Deliberate Self-harm in Adolescence PDF
Preview Deliberate Self-harm in Adolescence
Deliberate Self-Harm in Adolescence Child and Adolescent Mental Health Series Writtenforprofessionals,andparents,theseaccessible,evidence-basedresources areessentialreadingforanyoneseekingtounderstandandpromotechildrenand young people’s mental health. Drawing on the work of FOCUS, a multidisciplinary project based at the Royal College of Psychiatrists’ Research Unit,eachtitleintheseriesbringstogetherpracticalandpolicy-levelsuggestions withup-to-the-minuteanalysisof research. alsointheseries Mental Health Services for Minority Ethnic Children and Adolescents EditedbyMhemoodaMalekandCarolJoughin ForewordbyKedarNathDwivedi ISBN1843102366 ChildandAdolescentMentalHealthseries Deliberate Self-Harm in Adolescence Claudine Fox and Keith Hawton TheRoyalCollegeof Psychiatrists’ResearchUnit Jessica Kingsley Publishers London and Philadelphia Extracts on pp.12, 25 & 67 reproduced with permission from H. Spandler (1996)Who’s Hurting Who? YoungPeople, Self-harm and Suicide.Manchester: 42nd Street Copyright © 42nd Street, 1996. Extracts on pp.13, 18 & 67 reproduced with permission from YoungMinds (2003)Worried about Self-injury?London: YoungMinds. Copyright © YoungMinds 2003. Extract on p.14 and Box 7.1 reproduced with permission from K. Hawton and K. van Heeringen (eds) (2000)The International Handbook ofSuicide and Attempted Suicide. Copyright © 2000 John Wiley and Sons Limited. Extracts on p.59 reproduced with permission from Royal College ofPsychiatrists (1998) Managing Deliberate Self-Harm in Young People. Council Report CR64. London: Gaskell Publications. Copyright © Royal College ofPsychiatrists 1998. All rights reserved. No part ofthis publication may be reproduced in any material form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use ofthis publication) without the written permission ofthe copyright owner except in accordance with the provisions ofthe Copyright, Designs and Patents Act 1988 or under the terms ofa licence issued by the Copyright Licensing Agency Ltd, 90 Tottenham Court Road, London, England W1T 4LP. Applications for the copyright owner’s written permission to reproduce any part ofthis publication should be addressed to the publisher. Warning: The doing ofan unauthorised act in relation to a copyright work may result in both a civil claim for damages and criminal prosecution. The right ofthe contributors to be identified as authors ofthis work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988. First published in the United Kingdom in 2004 by Jessica Kingsley Publishers 116 Pentonville Road London N1 9JB, UK and 400 Market Street, Suite 400 Philadelphia, PA 19106, USA www.jkp.com Copyright © The Royal College ofPsychiatrists 2004 Library ofCongress Cataloging in Publication Data Fox, Claudine. Deliberate self-harm in adolescence / Claudine Fox and Keith Hawton.— 1st American pbk. ed. p. cm. — (Child and adolescent mental health series) Includes bibliographical references and index. ISBN 1-84310-237-4 (pbk.) 1. Self-destructive behavior in adolescence. 2. Teenagers—Suicidal behavior. 3. Youth—Suicidal behavior. I. Hawton, Keith, 1942- II. Title. III. Series. RJ506.S39F69 2004 616.85’82’00835—dc22 2004012456 British Library Cataloguing in Publication Data A CIP catalogue record for this book is available from the British Library ISBN-13: 978 1 84310 237 3 ISBN-10: 1 84310 237 4 ISBN pdfeBook: 1 84642 016 4 Printed and Bound in Great Britain by Athenaeum Press, Gateshead, Tyne and Wear Contents Acknowledgements 8 Preface 9 1 Introduction 11 2 The Prevalence of Suicidal Behaviour in Adolescence 17 Deliberate self-harm in adolescents: Oxford patient data 19 Deliberate self-harm in adolescents: national survey data 21 Summary points 24 3 Risk Factors for Adolescent Suicidal Behaviour 25 Models of suicidal behaviour 27 Personal characteristics as risk factors 29 Psychiatric disorders as risk factors 31 Family risk factors 39 The media 40 Summary points 42 4 Identifying At-Risk Adolescents 44 Screening instruments for the identification of at-risk individuals 45 Summary points 57 5 Services for Adolescents 59 Commissioning services 59 Delivering services 60 Summary points 62 6 The Outcome of Suicidal Behaviour in Adolescence 63 Child to adult follow-up 63 Summary points 66 7 Managing Adolescent Suicidal Behaviour 67 Immediate and general hospital management 67 Aftercare 70 The efficacy of aftercare and its outcome 76 Summary points 80 8 Preventing Adolescent Suicidal Behaviour 82 School-based educational suicide prevention programmes 82 Screening programmes for at-risk individuals in schools 86 Weapon control 86 Crisis intervention centres 87 Reduction of substance abuse 87 More responsible media reporting 88 Prevention of repetition of self-harm 88 Summary points 89 9 Future Prospects 90 Conclusions 90 Messages to take away 94 Future research 95 Resources 97 Appendix 98 Searchingtheliterature 98 Qualityofresearch 109 Criteriaforconsideringpapers 110 Criteriaforconsideringpapersforcriticalappraisal 110 References 123 Subject Index 137 Author Index 142 About FOCUS 144 Acknowledgements FOCUSisgratefultoCarolJoughinandProfessorPhillipGrahamforproviding adviceandcommentsondraftsof thisbook. The FOCUS Project is funded by a grant from the Gatsby Charitable FoundationandtheDepartmentof Health(Section64grantaward).
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