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Suicide and Attempted Suicide in Children and Adolescents

  • Keith Hawton
  • Madeline Osborn
Part of the Advances in Clinical Child Psychology book series (ACCP, volume 7)

Abstract

In embarking on a review of suicidal behavior among children and adolescents, one encounters several difficulties. The first results from the extremely diverse nature of research in this field. A second difficulty, and a very important source of confusion in the literature, is that the group of young people who kill themselves is frequently studied with the group who commit self-damaging acts but do not die, as if they were a single population. Among adults, this second group, for whom we will use the term attempted suicide, shows some characteristics in common with completed suicides (Stengel & Cook, 1958) but also shows characteristics that are markedly different from those of successful suicides. The same appears to be true among children and adolescents. For this reason we propose to consider these two groups separately.

Keywords

Young People British Journal Suicide Attempter Suicidal Behavior Suicide Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Atkinson, M. W. Ethnomethodology: A new perspective in the sociological analysis of suicide and crisis intervention. Paper presented at 8th International Congress on Suicide Prevention, Jerusalem, 1975.Google Scholar
  2. Atkinson, M. W., Kessel, W. I. N., & Dalgaard, J. B. The comparability of suicide rates. British Journal of Psychiatry, 1975, 127, 247–256.PubMedCrossRefGoogle Scholar
  3. Bagley, C. Suicidal behaviour and suicidal ideation in adolescents: A problem for counsellors in education. British Journal of Guidance and Counselling, 1975, 3, 190–208.Google Scholar
  4. Bancroft, J., & Marsack, P. The repetitiveness of self-poisoning and self-injury. British Journal of Psychiatry, 1977, 131, 394–399.PubMedCrossRefGoogle Scholar
  5. Bancroft, J., Skrimshire, A., Reynolds, F., Simkin, S., & Smith, J. Self-poisoning and self-injury in the Oxford area: Epidemiological aspects 1969–1973. British Journal of Preventive and Social Medicine, 1975, 29, 170–177.PubMedGoogle Scholar
  6. Bancroft, J., Hawton, K., Simkin, S., Kingston, B., Cumming, C., & Whitewell, D. The reasons people give for taking overdoses: A further enquiry. British Journal of Medical Psychology, 1979, 52, 353–365.PubMedCrossRefGoogle Scholar
  7. Barraclough, B., Bunch, J., Nelson, B., & Sainsbury, P. A hundred cases of suicide: Clinical aspects. British Journal of Psychiatry, 1974, 25, 355–373.CrossRefGoogle Scholar
  8. Barter, J. T., Swaback, D. O., & Todd, D. Adolescent suicide attempts: A follow-up study of hospitalized patients. Archives of General Psychiatry, 1968, 19, 523–527.PubMedCrossRefGoogle Scholar
  9. Beck, A. T., Schuyler, R. D., & Herman, J. Development of suicidal intent scales. In A. T. Beck, H. L. P. Resnick, & D. J. Lettieri (Eds.), The prediction of suicide. Illinois: Charles Press, 1974.Google Scholar
  10. Beck, A. T., Kovacs, M., & Weissman, A. Hopelessness and suicidal behaviour. An overview. Journal of the American Medical Association, 1975, 234, 1146–1149.PubMedCrossRefGoogle Scholar
  11. Bergstrand, C. G., & Otto, U. Suicidal attempts in adolescence and childhood. Acta Paediatrica, 1962, 51, 17–26.PubMedCrossRefGoogle Scholar
