{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:49:48Z","timestamp":1791355788466,"version":"4.3.1"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Aims and method<\/jats:title>\n                    <jats:p>We reviewed referrals mentioning suicidality to a Scottish CAMHS. The referrals were from January to June 2019 and 2022. We recorded the referral reason and outcome and compared these to the National CAMHS Service Specification (2020).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2,753 referrals, 560 (20.34%) mentioned suicidality. Of these, 82.4% were accepted. The majority of those rejected were from outside the region, already in the CAMHS, or provided insufficient information. The majority did not include any risk assessment (43.6%) or safety planning (67.7%). We identified lack of clarity in the National CAMHS Service Specification around the requirement for evidence of a serious mental illness and the meaning of \u201csuicidal behaviours\u201d.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical implications<\/jats:title>\n                    <jats:p>We require clearer language concerning \u201crejected referrals\u201d, better communication between the CAMHS and referrers, improved pathways for referral re-direction, and support for referrers to assess risk and safety plan. We require clarity in national guidelines over where suicidal young people should be supported.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1863579","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:52:09Z","timestamp":1791352329000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Referrals for suicidality to a UK child and adolescent mental health service: an evaluation of the policy and practice context of response to suicidal young people"],"prefix":"10.3389","volume":"17","author":[{"given":"Fhionna","family":"Moore","sequence":"first","affiliation":[{"name":"National Health Service (NHS) Tayside Child and Adolescent Mental Health Services, National Health Service (NHS) Tayside","place":["Perth, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iolanda","family":"Salonia","sequence":"additional","affiliation":[{"name":"National Health Service (NHS) Tayside Child and Adolescent Mental Health Services, National Health Service (NHS) Tayside","place":["Dundee, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayesha","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Veterinary and Medical Sciences, University of Glasgow","place":["Glasgow, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alissa","family":"Mann","sequence":"additional","affiliation":[{"name":"National Health Service (NHS) Tayside Child and Adolescent Mental Health Services, National Health Service (NHS) Tayside","place":["Dundee, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne","family":"Gilmour","sequence":"additional","affiliation":[{"name":"School of Health in Social Science, University of Edinburgh","place":["Edinburgh, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"B1","unstructured":"Suicide Among Young People in Scotland: A Report From the Scottish Suicide Information Database\n          \n          2022"},{"key":"B2","unstructured":"Child and Adolescent Mental Health Services: National Service Specification\n          \n          2020"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.914479","article-title":"Characteristics and outcomes of referrals to CAMHS for children who are thinking about or attempted suicide: A retrospective cohort study in two Scottish CAMHS","volume":"13","author":"Gilmour","year":"2022","journal-title":"Front Psychiatry"},{"key":"B4","first-page":"2008","volume-title":"Columbia-Suicide Severity Rating Scale (C-Ssrs)","author":"Posner","year":"2008"},{"key":"B5","doi-asserted-by":"crossref","first-page":"20170268","DOI":"10.1098\/rstb.2017.0268","article-title":"The integrated motivational\u2013volitional model of suicidal behaviour","volume":"373","author":"O'Connor","year":"2018","journal-title":"Philos Trans R Soc B Biol Sci"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12207","article-title":"Patterns of referral and waiting times for specialist Child and Adolescent Mental Health Services","volume":"23","author":"Smith","year":"2018","journal-title":"Child Adolesc Ment Health"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-04438-5","article-title":"Inequalities in children\u2019s mental health care: analysis of routinely collected data on prescribing and referrals to secondary care","volume":"23","author":"Ball","year":"2023","journal-title":"BMC Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1007\/s00038-018-1196-1","article-title":"Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies","volume":"64","author":"Miranda-Mendizabal","year":"2019","journal-title":"Int J Public Health"},{"key":"B9","unstructured":"Adults With Incapacity Act (2000)\n          \n          2000"},{"key":"B10","unstructured":"At What Age Will I Leave CAMHS?\n          \n          2024"},{"key":"B11","doi-asserted-by":"crossref","DOI":"10.1111\/jcpp.14002","article-title":"\u2018I'm still su! c! dal when you're done with the paperwork\u2019: an inductive framework thematic analysis of# camhs on TikTok","volume":"65","author":"Foster","year":"2024","journal-title":"J Child Psychol Psychiatry"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12328","article-title":"The views and experiences of suicidal children and young people of mental health support services: a meta\u2010ethnography","volume":"24","author":"Gilmour","year":"2019","journal-title":"Child Adolesc Ment Health"},{"key":"B13","unstructured":"Loneliness, Suicide and Young People\n          \n          2019"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1863579\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:52:10Z","timestamp":1791352330000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1863579\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":13,"alternative-id":["10.3389\/fpsyt.2026.1863579"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2026.1863579","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"article-number":"1863579"}}