It is also possible to search the National Case Review Repository for evidence of "trans child suicides", ie. under 18 years old. I could not find any.
Suicide: learning from case reviews
Summary of risk factors and learning for improved practice around suicide
2014
Risk factors for suicide identified in case reviews
Suicide is rarely triggered by a single event. It is the result of an accumulation of
adversities over time. Issues often referred to in cases included:
• bereavement, including family history of suicide
• history of abuse
• exposure to domestic violence
• parental mental health problems
• parental alcohol or substance misuse
• breakdown of relationships with family or boy/girlfriend
• lack of stable accommodation or consistent source of care
• copycat suicides
• social isolation
• bullying
• mental health problems including depression
• behaviour disorders including attention deficit hyperactivity disorder (ADHD)
• risk taking including drug or alcohol misuse, criminal behaviour and underage
sexual activity
• lack of parental control and boundaries
• perceived or actual pressure to achieve
• financial worries.
learning.nspcc.org.uk/media/1354/learning-from-case-reviews_suicide.pdf
National case review repository
The national case review repository, launched in November 2013, is the most comprehensive collection of case reviews in the UK. It provides a single place for published case reviews to make it easier to access and share learning at a local, regional and national level.
The repository has over 1,500 serious case reviews from England, Scotland and Wales, and thematic analysis reports from all four nations dating back to 1945. The collection also includes case reviews published anonymously on behalf of Safeguarding Children Partnerships.
Our information specialists write abstracts and add keywords to each report in the repository to enable professionals to find case reviews on particular themes and issues.
You can access case review reports via our online Library catalogue. We also hold physical reference copies of all case reviews in the NSPCC Library.
We encourage safeguarding partners in England and their equivalents in the other nations to submit newly published case review reports
learning.nspcc.org.uk/case-reviews/national-case-review-repository
Search the National Case Review Depository
library.nspcc.org.uk/HeritageScripts/Hapi.dll/search2?CookieCheck=44885.8529520602&&LabelText=Case%20review&searchterm=*&Fields=@&Media=SCR&Bool=AND
Search Term "transgender": one case review (not a suicide, mother and mother's partner both identify as transgender)
library.nspcc.org.uk/HeritageScripts/Hapi.dll/search2?searchterm=transgender&Fields=%40&Media=SCR&Bool=AND
2017 - Child I1: serious case review [full overview report].
Manchester Safeguarding Children Board
Abstract
Neglect of three siblings aged 0-1, 5 and 3 years, who were removed from mother and mother's partner in December 2015. The family had been known to children's services since April 2013, after moving to Manchester from the south of England six months earlier. There were 4 children in the family at the time. Home conditions were poor, and the children had complex needs. Father moved out with two of the siblings in March 2014. In April 2014 the children became subject to child protection plans under the category of neglect. An initial child protection conference was held in September 2014 in respect of the unborn child (Child I1), the child of mother and mother's partner. Mother's partner is described as a transgender person and identifies themselves as female. Mother identifies as male. In May 2015 the children were removed from the child protection plan but continued to receive support under a Children in need plan. In December 2015 ChildI1 and siblings were removed from the home following an unannounced visit by a social worker.
Methodology:
a systems methodology approach focusing on multi-agency professional practice. Findings include: there was a fixed and overly optimistic view of the case by some of the professionals; at times the parents' needs received more professional attention than those of the children; professionals did not always feel confident in their responses to some of the issues, particularly around gender roles and transgender issues.
Recommendations include:
the voice and daily lived experience of the child should be the primary focus of all agency interventions; agencies should work closely together in cases of long term neglect, especially if there is concern about disguised compliance.
Search Term "dysphoria": zero case reviews
Search Term "gender identity": one case review
2022 Thematic child safeguarding practice review – child and adolescent mental health (Young Person H and others)
Ealing Safeguarding Children Partnership
Abstract
Review of three cases involving adolescent self-harm, including a young person who attempted suicide in 2021.
Themes include:
professional fears around challenging conversations with young people on self-harm being rooted in a fear of making situations worse; if foster carers are equipped and supported when taking on a young person who self-harms; issues around risk management plans and working collaboratively to find the best support for a young person; issues of working across boundaries, including young people being registered for services in a different borough and in relation to child and adolescent mental health service (CAMHS) provision; if therapeutic interventions are focused enough on the impact of adverse childhood experiences; lack of knowledge or experience in discussing gender identity with young people.