  12. Bridge, T. P., Potkin, S. G., Zung, W. W. K., & Soldo, B. J. Suicide prevention centres: Ecological study of effectiveness. Journal of Nervous and Mental Diseases, 1977, 164, 18–24.CrossRefGoogle Scholar
  13. Bridge, T. P., Potkin, S. G., Zung, W. W. K., & Soldo, B. J. Suicide prevention centres: Ecological study of effectiveness. British Medical Journal Children and parasuicide. 1981, 283, 337–338.Google Scholar
  14. Brooke, E., & Atkinson, M. W. Ascertainment of deaths from suicide. Public Health Paper No. 38. Geneva: World Health Organization, 1974.Google Scholar
  15. Buglass, D., & Horton, J. A scale for predicting subsequent suicidal behaviour. British Journal of Psychiatry, 1974, 124, 573–578.PubMedCrossRefGoogle Scholar
  16. Buglass, D., & McCulloch, J. W. Further suicidal behaviour: The development and validation of predictive scales. British Journal of Psychiatry, 1970, 116, 483–491.PubMedCrossRefGoogle Scholar
  17. Cantwell, D. P., & Carlson, G. Problems and prospects in the study of childhood depression. Journal of Nervous and Mental Disease, 1979, 167, 523–529.CrossRefGoogle Scholar
  18. Chia, B. H. Suicide of the young in Singapore. Annals of the Academy of Medicine, 1979, 8, 262–268.Google Scholar
  19. Choquet, M., Facy, F., & Davidson, F. Suicide and attempted suicide among adolescents in France. In R. D. T. Farmer & S. Hirsch (Eds.), The suicide syndrome. London: Cambridge University Press, 1980.Google Scholar
  20. Connell, P. H. Suicidal attempts in childhood and adolescence. In J. G. Howell (Ed.), Modern perspectives in child psychiatry. Edinburgh: Oliver and Boyd, 1965.Google Scholar
  21. Davidson, D. G. D., & Eastham, W. N. Acute liver necrosis following overdose of paracetamol. British Medical Journal, 1966, 2, 497–499.PubMedCrossRefGoogle Scholar
  22. Douglas, J. D. The social meanings of suicide. Princeton: Princeton University Press, 1967.Google Scholar
  23. Dublin, L. J. Suicide: A sociological and statistical study. New York: Ronald, 1963.Google Scholar
  24. Fogelman, K. Britain’s sixteen year olds. London: National Children’s Bureau, 1976.Google Scholar
  25. Fox, K., & Weissman, M. Suicide attempts and drugs: Contradiction between method and intent. Social Psychiatry, 1975, 10, 31–38.CrossRefGoogle Scholar
  26. Garfinkel, B. D., Froese, A., & Golombek, H. Suicidal behaviour in a paediatric population. In Proceedings of the 10th National Congress for Suicide Prevention and Crisis Intervention, 1979, 305–312.Google Scholar
  27. Gazzard, B. G., Davis, M., Spooner, J., & Williams, R., Why do people use paracetamol for suicide? British Medical Journal, 1976, 1, 212–213.PubMedCrossRefGoogle Scholar
  28. Goldacre, M., & Hawton, K. Repetition of self-poisoning and subsequent death in adolescents who take overdoses. Submitted for publication.Google Scholar
  29. Green, A. H. Self-destructive behavior in battered children. American Journal of Psychiatry, 1978, 135, 579–582.PubMedGoogle Scholar
  30. Haldane, J. D., & Haider, I. Attempted suicide in children and adolescents. British Journal of Clinical Practice, 1967, 21, 587–589.Google Scholar
  31. Hawton, K. Deliberate self-poisoning and self-injury in the psychiatric hospital. British Journal of Medical Psychology, 1978, 51, 253–259.PubMedCrossRefGoogle Scholar
  32. Hawton, K., & Catalan, J. Attempted suicide: A practical guide to its nature and management. Oxford: Oxford University Press, 1982.Google Scholar
