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Adolescents who Take Overdoses: Their Characteristics, Problems and Contacts with Helping Agencies

Published online by Cambridge University Press:  29 January 2018

Keith Hawton
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
John O'Grady
Affiliation:
St. Nicholas Hopsital, Gosforth, Newcastle-upon-Tyne NE3 3XT
Madeline Osborn
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
Deborah Cole
Affiliation:
Department of Counsellor Education, Suffolk University, Boston, MA 02114, USA

Summary

In a consecutive sample of 50 adolescents aged 13–18 admitted to hospital after taking overdoses, 90 per cent were girls. There were other clear differences between this sample and adolescents in general. Twenty-four per cent had visited their general practitioners in the previous week, and 50 per cent during the previous month. The most common difficulties preceding the overdoses were problems with parents, boy or girlfriends, and with school or work, including unemployment. A substantial proportion of the subjects had recent or current physical ill health. In the majority of cases the problems appeared to be transient so that one month later two-thirds of the adolescents had shown considerable general improvement. However, 14 per cent were referred to hospital for further self-poisoning or self-injury in the following year. The recent increase in the incidence of self-poisoning among adolescents suggests that more attention must be paid to this group in terms of both primary and secondary prevention.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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References

Bancroft, J., Skrimshire, A., Casson, J., Harvard-Watts, O. & Reynolds, F. (1977) People who deliberately poison or injure themselves: their problems and their contacts with helping agencies. Psychological Medicine, 7, 289303.Google Scholar
Bancroft, J., Skrimshire, A., Reynolds, F., Simkin, S. & Smith, J. (1975) Self-poisoning and self-injury in the Oxford area: epidemiological aspects 1969—73. British Journal of Preventive and Social Medicine, 29, 170–7.Google Scholar
Choquet, M., Facy, F. & Davidson, F. (1980) Suicide and attempted suicide among adolescents in France. In The Suicide Syndrome (eds. Farmer, R. and Hirsch, S.). London: Croom Helm.Google Scholar
Cohen, J. (1960) A coefficient agreement for normal scales. Educational and Psychological Measurement, 20, 3746.Google Scholar
Davidson, D. G. D. & Eastham, W. N. (1966) Acute liver necrosis following overdose of paracetamol. British Medical Journal, ii, 497–9.Google Scholar
Fogelman, K. (1976) Britain's Sixteen Year Olds. London: National Children's Bureau.Google Scholar
Gibbons, J. S., Elliot, J., Urwin, P. & Gibbons, J. L. (1978) The urban environment and deliberate self-poisoning: trends in Southampton 1972—1977. Social Psychiatry, 13, 159–66.Google Scholar
Hawker, A. (1980) Adolescents and Alcohol. London: Edsal.Google Scholar
Hawton, K. & Blackstock, E. (1976) General practice aspects of self-poisoning and self-injury. Psychological Medicine, 6, 571–5.Google Scholar
Hawton, K., Fagg, J., Marsack, P. & Wells, P. (1982) Deliberate self-poisoning and self-injury in the Oxford area: 1972—1980. Social Psychiatry. In press.CrossRefGoogle Scholar
Hawton, K., Gath, D. & Smith, E. (1979) Management of attempted suicide in Oxford. British Medical Journal, ii, 1040–2.Google Scholar
Hawton, K. & Goldacre, M. Trends in deliberate self-poisoning among adolescents in the Oxford region. In preparation).Google Scholar
Hawton, K., Osborn, M., O'Grady, J. & Cole, D. (1982) Classification of adolescents who take overdoses. British Journal of Psychiatry, 140, 124–31.Google Scholar
Holding, T. A., Buglass, D., Duffy, J. C. & Krietman, N. (1977) Parasuicide in Edinburgh—a seven year review 1968—74. British Journal of Psychiatry, 130, 534–43.Google Scholar
Lumsden Walker, W. (1980) Intentional self-injury in school age children. Journal of Adolescence, 3, 217–28.Google Scholar
Morgan, H. G. (1979) Death Wishes? The Understanding and Management of Deliberate Self-Harm. Chichester: John Wiley.Google Scholar
Morgan, H. G., Burns-Cox, C. J., Pocock, H. & Pottle, S. (1975) Deliberate self-harm: clinical and socio-economic characteristics of 368 patients. British Journal of Psychiatry, 127, 564–74.Google Scholar
Office of Health Economics (1981) Suicide and Deliberate Self-Harm. London.Google Scholar
Otto, V. (1972) Suicidal acts by children and adolescents: a follow-up study. Acta Psychiatrica Scandinavica, Supplement 233.Google Scholar
Porteus, M. A. (1979) A survey of the problems of normal 15 year olds. Journal of Adolescence, 2, 307–23.Google Scholar
Proudfoot, A. T. & Park, J. (1978) Changing pattern of drugs used for self-poisoning. British Medical Journal, i, 90–3.Google Scholar
Stengel, E. & Cook, N. (1958) Attempted Suicide. London: Oxford University Press.Google Scholar
White, H. (1974) Self-poisoning in adolescents. British Journal of Psychiatry, 124, 2435.CrossRefGoogle ScholarPubMed
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