• Richard A Wahl, Sian Cotton, and Patricia Harrison-Monroe.
• Department of Pediatrics, University of Arizona, Tucson, AZ 85724-5073, USA. rwahl@u.arizona.edu
• South. Med. J. 2008 Jul 1; 101 (7): 711-5.

BackgroundSpirituality is often overlooked as a coping method and resilience factor in the lives of adolescents. An improved understanding of the role of spirituality in the lives of adolescents will help in understanding the choices many teens face during times of personal crisis. Youth entering the juvenile justice system often present with high rates of mental health problems and suicidal ideation.MethodTwo clinical vignettes of adolescents who exhibited suicidal ideation while in juvenile detention are discussed.DiscussionAn understanding of the role of spirituality for an adolescent in crisis can greatly enhance our ability to provide culturally competent care and offer meaningful support. This becomes increasingly important as the juvenile detention population becomes ever more diverse. Valuable information can be obtained by taking a "clinical spiritual history" which enables clinicians to have a clearer understanding of an adolescent's worldview and provide the necessary therapeutic interventions. Specific questions are suggested as a basis for obtaining this information.

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