Construction of an Index for Predicting Suicide Attempts in Depressed Adolescents

Kienhorst, C. W. M.; Wilde, Erik; Diekstra, René F. W.; Wolters, W. H. G.

doi:10.1192/bjp.159.5.676

Cited by 55 publications

(17 citation statements)

References 18 publications

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“…Predictive scales have since been devised for depressed adolescents, 37 as well as adults. 38 ' 39 Recognising high-risk individuals would enable the clinicians to monitor them during subsequent follow-ups as well as mobilising his or her available resources in order to prevent the prediction of suicide from coming true.…”

Section: Parasuicide and Primary Preventionmentioning

confidence: 99%

Parasuicide: A Singapore perspective

Wai

Heok

1998

Ethnicity & Health

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Section: Parasuicide and Primary Preventionmentioning

confidence: 99%

Parasuicide: A Singapore perspective

Wai

Heok

1998

Ethnicity & Health

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“…In prospective studies, repeat attempt rates range from 12-14% at 1 year (White, 1974;Hawton et al, 1982;Kienhorst et al, 1991) and from 20-50% at 2-to 3-year follow-up (Stanley and Barter, 1970;McIntire et al, 1977;Cohen-Sandler et al, 1982). It seems likely that the rates in some of the longer studies may be underestimates, as patients become more difficult to locate during follow-up.…”

Section: Repeat Suicide Attemptsmentioning

confidence: 99%

“…Among studies of patients who are re-contacted directly at follow-up, repeat attempt rates tend to be somewhat higher. Rates range from 10% within 3 months following the index attempt (Hawton et al, 1982;Spirito et al, 1992) to 12% at 1 year (White, 1974;Kienhorst et al, 1991).…”

Section: Repeat Suicide Attemptsmentioning

confidence: 99%

Adolescent suicide attempters: post-attempt course and implications for treatment

Spirito

Boergers

Donaldson

2000

Clin. Psychol. Psychother.

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The empirical literature on the follow-up outcome of adolescents following a suicide attempt is reviewed. Findings on eventual completed suicide, repeat attempts, and general psychosocial functioning are summarized. This group of adolescents is noteworthy for their poor compliance with outpatient treatment following a suicide attempt. Studies designed to enhance treatment compliance with these adolescents are reviewed. Finally, the small literature on empirical treatment trials with adolescent suicide attempters is reviewed. Clinical implications for the management of the acute suicidal crises and the psychotherapy of these adolescents are presented.

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“…Suicide is relatively rare in those under 16 years of age, although the numbers begin to rise sharply after the age of 14 years (Owens, 1990;Woodroffe et al, 1993). Hence, a growing body of work is addressed to this neglected area encompassing the epidemiology of DSH in young persons, risk factors and after-care (Brent, 1997;Harrington et al, 1998;Hawton & Fagg, 1992;Kerfoot et al, 1997;Kienhorst et al, 1991;Pearce & Martin, 1994;Rey & Bird, 1991). Particular concerns have been identi ed including the standard of assessment and care provided to younger persons presenting with DSH in English services.…”

Section: Introductionmentioning

confidence: 99%

Self-harm in younger people: audit of prevalence and provision

Clarke¹,

Baker²,

Watts³

et al. 2001

Psychol. Health Med.

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This study investigated the frequency, the response to, and the pathways in care of young persons aged under 16 years (or under 18 years if attending secondary school) presenting to the Accident and Emergency Department (A&E) following deliberate self-harm (DSH). Retrospective case note review was used in two A&E departments and the Social Services Departments, Educational Psychology Services, Child and Family Consultation Services serving two local authority boroughs, a community-based counselling service and participants' general practices. Participants were 60 young people who presented to A&E following DSH over a 12-month period. Participants were identi ed from the department's records. The study group was predominantly female (52/60) and the self-harm mainly involved an overdose (54/60), with paracetamol the most common constituent. One-third of all cases did not receive a specialist assessment, contrary to recommendations, and one-fth were not referred for any specialist follow-up care. There was a low frequency of recording relevant history in A&E, especially, information of previous self-harming behaviour and recent or current problems. A seasonal trend was detected with the rate of presentations falling off during the main school holiday periods. Following evidence that younger persons were being discharged from A&E without adequate assessment or follow-up provision, the service developed improvements in joint working across agencies and designed appropriate protocols for assessment and after-care. The impact of improved service provision is now under investigation in a long-term prospective study, including implementation of a standardized electronic record.

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Construction of an Index for Predicting Suicide Attempts in Depressed Adolescents

Cited by 55 publications

References 18 publications

Parasuicide: A Singapore perspective

Parasuicide: A Singapore perspective

Adolescent suicide attempters: post-attempt course and implications for treatment

Self-harm in younger people: audit of prevalence and provision

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