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Suicide and Parasuicide in Childhood and Early Adolescence

Published online by Cambridge University Press:  29 January 2018

Donald J. Brooksbank*
Affiliation:
Child and Family Psychiatric Clinic, 84, Ewell Road, Surbiton, Surrey KT6 6EX

Extract

Suicide is intentional self-killing, and parasuicide an act of deliberate self-harm—either by injury, ingestion or inhalation—not resulting in death (Black et al, 1982). Both are rare under the age of 12 and the rate of suicide in those under 16 remains consistently low. Referrals to psychiatric services reported by Shaffer (1974) indicated that 7–10% were for threatened or attempted suicide, while Hawton (1982) quoted studies giving the incidence as 10–33% for children aged six to 12; in England and Wales (1962–1968), suicide accounted for 0.6% of deaths in the 10–14 age-range. McClure (1984) found that between 1975 and 1980, only ten such deaths were recorded in the 13-and-under range, and 26 deaths in the 14 year-olds, after which the number of suicides rose sharply with each successive year. That study also showed that parasuicide was most common in the 15–24 age-group, but at younger ages there was a higher proportion of undetermined deaths, as against officially recorded suicides. The social taboos associated with suicide may lead to its systematic under-reporting, but even allowing for that, the phenomenon is still a rare one under the age of 16.

Type
Annotation
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Anderson, L. S. (1981) Notes on linkage between the sexually abused child and the suicidal adolescent. Journal of Adolescence, 4, 157162.CrossRefGoogle ScholarPubMed
Black, M., Erulkar, J., Kerfoot, M., Meadow, R. & Baderman, H. (1982) The management of parasuicide in young people under sixteen. The Bulletin of the Royal College of Psychiatrists, 6, 182185.Google Scholar
Erickson, E. H. (1968) Identity: Youth and crisis. New York: Norton.Google Scholar
Freud, A. (1958) Adolescence. The Psychoanalytic Study of the Child, 13, 255278.CrossRefGoogle ScholarPubMed
Green, A. H. (1978) Self-destructive behaviour in battered children. American Journal of Psychiatry, 135, 579582.Google ScholarPubMed
Halasz, G. (1984) Accidental poisoning in childhood. British Medical Journal, 288, 408.CrossRefGoogle Scholar
Hawton, K. (1982) Attempted suicide in children and adolescents. Journal of Child Psychology and Psychiatry, 23, 497503.CrossRefGoogle ScholarPubMed
Hawton, K. Cole, D., O'Grady, J. & Osborn, M. (1982a) Motivational aspects of deliberate self-poisoning in adolescents. British Journal of Psychiatry, 141, 286291.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, 166170.Google Scholar
Hawton, K. O'Grady, J., Osborn, M. & Cole, D. (1982b) Adolescents who take overdoses: their characteristics, problems and contacts with helping agencies. British Journal of Psychiatry, 140, 118123.CrossRefGoogle ScholarPubMed
Hawton, K. Osborn, M., O'Grady, J. & Cole, D. (1982c) Classification of adolescents who take overdoses. British Journal of Psychiatry, 140, 124131.Google Scholar
Kerfoot, M. (1980) The family context of adolescent suicidal behaviour. Journal of Adolescence, 3, 335346.Google Scholar
Koller, K. M. & Castanos, J. N. (1968) The influence of childhood parental deprivation in attempted suicide. The Medical Journal of Australia, 1, 396399.Google Scholar
Ladame, F. & Jeanneret, O. (1982) Suicide in adolescence: some comments on epidemiology and prevention. Journal of Adolescence 4, 355366.Google Scholar
Lumsden Walker, W. (1980) Intentional self-injury in school age children. A study of fifty cases. Journal of Adolescence, 3, 217228.CrossRefGoogle Scholar
Margolin, N. L. & Teicher, J. D. (1968) Thirteen adolescent male suicide attempts. Journal of American Academy of Child Psychiatry, 7, 396415.Google Scholar
McClure, G. M. G. (1984) Recent trends in suicide amongst the young. British Journal of Psychiatry, 144, 134138.Google Scholar
McIntyre, M. S., Angle, C. & Schlicht, M. L. (1977) Suicide and self-poisoning in paediatrics. Advances in Paediatrics, 24, 291309.CrossRefGoogle Scholar
Nardini-Maillard, D. & Ladame, F. G. (1980) The results of a follow-up study of suicidal adolescents. Journal of Adolescence, 3, 253260.Google Scholar
Otto, U. (1972) Suicidal acts by children and adolescents. In Acta Psychiatrica Scandinavica, Suppl., 233.Google Scholar
Schneer, H. I., Kay, P. & Brozovsky, M. (1961) Events and conscious ideation to suicidal behaviour in adolescence. Psychiatric Quarterly, 35, 507.Google Scholar
Schritt, A. (1964) Suicidal adolescents and children. Journal of the American Medical Associaation, 188, 1103.Google Scholar
Shaffer, D. (1974) Suicide in childhood and early adolescence. Journal of Child Psychology and Psychiatry, 15, 275291.Google Scholar
Skegg, K., Skegg, D. C. G. & Richards, S. M. (1983) Incidence of self-poisoning in patients prescribed psychotropic drugs. British Medical Journal, 286, 841843.Google Scholar
Stengel, E. (1963) Attempted suicide, its management in the general hospital. The Lancet, i, 233235.CrossRefGoogle Scholar
Taylor, E. A. & Stansfeld, S.A. (1984) Children who poison themselves. I. A clinical comparison with psychiatric controls. II. Prediction of attendance for treatment. British Journal of Psychiatry, 145, 127135.Google Scholar
Teicher, J. D. & Jacobs, J. (1966) Adolescents who attempt suicide. American Journal of Psychiatry, 122, 12481257.Google Scholar
Tuckman, J. & Connon, H. E. (1962) Attempted suicide in adolescents. American Journal of Psychiatry, 119, 228232.Google Scholar
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