Limitations
While this study was novel in looking at the PtC in suicidality specifically, there were some limitations. The data in this study was collected retrospectively, therefore the PtC and durations were based on caregivers’ self-report and recall accuracy. The reliability of our self-report questionnaire has not been specifically assessed, however the PtC measure has been used in a previous study . Another weakness is the moderate sample size which may limit statistical power. Given the importance of reducing the delays in help seeking and treatment in suicidal adolescents, further research into the PtC and role of caregiver familiarity for this population is warranted with larger sample sizes. Finally, this study was conducted on participants who were referred to a specialised SP service. Thus, not all findings can be directly compared with results from other mental health care systems across countries.