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Deliberate Self-poisoning and Self-injury in Adolescents

A Study of Characteristics and Trends in Oxford, 1976–89

Published online by Cambridge University Press:  02 January 2018

Keith Hawton  and
Joan Fagg
Keith Hawton*
Affiliation:
Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
Joan Fagg
Affiliation:
Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
*
∗Correspondence
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Abstract

In Oxford during the late 1970s and early 1980s a decline in rates of deliberate self-poisoning and self-injury in older female teenagers was followed by a steady increase between 1986 and 1989. Rates for male adolescents and young female adolescents remained relatively stable throughout 1976–89. Applying the Oxford rates to England and Wales suggests a total of 18 000–19 000 hospital-referred cases per year. While self-poisoning with minor tranquillisers and sedatives has declined, there has been a marked increase in paracetamol self-poisoning, such that by 1988–89 it was involved in 48.3% of overdoses. Relationship difficulties were the most frequent problems faced by these adolescents, especially the females, with unemployment and alcohol and drug problems also being common, especially in males, but psychiatric disorders relatively rare. Substantial proportions of the adolescents, especially the males, were not living with either relatives or friends, and had a history of violence or a criminal record. The annual rate of repetition of attempts, which was 8.9% overall, was higher in adolescents not admitted to the general hospital, and in females not referred to the hospital psychiatric service. Adolescent attempted suicide clearly continues to be a major health problem for which both effective preventive and therapeutic strategies are badly needed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 161 , Issue 6 , December 1992 , pp. 816 - 823
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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References

Bille-Brahe, U. (1990) Suicide and attempted suicide in a representative Danish area in the late 1970's and the late 1980's. In Suicidal Behaviour and Risk Factors (3rd European Symposium) (eds G. Ferrari, M. Bellini & P. Crepet). Bologna: Monduzzi Editore.Google Scholar
Buglass, D. & Horton, J. (1974) A scale for predicting subsequent suicidal behaviour. British Journal of Psychiatry, 124, 573–578.CrossRefGoogle ScholarPubMed
Department of Health and Social Security (1984) The Management of Deliberate Self Harm, Health Notice HN (84): 25. London: DHSS.Google Scholar
Deykin, E. Y., Hsieh, C., Joshi, N., et al (1986) Adolescent suicidal and self-destructive behaviour: results of an intervention study. Journal of Adolescent Health Care, 7, 88–95.CrossRefGoogle ScholarPubMed
Diekstra, R. F. W. (1985) Suicide and suicide attempts in the European Economic Community: an analysis of trends with special emphasis upon trends among the young. Suicide and Life-Threatening Behavior, 15, 27–42.CrossRefGoogle ScholarPubMed
Forster, D. P. & Frost, C. E. B. (1985) Medicinal self-poisoning and prescription frequency. Acta Psychiatrica Scandinavica, 71, 657–674.CrossRefGoogle ScholarPubMed
Gazzard, B. G., Davis, M., Spooner, J., et al (1976) Why do people use paracetamol for suicide? British Medical Journal, i, 212–213.CrossRefGoogle Scholar
Hawton, K. (1986) Suicide and Attempted Suicide among Children and Adolescents. Newbury Park: Sage.Google Scholar
Hawton, K. (1990) Self-cutting: can it be prevented? In Dilemmas and Difficulties in the Management of Psychiatric Patients (eds K. Hawton & P. Cowen). Oxford: Oxford University Press.Google Scholar
Hawton, K., Gath, D. H. & Smith, E. B. O. (1979) Management of attempted suicide in Oxford. British Medical Journal, 2, 1040–1042.CrossRefGoogle ScholarPubMed
Hawton, K. & Goldacre, M. (1982) Hospital admissions for adverse effects of medicinal agents (mainly self-poisoning) among adolescents in the Oxford region. British Journal of Psychiatry, 141, 166–170.CrossRefGoogle ScholarPubMed
Hawton, K., Fagg, J., Marsack, P., et al (1982a) Deliberate self-poisoning and self-injury in the Oxford area: 1972–80. Social Psychiatry, 17, 175–179.CrossRefGoogle Scholar
Hawton, K., O'Grady, J., Osborn, M., et al (1982b) Adolescents who take overdoses: their characteristics, problems and contacts with helping agencies. British Journal of Psychiatry, 140, 118–123.CrossRefGoogle ScholarPubMed
Hawton, K. & Rose, N. (1986) Unemployment and attempted suicide among men in Oxford. Health Trends, 18, 29–32.Google Scholar
Hawton, K. & Catalan, J. (1987) Attempted Suicide: A Practical Guide to its Nature and Management. Oxford: Oxford University Press.Google Scholar
Hawton, K., Fagg, J. & Simkin, S. (1988) Unemployment and attempted suicide among women in Oxford. British Journal of Psychiatry, 152, 632–637.CrossRefGoogle Scholar
Kreitman, N. & Schreiber, M. (1979) Parasuicide in young Edinburgh women, 1968–75. Psychological Medicine, 9, 469–479.CrossRefGoogle ScholarPubMed
Pallis, D. J., Barraclough, B. M., Levey, A. B., et al (1982) Estimating suicide risk among attempted suicides: I. The development of new clinical scales. British Journal of Psychiatry, 141, 37–44.CrossRefGoogle ScholarPubMed
Platt, S. & Kreitman, N. (1984) Trends in parasuicide and unemployment among men in Edinburgh, 1968–82. British Medical Journal, 289, 1029–1032.CrossRefGoogle ScholarPubMed
Platt, S. & Kreitman, N. (1985) Parasuicide and unemployment among men in Edinburgh 1968–82. Psychological Medicine, 15, 113–123.CrossRefGoogle ScholarPubMed
Platt, S., Hawton, K., Kreitman, N., et al (1988) Recent clinical and epidemiological trends in parasuicide in Edinburgh and Oxford: a tale of two cities. Psychological Medicine, 18, 405–418.CrossRefGoogle Scholar
Prins, M. M. & Kerkhof, A. J. F. M. (1990) Epidemiology of suicide attempts in the Leiden area, the Netherlands. In Suicidal Behaviour and Risk Factors (3rd European Symposium) (eds G. Ferrari, M. Bellini & P. Crepet). Bologna: Monduzzi Editore.Google Scholar
Sellar, C., Goldacre, M. J. & Hawton, K. (1990a) Reliability of routine hospital data on poisoning as measures of deliberate self-poisoning in adolescents. Journal of Epidemiology and Community Health, 44, 313–315.CrossRefGoogle ScholarPubMed
Sellar, C., Hawton, K. & Goldacre, M. J. (1990b) Self-poisoning in adolescents: hospital admissions and deaths in the Oxford Region 1980–85. British Journal of Psychiatry, 156, 866–870.CrossRefGoogle ScholarPubMed
SPSS Inc. (1983) SPSSX Users' Guide. New York: McGraw-Hill.Google Scholar
Taylor, E. A. & Stansfield, S. A. (1984) Children who poison themselves: I. Clinical comparison with psychiatric controls. British Journal of Psychiatry, 145, 127–132.CrossRefGoogle ScholarPubMed
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