Recommendations include:
review working practices to improve the confidence and ability of practitioners to have difficult conversations that focus on mental health; adolescents are able to have agency over their own risk management plans; training on gender identity and what this means for young people; support parents struggling with self-harming behaviour; support the training of foster carers in understanding self-harm and risk management; the young person and their parent/carer have continued access to a CAMHS clinician regardless of where they are living; agree a mechanism for managing risk across agencies; ensure gender identity is a key strand of equality action planning across all agencies.
library.nspcc.org.uk/HeritageScripts/Hapi.dll/retrieve2?SetID=BA8A8178-C3EB-42D4-95CE-361CC79A88A8&searchterm=gender%20identity&Fields=%40&Media=SCR&Bool=AND&SearchPrecision=20&SortOrder=Y1&Offset=1&Direction=%2E&Dispfmt=F&Dispfmt_b=B27&Dispfmt_f=F13&DataSetName=LIVEDATA
(extract from the full review)
Thematic Child Safeguarding Practice Review – Child and Adolescent Mental Health
(Young Person H and others)
Introduction
This review was conducted to consider three cases involving adolescent self harm, occurring in close time proximity to each other; alongside young people involved in the Partnership reporting the daily struggles of young people with their mental health. This led us to the view that reviewing the cases would promote further improvement and learning. Only on of the cases met the criteria for a Rapid Review as defined in the Guidance, however, a Rapid Review was convened in a second case that, while not meeting the criteria, provoked
a high level of professional anxiety regarding the ability to manage risk
The common features of the self-harm cases
• All three were born female
• All three highlighted issues around gender identity
• All three have alleged being sexually abused
• All three became looked after by the local authority
library.nspcc.org.uk/HeritageScripts/Hapi.dll/filetransfer/2022EalingYoungPersonHThematicReview.pdf?filename=CC18C70DB7C8C3D49403BB94EB176F95207E5F66235DCA89651F5ED2BA2CCB261D33683E379C502D8F98C413A760A64810BAEC6354752389A1DC165326D639376DCF6EAF1D48DD6BBEA9C91C7543351BB8ADB781C870B89DFA6E050475&DataSetName=LIVEDATA
Search Term "gender": 19 case reviews (only one mentions "gender identity")
library.nspcc.org.uk/HeritageScripts/Hapi.dll/search2?searchterm=gender&Fields=%40&Media=SCR&Bool=AND
2017 Serious case review: Siblings W and X [full overview report]
library.nspcc.org.uk/HeritageScripts/Hapi.dll/filetransfer/2017BrightonAndHoveSiblingsWAndXOverview.pdf?filename=CC18C70DB7C8C3D49403BB94EB176F95207E5F66235DCA89651F5ED2BA5DA9311A353B626FC51241A3DF9A45C047A65218BCD0585251208C9DDA036410C9323E738F79B82C3D97339C36B9884782EE6DE631344BF480AF0227C343A0446E97A42ADDA35E17726F8B4F751380B9&DataSetName=LIVEDATA
Low self-esteem and links with racism and bullying
6.7.10 Links between low self-esteem and troubled (and troublesome) behaviour in adolescence are widely recognised in the literature on child development. This links to the difficulties professionals face working with children who have long standing experiences of trauma, as discussed in finding 1.
6.7.11 The impact of low self-esteem has wide ranging effects on all aspects of children's development, including increasing the child's vulnerability to exploitation by others through all means including the internet.
Data from survey of pupils
6.7.12 The Brighton & Hove Safe and Well at School Survey (SAWSS) is an anonymous online survey conducted annually by primary and secondary schools during lesson time. It has been undertaken for the last 7 years. The 2015 survey involved 9206 young people aged 11-16 years old. Its main findings were that:
There has been a significant fall in pupils saying they have been bullied - from
26% in 2005 to 14% in 2015; it is thought this reflects the work undertaken in
schools.
The most common forms of bullying were verbal bullying, associated with
appearance
Those most likely to suffer bullying (in this survey) are those receiving extra
help at school and those who do not identify with the gender they were
assigned at birth
83% of students reported ‘my school helps me to get on with others including
people from different religious and cultural backgrounds’, but this dropped
from 88% in 11-12 year olds to 78% in 15-16 year olds