Paeds Vivas · child-safety-and-social-paediatrics
Youth justice and detained young people — viva
Branching structured oral on the health of justice-involved and detained young people: the equivalence-of-care principle, the entry-screening pathway, the clustered health needs, suicide and self-harm risk, neurodisability, consent and confidentiality in custody, the post-release mortality spike, and the advocacy role.
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Study tools
Target exams
RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A 16-year-old boy is seen on his first night in remand detention after disclosing suicidal thoughts. The candidate must explain the equivalence-of-care principle, the acute suicide and self-harm risk assessment, the entry health screen, the recognition of neurodisability, the consent and confidentiality issues in custody, and the release health plan.
Opening
The examiner presents a 16-year-old boy seen on his first night in remand detention after disclosing suicidal thoughts during the reception screen. He has a history of school exclusion, prenatal alcohol exposure and a four-month gap in community mental-health contact. The candidate is asked to outline the approach to his health care. [1] [5]
References7ShowHide
- [1]Borschmann R, Janca E, Carter A, Willoughby M, Hughes N, Snow K, et al. The health of adolescents in detention: a global scoping review. The Lancet Public Health, 2020.PMID 31954434
- [2]Bower C, Watkins RE, Mutch RC, Marriott R, Freeman J, Kippin NR, et al. Fetal alcohol spectrum disorder and youth justice: a prevalence study among young people sentenced to detention in Western Australia. BMJ Open, 2018.PMID 29440216
- [5]Borschmann R, Coffey C, Moran P, Hearps S, Degenhardt L, Kinner SA, et al. Self-harm in young offenders. Suicide & Life-Threatening Behavior, 2014.PMID 24773535
- [11]Casiano H, Bolton SL, Hildahl K, Katz LY, Bolton J, Sareen J A population-based study of the prevalence and correlates of self-harm in juvenile detention. PLoS One, 2016.PMID 26760497
- [13]Moore E, Indig D, Haysom L Traumatic brain injury, mental health, substance use, and offending among incarcerated young people. The Journal of Head Trauma Rehabilitation, 2014.PMID 23656964
- [16]Barnert ES, Perry R, Morris RE Juvenile incarceration and health. Academic Pediatrics, 2016.PMID 26548359
- [17]Borschmann R, Kinner SA Rates and causes of death after release from incarceration among 1 471 526 people in eight high-income and middle-income countries: an individual participant data meta-analysis. The Lancet, 2024.PMID 38614112