Repetition of self-harm and suicide following self-harm in children and adolescents: findings from the Multicentre Study of Self-harm in England / Keith HAWTON in Journal of Child Psychology and Psychiatry, 53-12 (December 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-12 (December 2012) . - p.1212-1219 Titre : Repetition of self-harm and suicide following self-harm in children and adolescents: findings from the Multicentre Study of Self-harm in England Type de document : Texte imprimé et/ou numérique Auteurs : Keith HAWTON, Auteur ; Helen BERGEN, Auteur ; Navneet KAPUR, Auteur ; Jayne COOPER, Auteur ; Sarah STEEG, Auteur ; Jennifer NESS, Auteur ; Keith WATERS, Auteur Article en page(s) : p.1212-1219 Langues : Anglais (eng) Mots-clés : self-harm  self-poisoning  self-injury  suicide  repeat self-harm  children and adolescents Index. décimale : PER Périodiques Résumé : Background: Self-harm (intentional self-poisoning and self-injury) in children and adolescents is often repeated and is associated with increased risk of future suicide. We have investigated factors associated with these outcomes. Method: We used data collected in the Multicentre Study of Self-harm in England on all self-harm hospital presentations by individuals aged 10?18 years between 2000 and 2007, and national death information on these individuals to the end of 2010. Cox hazard proportional models were used to identify independent and multivariable predictors of repetition of self-harm and of suicide. Results: Repetition of self-harm occurred in 27.3% of individuals (N = 3920) who presented between 2000 and 2005 and were followed up until 2007. Multivariate analysis showed that repetition was associated with age, self-cutting, and previous self-harm and psychiatric treatment. Of 51 deaths in individuals who presented between 2000 and 2007 and were followed up to 2010 (N = 5133) half (49.0%) were suicides. The method used was usually different to that used for self-harm. Multivariate analysis showed that suicide was associated with male gender [Hazard ratio (HR) = 2.4, 95% CI 1.2?4.8], self-cutting (HR = 2.1, 95% CI 1.1?3.7) and prior psychiatric treatment at initial presentation (HR = 4.2, 95% CI 1.7?10.5). It was also associated with self-cutting and history of psychiatric treatment at the last episode before death, and history of previous self harm. Conclusions: Self-cutting as a method of self-harm in children and adolescents conveys greater risk of suicide (and repetition) than self-poisoning although different methods are usually used for suicide. The findings underline the need for psychosocial assessment in all cases. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02559.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=185 [article] Repetition of self-harm and suicide following self-harm in children and adolescents: findings from the Multicentre Study of Self-harm in England [Texte imprimé et/ou numérique] / Keith HAWTON, Auteur ; Helen BERGEN, Auteur ; Navneet KAPUR, Auteur ; Jayne COOPER, Auteur ; Sarah STEEG, Auteur ; Jennifer NESS, Auteur ; Keith WATERS, Auteur . - p.1212-1219. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-12 (December 2012) . - p.1212-1219 Mots-clés : self-harm  self-poisoning  self-injury  suicide  repeat self-harm  children and adolescents Index. décimale : PER Périodiques Résumé : Background: Self-harm (intentional self-poisoning and self-injury) in children and adolescents is often repeated and is associated with increased risk of future suicide. We have investigated factors associated with these outcomes. Method: We used data collected in the Multicentre Study of Self-harm in England on all self-harm hospital presentations by individuals aged 10?18 years between 2000 and 2007, and national death information on these individuals to the end of 2010. Cox hazard proportional models were used to identify independent and multivariable predictors of repetition of self-harm and of suicide. Results: Repetition of self-harm occurred in 27.3% of individuals (N = 3920) who presented between 2000 and 2005 and were followed up until 2007. Multivariate analysis showed that repetition was associated with age, self-cutting, and previous self-harm and psychiatric treatment. Of 51 deaths in individuals who presented between 2000 and 2007 and were followed up to 2010 (N = 5133) half (49.0%) were suicides. The method used was usually different to that used for self-harm. Multivariate analysis showed that suicide was associated with male gender [Hazard ratio (HR) = 2.4, 95% CI 1.2?4.8], self-cutting (HR = 2.1, 95% CI 1.1?3.7) and prior psychiatric treatment at initial presentation (HR = 4.2, 95% CI 1.7?10.5). It was also associated with self-cutting and history of psychiatric treatment at the last episode before death, and history of previous self harm. Conclusions: Self-cutting as a method of self-harm in children and adolescents conveys greater risk of suicide (and repetition) than self-poisoning although different methods are usually used for suicide. The findings underline the need for psychosocial assessment in all cases. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02559.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=185

