Deliberate Self-harm in Adolescence

✍ Scribed by Claudine Fox, Keith Hawton

• Publisher: Jessica Kingsley Publishers
• Year: 2004
• Tongue: English
• Leaves: 146
• Series: Child and Adolescent Mental Health Series
• Edition: 1
• Category: Library

✦ Synopsis

Self-harm in adolescence and late teens is known to be increasing, though it is difficult to detect and inconsistently recorded. This thorough, practical and evidence-based book provides guidance for professionals and parents caring for children and young people at risk of self-harm and suicide. Claudine Fox and Keith Hawton discuss risk factors for self-harm, including depression, substance abuse and antisocial behaviour, and critically examine key screening instruments that can be used to assess risk. They describe how suicidal behaviour can be managed and prevented, and look at the effectiveness of aftercare treatment for those who self-harm, including school-based suicide-prevention programs and family therapy. Also addressed are common myths about self-harm and the problem of varying definitions in this field. Deliberate Self-Harm in Adolescence clearly summarizes and evaluates current research into suicidal behaviour - it is essential reading for social workers, mental health professionals, GPs, teachers and parents.

✦ Table of Contents

Cover......Page 1
Deliberate Self-Harm in Adolescence......Page 5
Contents......Page 7
Acknowledgements......Page 10
Preface......Page 11
1 Introduction......Page 13
2 The Prevalence of Suicidal Behaviour in Adolescence......Page 19
Deliberate self-harm in adolescents: Oxford patient data......Page 21
Deliberate self-harm in adolescents: national survey data......Page 23
Summary points......Page 26
3 Risk Factors for Adolescent Suicidal Behaviour......Page 27
Models of suicidal behaviour......Page 29
Personal characteristics as risk factors......Page 31
Psychiatric disorders as risk factors......Page 33
Family risk factors......Page 41
The media......Page 42
Summary points......Page 44
4 Identifying At-Risk Adolescents......Page 46
Screening instruments for the identification of at-risk individuals......Page 47
Summary points......Page 59
Commissioning services......Page 61
Delivering services......Page 62
Summary points......Page 64
Child to adult follow-up......Page 65
Summary points......Page 68
Immediate and general hospital management......Page 69
Aftercare......Page 72
The efficacy of aftercare and its outcome......Page 78
Summary points......Page 82
School-based educational suicide prevention programmes......Page 84
Weapon control......Page 88
Reduction of substance abuse......Page 89
Prevention of repetition of self-harm......Page 90
Summary points......Page 91
Conclusions......Page 92
Messages to take away......Page 96
Future research......Page 97
Resources......Page 99
Searching the literature......Page 100
Quality of research......Page 111
Criteria for considering papers for critical appraisal......Page 112
References......Page 125
Subject Index......Page 139
Author Index......Page 144
About FOCUS......Page 146