Deliberate self-harm by under-15-year-olds: characteristics, trends and outcome / Keith HAWTON in Journal of Child Psychology and Psychiatry, 49-4 (April 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-4 (April 2008) . - p.441–448 Titre : Deliberate self-harm by under-15-year-olds: characteristics, trends and outcome Type de document : Texte imprimé et/ou numérique Auteurs : Keith HAWTON, Auteur ; Louise HARRISS, Auteur Année de publication : 2008 Article en page(s) : p.441–448 Langues : Anglais (eng) Mots-clés : Adolescents deliberate-self-harm suicide-risk Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01852.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=339 [article] Deliberate self-harm by under-15-year-olds: characteristics, trends and outcome [Texte imprimé et/ou numérique] / Keith HAWTON, Auteur ; Louise HARRISS, Auteur . - 2008 . - p.441–448. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-4 (April 2008) . - p.441–448 Mots-clés : Adolescents deliberate-self-harm suicide-risk Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01852.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=339

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