Suicide in juveniles and adolescents in the United Kingdom / Kirsten WINDFUHR in Journal of Child Psychology and Psychiatry, 49-11 (November 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-11 (November 2008) . - p.1155-1165 Titre : Suicide in juveniles and adolescents in the United Kingdom Type de document : Texte imprimé et/ou numérique Auteurs : Kirsten WINDFUHR, Auteur ; Navneet KAPUR, Auteur ; Louis APPLEBY, Auteur ; Jenny SHAW, Auteur ; Nicola SWINSON, Auteur ; Jimmy BURNS, Auteur ; Rebecca LOWE, Auteur ; Pauline TURNBULL, Auteur ; Isabelle HUNT, Auteur ; David WHILE, Auteur ; NATIONAL CONFIDENTIAL INQUIRY INTO SUICIDE AND HOMICIDE BY PEOPLE WITH MENTAL ILLNESS, Auteur Année de publication : 2008 Article en page(s) : p.1155-1165 Langues : Anglais (eng) Mots-clés : Suicide children adolescents mental-health-services mental-illness Index. décimale : PER Périodiques Résumé : Background: Suicide is a leading cause of death among youths. Comparatively few studies have studied recent trends over time, or examined rates and characteristics of service contact in well-defined national samples. Methods: Data on general population suicides and mid-year population estimates were used to calculate suicide rates (per 100,000/year) among youths aged 10–19 years in the United Kingdom. We then determined the proportion of youths who had been in mental health service contact in the year prior to death. Social and clinical data were collected via questionnaires sent to clinicians who had provided care. Results: The general population rate of suicide was higher in males than females, and was higher in 15–19-year-olds compared to 10–14-year-olds. Suicide rates for 10–19-year-olds declined by 28% between 1 January 1997 and 31 December 2003 (compared with an 8% reduction in those aged >19 years); the fall was particularly marked for males. Mental health service contact was low at 14% (compared with 26% for adults), especially for males (12%). Youths in mental health contact were characterised by: diagnosis of affective disorder, mental illness history, residential instability, self-harm, and substance misuse. Over half of youths were living with parents and one-fifth were in full-time education. Conclusions: The suicide rate for 10–19-year-olds in the UK appeared to fall between 1997 and 2003. Further monitoring of suicide rates is needed to determine whether this trend has continued for the most recent years (e.g., 2004–7). The fall in rates may have been related to socio-economic or clinical factors. The rate of contact with services was low compared to adults, particularly in males. This is concerning because young males have the highest suicide rate in the UK. Suicide prevention in young people is likely to require a multi-agency approach. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01938.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=633 [article] Suicide in juveniles and adolescents in the United Kingdom [Texte imprimé et/ou numérique] / Kirsten WINDFUHR, Auteur ; Navneet KAPUR, Auteur ; Louis APPLEBY, Auteur ; Jenny SHAW, Auteur ; Nicola SWINSON, Auteur ; Jimmy BURNS, Auteur ; Rebecca LOWE, Auteur ; Pauline TURNBULL, Auteur ; Isabelle HUNT, Auteur ; David WHILE, Auteur ; NATIONAL CONFIDENTIAL INQUIRY INTO SUICIDE AND HOMICIDE BY PEOPLE WITH MENTAL ILLNESS, Auteur . - 2008 . - p.1155-1165. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-11 (November 2008) . - p.1155-1165 Mots-clés : Suicide children adolescents mental-health-services mental-illness Index. décimale : PER Périodiques Résumé : Background: Suicide is a leading cause of death among youths. Comparatively few studies have studied recent trends over time, or examined rates and characteristics of service contact in well-defined national samples. Methods: Data on general population suicides and mid-year population estimates were used to calculate suicide rates (per 100,000/year) among youths aged 10–19 years in the United Kingdom. We then determined the proportion of youths who had been in mental health service contact in the year prior to death. Social and clinical data were collected via questionnaires sent to clinicians who had provided care. Results: The general population rate of suicide was higher in males than females, and was higher in 15–19-year-olds compared to 10–14-year-olds. Suicide rates for 10–19-year-olds declined by 28% between 1 January 1997 and 31 December 2003 (compared with an 8% reduction in those aged >19 years); the fall was particularly marked for males. Mental health service contact was low at 14% (compared with 26% for adults), especially for males (12%). Youths in mental health contact were characterised by: diagnosis of affective disorder, mental illness history, residential instability, self-harm, and substance misuse. Over half of youths were living with parents and one-fifth were in full-time education. Conclusions: The suicide rate for 10–19-year-olds in the UK appeared to fall between 1997 and 2003. Further monitoring of suicide rates is needed to determine whether this trend has continued for the most recent years (e.g., 2004–7). The fall in rates may have been related to socio-economic or clinical factors. The rate of contact with services was low compared to adults, particularly in males. This is concerning because young males have the highest suicide rate in the UK. Suicide prevention in young people is likely to require a multi-agency approach. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01938.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=633

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