  33. Hawton, K., & Goldacre, M. Hospital admission for adverse effects of medicinal agents (mainly self-poisoning) among adolescents in the Oxford region. British Journal of Psychiatry, 1982, 141, 166–170.PubMedCrossRefGoogle Scholar
  34. Hawton, K., Marsack, P., & Fagg, J. The attitudes of psychiatrists to deliberate self-poisoning: Comparison with physicians and nurses. British Journal of Medical Psychology, 1981, 54, 341–347.PubMedCrossRefGoogle Scholar
  35. Hawton, K., Cole, D., O’Grady, J., & Osborn, M. Motivational aspects of deliberate self-poisoning in adolescents. British Journal of Psychiatry, 1982, 141, 286–291.PubMedCrossRefGoogle Scholar
  36. Hawton, K., O’Grady, J., Osborn, M., & Cole, D. Adolescents who take overdoses: Their characteristics, problems and contacts with helping agencies. British Journal of Psychiatry, 1982, 140, 118–123.PubMedCrossRefGoogle Scholar
  37. Hawton, K., Osborn, M., O’Grady, J., & Cole, D. Classification of adolescents who take overdoses. British Journal of Psychiatry, 1982, 140, 124–131.PubMedCrossRefGoogle Scholar
  38. Headlam, H. K., Goldsmith, J., Hanenson, I. B., & Rauh, J. L. Demographic characteristics of adolescents with self-poisoning. A survey of 235 instances in Cincinnati, Ohio. Clinical Pediatrics, 1979, 18, 147–154.PubMedCrossRefGoogle Scholar
  39. Holinger, P. C. Adolescent suicide: An epidemiological study of recent trends. American Journal of Psychiatry, 1978, 135, 754–756.PubMedGoogle Scholar
  40. Holinger, P. C. Violent deaths among the young: Recent trends in suicide, homicide and accidents. American Journal of Psychiatry, 1979, 136, 1144–1147.PubMedGoogle Scholar
  41. Holinger, P. C. Self-destructiveness among the young: An epidemiological study of violent deaths. International Journal of Social Psychiatry, 1981, 27, 277–282.PubMedCrossRefGoogle Scholar
  42. Jacobs, G. Adolescent suicide. New York: Wiley-Interscience, 1971.Google Scholar
  43. Jacobziner, H. Attempted suicides in adolescence. Journal of the American Medical Association, 1965, 161, 101–105.Google Scholar
  44. Kreitman, N. (Ed.), Parasuiçide. London: Wiley, 1977.Google Scholar
  45. Kreitman, N., & Schreiber, M. Parasuicide in young Edinburgh women, 1968–75. Psychological Medicine, 1979, 9, 469–479.PubMedCrossRefGoogle Scholar
  46. Leese, S. M. Suicide behaviour in twenty adolescents. British Journal of Psychiatry, 1969, 115, 479–480.PubMedCrossRefGoogle Scholar
  47. Lester, D. Effect of suicide prevention centres on suicide rates in the United States. Health Services Reports, 1974, 89, 37–39.PubMedCrossRefGoogle Scholar
  48. Levenson, M., & Neuringer, C. Problem-solving behaviour in suicidal adolescents. Journal of Consulting and Clinical Psychology, 1971, 37, 433–436.PubMedCrossRefGoogle Scholar
  49. Lukianowicz, N. Attempted suicide in children. Acta Psychiatrica Scandinavica, 1968, 415–435.Google Scholar
  50. Margolin, N. L., & Teicher, J. D. Thirteen adolescent male suicide attempts. Journal of the American Academy of Child Psychiatry, 1968, 7, 296–315.PubMedCrossRefGoogle Scholar
  51. Mattsson, A., Seese, L. R., & Hawkins, J. W. Suicidal behavior as a child psychiatric emergency. Archives of General Psychiatry, 1969, 20, 100–109.PubMedCrossRefGoogle Scholar
  52. McAnarney, E. R. Adolescent and young adult suicide in the United States—A reflection of societal unrest? Adolescence, 1979, 14, 765–774.PubMedGoogle Scholar
