TY  - JOUR
PY  - 2024//
TI  - Columbia-Suicide Severity Rating Scale (C-SSRS) reveals high rates of suicidality in 602 patients with cleft and craniofacial conditions
JO  - Journal of cranialfacial surgery
A1  - Romeo, Dominic J.
A1  - Le, Thalia
A1  - Massenburg, Benjamin B.
A1  - Wu, Meagan
A1  - Ng, Jinggang J.
A1  - Salinero, Lauren K.
A1  - Akarapimand, Patrick
A1  - Liao, Eric C.
A1  - Rudofker, Adam
A1  - Taylor, Jesse A.
A1  - Magee, Leanne
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1049-2275
UR  - http://dx.doi.org/10.1097/SCS.0000000000010369
ID  - ref1
ER  -