality were investigated. These unique insights are used for recommendations on how to improve the care for foster children in the Netherlands. Methods. Between May 1 and December 5, 2023, we interviewed 27 participants (16 foster parents, and 11 foster youth). Foster parents were eligible to participate if they had a foster child in their home who previously suffered from suicidality. Foster children (> 16 years) were eligible if they had suffered from suicidal thoughts in the past but whose suicidality has substantially decreased (score of < 20 on the Suicidal Ideation Attributes Scale (SIDAS)). Participants were recruited through foster care- and mental healthcare organizations, social media (Facebook and Instagram), and youth organizations (youth with lived experience). Qualitative thematic analyses were performed aided by Atlas.ti. Results. Foster children reported that some situations related to their suicidality were inadequately addressed by foster care workers and by their own foster parents. Furthermore, foster children often did not felt heard or seen by their foster parent after they told them about their suicidality. Some foster children said that their suicidality was ignored or that their suicidal thoughts were not taken seriously by their foster parent. On the other hand, foster parents reported strong feelings of stress. They wanted to help their foster child, but often did not know how to cope with situations related to suicidality. Foster parents felt that they did not receive the help from a foster care worker they needed. Conclusion. Current care does not sufficiently support foster parents and their foster child. There is a need for better training, improved knowledge (foster care workers/foster parents) regarding managing suicidality, and better adherence to existent guidelines on youth suicide prevention.

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