  53. McCarthy, P. D., & Walsh, D. Suicide in Dublin: I. The under-reporting of suicide and the consequences for national statistics. British Journal of Psychiatry, 1975, 126, 301–308.PubMedCrossRefGoogle Scholar
  54. McDonald, A. Statistics of child suicide. Publications of American Statistical Association Publications, New Series, 1906/7, 10, 260–264.Google Scholar
  55. Meares, R., Mendelsohn, F. A. O., & Milgrom-Friedman, J. A Sex difference in the seasonal variation of suicide rate: A single cycle for men, two cycles for women. British Journal of Psychiatry, 1981, 138, 321–325.PubMedCrossRefGoogle Scholar
  56. Mehr, M., Zeltzer, L. K., & Robinson, R. Continued self-destructive behaviors in adolescent suicide attemptors: Part 1. Journal of Adolescent Health Care, 1981, 1, 269–274.PubMedCrossRefGoogle Scholar
  57. Mehr, M., Zeltzer, L. K., & Robinson, R. Continued self-destructive behaviors in adolescent suicide attemptors. Part II: A pilot study. Journal of Adolescent Health Care, 1982, 2, 183–187.PubMedCrossRefGoogle Scholar
  58. Morgan, H. G. Death wishes? The understanding and management of deliberate self-harm. Chichester: Wiley, 1979.Google Scholar
  59. Mulcock, D. Juvenile suicide: A study of suicide and attempted suicide over a 16-year period. The Medical Officer, 1955, 155–160.Google Scholar
  60. Nardini-Maillard, D., & Ladame, F. G. The results of a follow-up study of suicidal adolescents. Journal of Adolescence, 1980, 3, 253–260.PubMedCrossRefGoogle Scholar
  61. Offer, D., & Barglow, P. Adolescent and young adult self-mutilation incidents in a general psychiatric hospital. Archives of General Psychiatry, 1960, 3, 102–112.Google Scholar
  62. Office of Population Censuses and Surveys. Mortality Statistics: Cause. London: Her Majesty’s Stationery Office, 1977–1981.Google Scholar
  63. Otto, U. Suicidal acts by children and adolescents. Acta Psychiatrica Scandinavica, 1972, Supplement 233. Google Scholar
  64. Ovenstone, I. M. K. A psychiatric approach to the diagnosis of suicide and its effect upon the Edinburgh statistics. British Journal of Psychiatry, 1973, 123, 15–21.PubMedCrossRefGoogle Scholar
  65. Parker, A. The meaning of attempted suicide to young parasuicides: A repertory grid study. British Journal of Psychiatry, 1981, 139, 306–312.PubMedCrossRefGoogle Scholar
  66. Petzel, S. V., & Cline, D. W. Adolescent suicide: Epidemiological and biological aspects. Adolescent Psychiatry, 1978, 6, 239–266.PubMedGoogle Scholar
  67. Pfeffer, C. R., Conte, H. R., Plutchik, R., & Jerrett, I. Suicidal behaviour in latency-age children. Journal of the American Academy of Child Psychiatry, 1979, 18, 679–692.PubMedCrossRefGoogle Scholar
  68. Pfeffer, C. R., Conte, H. R., Plutchik, R., & Jerrett, I. Suicidal behaviour in latency-age children: An out-patient population. Journal of the American Academy of Child Psychiatry, 1980, 19, 703–710.PubMedCrossRefGoogle Scholar
  69. Ramon, S., Bancroft, J. H. J., & Skrimshire, A. M. Attitudes towards self-poisoning among physicians and nurses in a general hospital. British Journal of Psychiatry, 1975, 127, 257–264.PubMedCrossRefGoogle Scholar
  70. Richman, J. The family therapy of attempted suicide. Family Process, 1979, 18, 131–142.PubMedCrossRefGoogle Scholar
  71. Roberts, J., & Hawton, K. Child abuse and attempted suicide. British Journal of Psychiatry, 1980, 137, 319–323.PubMedCrossRefGoogle Scholar
