@article{ref1,
title="Columbia-Suicide Severity Rating Scale (C-SSRS) reveals high rates of suicidality in 602 patients with cleft and craniofacial conditions",
journal="Journal of cranialfacial surgery",
year="2024",
author="Romeo, Dominic J. and Le, Thalia and Massenburg, Benjamin B. and Wu, Meagan and Ng, Jinggang J. and Salinero, Lauren K. and Akarapimand, Patrick and Liao, Eric C. and Rudofker, Adam and Taylor, Jesse A. and Magee, Leanne",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Little is known about rates of suicidal ideation and behavior among youth with cleft lip and/or palate (CLP) and other craniofacial conditions. <br><br>METHODS: Records of patients ages 6 and older who were administered the Columbia-Suicide Severity Rating Scale (C-SSRS) Lifetime Version during routine multidisciplinary cleft or craniofacial team visits between 2019 and 2023 were examined. Demographics information, C-SSRS data, and diagnoses were assessed with statistics including t tests, the Fisher exact test, and odds ratios. <br><br>RESULTS: A total of 1140 C-SSRS questionnaires across 602 (433 CLP and 169 craniofacial) patients with an average age of 11.2±3.7 years were included. Eighty-four (13.6%) patients endorsed lifetime suicidal ideation, 9 (1.5%) had at least one instance of suicidal behavior, 30 (5.0%) endorsed nonsuicidal self-injury, and 2 (0.3%) engaged in self-injurious behavior. Compared with CLP, those with other craniofacial conditions had similar odds of endorsing suicidal ideation and behavior (P≥0.05). Compared with those with isolated cleft palates, CLP had greater odds of endorsing suicidal ideation and behavior, though those differences were not significant (P≥0.05). Incidence of suicidality was unchanged before, during, and after the COVID-19 pandemic (P≥0.05). Dividing patients by sex or insurance type revealed no difference in suicidality (P≥0.05). <br><br>CONCLUSION: Patients with CLP and craniofacial conditions have a high incidence of suicidal ideation and behavior, though levels are similar between these groups. Suicidality in these patients was not negatively impacted by the COVID-19 pandemic. Early identification of safety risks and psychosocial challenges through regular screening can facilitate connection with appropriate clinical interventions.<p /> <p>Language: en</p>",
language="en",
issn="1049-2275",
doi="10.1097/SCS.0000000000010369",
url="http://dx.doi.org/10.1097/SCS.0000000000010369"
}