Adolescents who Take Overdoses: Their Characteristics, Problems and Contacts with Helping Agencies

Summary In a consecutive sample of 50 adolescents aged 13–18 admitted to hospital after taking overdoses, 90 per cent were girls. There were other clear differences between this sample and adolescents in general. Twenty-four per cent had visited their general practitioners in the previous week, and 50 per cent during the previous month. The most common difficulties preceding the overdoses were problems with parents, boy or girlfriends, and with school or work, including unemployment. A substantial proportion of the subjects had recent or current physical ill health. In the majority of cases the problems appeared to be transient so that one month later two-thirds of the adolescents had shown considerable general improvement. However, 14 per cent were referred to hospital for further self-poisoning or self-injury in the following year. The recent increase in the incidence of self-poisoning among adolescents suggests that more attention must be paid to this group in terms of both primary and secondary prevention.

[1]  K. Hawton,et al.  Classification of Adolescents who Take Overdoses , 1982, British Journal of Psychiatry.

[2]  W. Walker Intentional self-injury in school age children. A study of fifty cases. , 1980, Journal of adolescence.

[3]  M. A. Porteous A survey of the problems of normal 15-year-olds. , 1979, Journal of adolescence.

[4]  D. Gath,et al.  Management of attempted suicide in Oxford. , 1979, British medical journal.

[5]  H. Morgan Death wishes?: The understanding and management of deliberate self-harm , 1979 .

[6]  A. Proudfoot,et al.  Changing pattern of drugs used for self-poisoning. , 1978, British medical journal.

[7]  N. Kreitman,et al.  Parasuicide in Edinburgh—A Seven-Year Review 1968–74 , 1977, British Journal of Psychiatry.

[8]  J. Bancroft,et al.  People who deliberately poison or injure themselves: their problems and their contacts with helping agencies , 1977, Psychological Medicine.

[9]  K. Hawton,et al.  General practice aspects of self-poisoning and self-injury , 1977, Psychological Medicine.

[10]  H. Morgan,et al.  Deliberate Self-Harm: Clinical and Socio-Economic Characteristics of 368 Patients , 1975, British Journal of Psychiatry.

[11]  J. Bancroft,et al.  Self-poisoning and self-injury in the Oxford area. Epidemiological aspects 1969-73. , 1975, British journal of preventive & social medicine.

[12]  H. White Self-Poisoning in Adolescents , 1974, British Journal of Psychiatry.

[13]  U. Otto Suicidal acts by children and adolescents. A follow-up study. , 1972, Acta psychiatrica Scandinavica. Supplementum.

[14]  Z Ryn,et al.  [Attempted suicide]. , 1967, Polski tygodnik lekarski.

[15]  D. Davidson,et al.  Acute liver necrosis following overdose of paracetamol. , 1966, British medical journal.

[16]  Jacob Cohen A Coefficient of Agreement for Nominal Scales , 1960 .

[17]  T. Lidz,et al.  On attempted suicide. , 1958, A.M.A. archives of neurology and psychiatry.