Deliberate Self-Harm by under-15-Year-Olds: Characteristics, Trends and Outcome

Autor/inn/en	Hawton, Keith; Harriss, Louise
Titel	Deliberate Self-Harm by under-15-Year-Olds: Characteristics, Trends and Outcome
Quelle	In: Journal of Child Psychology and Psychiatry, 49 (2008) 4, S.441-448 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0021-9630
DOI	10.1111/j.1469-7610.2007.01852.x
Schlagwörter	Suicide; Adolescents; Self Destructive Behavior; Hospitalized Children; Death; Gender Differences; Drug Abuse; Psychological Patterns; Emotional Disturbances; Intention; Family Relationship; Peer Relationship; Foreign Countries; United Kingdom (England) + Suchen Sie Ihr Suchwort? Selbstmord; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Self destrucive behaviour; Selbstzerstörung; Sterbefall; Tod; Todesfall; Geschlechterkonflikt; Gefühlsstörung; Peer-Beziehungen; Ausland
Abstract	Background: Relatively little information is available about the characteristics and long-term outcome of children and adolescents aged under 15 years who present to general hospitals because of deliberate self-harm (DSH). Method: Information was collected on 710 consecutive under-15-year-olds presenting to a general hospital in central England with DSH over a 26-year period (1978-2003). Outcome in terms of death was investigated from national statistics in 464 cases presenting during the first 20 years of the study. Results: Most individuals were aged 12-14 years. In this age group the female:male ratio was 6.5:1. Nearly all (680/710, 95.8%) had taken overdoses, over half of these episodes involving paracetamol (acetaminophen). Few had a history of prior (7.7%) or current psychiatric treatment (7.7%), although a quarter (150/559, 26.8%) had a history of previous DSH. Suicidal intent was usually low. The most frequent problems were difficulties in relationships with family members (77.3%) and with friends (38.9%), and school/study problems (37.9%). The long-term risk of suicide was low, 1.1% (N = 5) having died by probable suicide after a mean follow-up period of 11 years 2 months. Conclusions: DSH in children and young adolescents is usually related to life problems, is generally of low suicidal intent, and is associated with a relatively low long-term risk of suicide. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10