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Child and adolescent self-poisoning: service-related characteristics

Published online by Cambridge University Press:  02 January 2018

Ashraf Nasr
Affiliation:
Reaside Clinic, Birmingham
Panos Vostanis*
Affiliation:
Child and Adolescent Psychiatry, University of Birmingham, Parkview Clinic, Queensbridge Road, Moseley, Birmingham B13 5QE
Linda Winkley
Affiliation:
Oaklands Unit, Birmingham
*
Correspondence
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Abstract

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This study presents the pattern of assessment and 6-month out-patient attendance of 54 children and adolescents who took an overdose over a 12-month period, and were assessed by a district child and adolescent psychiatry service. Attempts were precipitated by arguments (67%) or school-related stressors (19%). In 70.4% of cases, analgesic tablets were used. A psychiatric disorder was present in 51% of the cases. At 6 months, 13% of the patients were still attending for follow-up, while three children (5.5%) had taken a second overdose. Admission to a paediatric ward can facilitate the initiation of treatment. Child mental health services should aim at providing prompt assessment, good communication with other agencies, and follow-up arrangements, particularly with high-risk young people and their families

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1997 The Royal College of Psychiatrists

References

Hawton, K. (1982) Attempted suicide in children and adolescents. Journal of Child Psychology and Psychiatry, 23, 497503.CrossRefGoogle ScholarPubMed
Kerfoot, M., Dyer, E., Harrington, V., et al (1996) Correlates and short-term course of self-poisoning in adolescents. British Journal of Psychiatry, 168, 3842.CrossRefGoogle ScholarPubMed
Kurtz, Z., Thornes, R. & Wolkind, S. (1994) Services for the Mental Health of Children and Young People in England. London: Department of Public Health, South Thames RHA.Google Scholar
Lewinsohn, P., Rohde, P. & Seeley, J. (1994) Psychosocial risk factors for future suicide attempts. Journal of Consulting and Clinical Psychology, 62, 297305.CrossRefGoogle Scholar
Morrissey, R., Dicker, R., Abikoff, H., et al (1995) Hospitalising the suicidal adolescent: investigation of decision-making criteria. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 902911.CrossRefGoogle ScholarPubMed
O'Dwyer, F., Dalton, A. & Pearce, J. (1991) Adolescent self-harm patients: audit of assessment in an accident and emergency department. British Medical Journal, 303, 629630.CrossRefGoogle Scholar
Pfeffer, C., Hurt, S., Kakuma, T., et al (1994) Suicidal children grow up: suicidal episodes and effects of treatment during follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 225230.CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists (1982) The management of parasuicide in young people under sixteen. Bulletin of the Royal College of Psychiatrists, 6, 182185.Google Scholar
Shaffer, D. & Piacentini, J. (1994) Suicide and attempted suicide. In Child and Adolescent Psychiatry: Modern Approaches (3rd edn) (eds Rutter, M., Taylor, E. & Hersov, L.), pp. 407424. Oxford: Blackwell.Google Scholar
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
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