  72. Rohn, R. D., Sarles, R. M., Kenny, T. J., Reynolds, B. J., & Head, F. P. Adolescents who attempt suicide. Journal of Pediatrics, 1977, 90, 636–638.PubMedCrossRefGoogle Scholar
  73. Rosenthal, R. J., Rinzler, C., & Klausner, E. Wrist-cutting syndrome: The meaning of a gesture. American Journal of Psychiatry, 1972, 128, 1363–1368.PubMedGoogle Scholar
  74. Sainsbury, P., & Barraclough, B. M. Differences between suicide rates. Nature, 1968, 220, 1252.PubMedCrossRefGoogle Scholar
  75. Sanborn, D., Sanborn, C., & Cimbolic, P. Two years of suicide: A study of adolescent suicide in New Hampshire. Child Psychiatry and Human Development, 1973, 3, 234–242.CrossRefGoogle Scholar
  76. Sathyavathi, K. Suicide among children in Bangalore. Indian Journal of Paediatrics, 1975, 42, 149–157.CrossRefGoogle Scholar
  77. Seiden, R. H. Suicide among youth. Supplement to the Bulletin of Suicidology, 1969.Google Scholar
  78. Seiden, R. H. Why are suicides of young Blacks increasing? H.S.M.H.A., Health Report, 1972, 87, 3–8.CrossRefGoogle Scholar
  79. Shaffer, D. Suicide in childhood and early adolescence. Journal of Child Psychology andPsychiatry, 1974, 15, 275–291.Google Scholar
  80. Shaffer, D., & Fisher, P. The epidemiology of suicide in children and young adolescents. Journal of the American Academy of Child Psychology, 1981, 20, 545–565.CrossRefGoogle Scholar
  81. Simpson, M. A. Self-mutilation in a general hospital setting. Canadian Psychiatric Association Journal, 1975, 20, 429–433.PubMedGoogle Scholar
  82. Simpson, M. A. Self-mutilation. Hospital Medicine, 1976, 16, 430–438.Google Scholar
  83. Stanley, E. J., & Barter, J. T. Adolescent suicidal behavior. American Journal of Orthopsychiatry, 1970, 40, 87–96.PubMedCrossRefGoogle Scholar
  84. Stengel, C., & Cook, N. G. Attempted suicide: Its social significance and effects. Maudsley Monography Number 4. London: Oxford University Press, 1958.Google Scholar
  85. Toolan, J. M. Depression in childhood and adolescents. American Journal of Orthopsychiatry, 1962, 32, 404–415.PubMedCrossRefGoogle Scholar
  86. Tuckman, J., & Connon, H. E. Attempted suicide in adolescents. American Journal ofPsychiatry, 1962, 119, 228–232.Google Scholar
  87. U.S. Department of Health, Education, and Welfare. Suicide and homicide and alcoholismamong American Indians: Guidelines for help. Publication No. (ADM) 74–42. Rockville, Md.: Author, 1973.Google Scholar
  88. Walker, W. L. Intentional self-injury in school age children. Journal of Adolescence, 1980, 3, 217–228.PubMedCrossRefGoogle Scholar
  89. Weissman, M. M. The epidemiology of suicide attempts, 1960 to 1971. Archives of General Psychiatry, 1974, 30, 737–746.PubMedCrossRefGoogle Scholar
  90. Wexler, L., Weissman, M. M., & Kasl, S. V. Suicide attempts 1970–75: Updating a United States study and comparisons with international trends. British Journal of Psychiatry, 1978, 132, 180–185.PubMedCrossRefGoogle Scholar
  91. White, H. C. Self-poisoning in adolescents. British Journal of Psychiatry, 1974, 124, 24–35.PubMedCrossRefGoogle Scholar
  92. Whitehead, P. C., Johnson, F. G., & Ferrence, R. Measuring the incidence of self-injury: Some methodological and design considerations. American Journal of Orthopsychiatry, 1973, 43, 142–148.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1984

Authors and Affiliations

  • Keith Hawton
    • 1
  • Madeline Osborn
    • 1
  1. 1.Warneford HospitalUniversity Department of PsychiatryOxfordEngland

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