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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)
[article]
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
in Journal of Child Psychology and Psychiatry > 53-12 (December 2012) . - p.1212-1219[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 Practitioner Review: Self-harm in adolescents / Dennis OUGRIN in Journal of Child Psychology and Psychiatry, 53-4 (April 2012)
[article]
Titre : Practitioner Review: Self-harm in adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Dennis OUGRIN, Auteur ; Troy TRANAH, Auteur ; Eleanor LEIGH, Auteur ; Lucy TAYLOR, Auteur ; Joan ASARNOW ROSENBAUM, Auteur Année de publication : 2012 Article en page(s) : p.337-350 Langues : Anglais (eng) Mots-clés : Self-injury self-harm self-poisoning adolescents Index. décimale : PER Périodiques Résumé : Background: Repeated self-harm in adolescents is common and associated with elevated psychopathology, risk of suicide, and demand for clinical services. Despite recent advances in the understanding and treatment of self-harm there have been few systematic reviews of the topic. Aims: The main aim of this article is to review randomised controlled trials (RCTs) reporting efficacy of specific pharmacological, social or psychological therapeutic interventions (TIs) in reducing self-harm repetition in adolescents presenting with self-harm. Method: Data sources were identified by searching Medline, PsychINFO, EMBASE, and PubMed from the first available year to December 2010. RCTs comparing specific TIs versus treatment as usual or placebo in adolescents presenting with self-harm were included. Results: Fourteen RCTs reported efficacy of psychological and social TIs in adolescents presenting with self-harm. No independently replicated RCTs have been identified reporting efficacy of TIs in self-harm reduction. Developmental Group Psychotherapy versus treatment as usual was associated with a reduction in repeated self-harm, however, this was not replicated in subsequent studies. Multisystemic Therapy (MST) versus psychiatric hospitalisation was associated with a reduction of suicidal attempts in a sample of adolescents with a range of psychiatric emergencies. However, analyses focusing only on the smaller subgroup of adolescents presenting with deliberate self-harm at the initial psychiatric emergency, did not indicate significant benefits of MST versus hospitalisation. Conclusions: Further research is urgently needed to develop TIs for treating self-harm in adolescents. MST has shown promise but needs to be evaluated in a sample of adolescents with self-harm; dialectic behavioural therapy and cognitive behavioural therapy for self-harm require RCTs to evaluate efficacy and effectiveness. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02525.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152
in Journal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.337-350[article] Practitioner Review: Self-harm in adolescents [Texte imprimé et/ou numérique] / Dennis OUGRIN, Auteur ; Troy TRANAH, Auteur ; Eleanor LEIGH, Auteur ; Lucy TAYLOR, Auteur ; Joan ASARNOW ROSENBAUM, Auteur . - 2012 . - p.337-350.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.337-350
Mots-clés : Self-injury self-harm self-poisoning adolescents Index. décimale : PER Périodiques Résumé : Background: Repeated self-harm in adolescents is common and associated with elevated psychopathology, risk of suicide, and demand for clinical services. Despite recent advances in the understanding and treatment of self-harm there have been few systematic reviews of the topic. Aims: The main aim of this article is to review randomised controlled trials (RCTs) reporting efficacy of specific pharmacological, social or psychological therapeutic interventions (TIs) in reducing self-harm repetition in adolescents presenting with self-harm. Method: Data sources were identified by searching Medline, PsychINFO, EMBASE, and PubMed from the first available year to December 2010. RCTs comparing specific TIs versus treatment as usual or placebo in adolescents presenting with self-harm were included. Results: Fourteen RCTs reported efficacy of psychological and social TIs in adolescents presenting with self-harm. No independently replicated RCTs have been identified reporting efficacy of TIs in self-harm reduction. Developmental Group Psychotherapy versus treatment as usual was associated with a reduction in repeated self-harm, however, this was not replicated in subsequent studies. Multisystemic Therapy (MST) versus psychiatric hospitalisation was associated with a reduction of suicidal attempts in a sample of adolescents with a range of psychiatric emergencies. However, analyses focusing only on the smaller subgroup of adolescents presenting with deliberate self-harm at the initial psychiatric emergency, did not indicate significant benefits of MST versus hospitalisation. Conclusions: Further research is urgently needed to develop TIs for treating self-harm in adolescents. MST has shown promise but needs to be evaluated in a sample of adolescents with self-harm; dialectic behavioural therapy and cognitive behavioural therapy for self-harm require RCTs to evaluate efficacy and effectiveness. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02525.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152