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Motivational Aspects of Deliberate Self-Poisoning in Adolescents

Published online by Cambridge University Press:  29 January 2018

Keith Hawton ,
Deborah Cole ,
John O'Grady  and
Madeline Osborn
Keith Hawton
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
Deborah Cole
Affiliation:
Department of Counselor Education, Suffolk University, Boston MA 02114, USA
John O'Grady
Affiliation:
St Nicholas Hospital, Gosforth, Newcastle-upon-Tyne, NE3 3XT
Madeline Osborn
Affiliation:
University Department of Psychiatry, Warneford Hospital
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Summary

A systematic study of 50 adolescent self-poisoners aged from 13 to 18 demonstrated considerable discrepancies between the reasons chosen by the subjects to explain the overdoses and those chosen by clinical assessors. Most adolescents indicated that they had been feeling lonely or unwanted, or angry with someone, and had taken the overdose to alleviate or demonstrate this distress. A third said they had wanted to die. In contrast, clinical assessors tended to attribute the overdose to punitive or manipulative reasons and suggested that only seven out of the 50 had wished to die.

The adolescents rarely indicated that they had taken the overdose to get help; this may explain the resistance that may be shown to psychiatric intervention, and casts doubt on the possible effectiveness of preventive agencies. Modification of attitudes to both self-poisoning and early help-seeking may be a more effective means of prevention.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 141 , Issue 3 , September 1982 , pp. 286 - 291
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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References

Bancroft, J. H. J., Hawton, K. E., Simkin, S., Kingston, B., Cumming, C. & Whitwell, D. (1979) The reasons people give for taking overdoses: A further enquiry. British Journal of Medical Psychology, 52, 353–65.Google Scholar
Bancroft, J. H. J., Skrimshire, A. M. & Simkin, S. (1976) The reasons people give for taking overdoses. British Journal of Psychiatry, 128, 538–48.Google Scholar
Beck, R. W., Morris, J. B. & Beck, A. T. (1974a) Cross-validation of the suicidal intent scale. Psychological Reports, 34, 445–6.CrossRefGoogle ScholarPubMed
Beck, A. T., Schuyler, D. & Herman, I. (1974b) Development of suicidal intent scales. In The Prediction of Suicide, (eds. Beck, A. T., Resnik, H. L. P. and Lettieri, D. J.). New York: Charles Press.Google Scholar
Birtchnell, J. & Alarcon, J. (1971) The motivation and emotional state of 91 cases of attempted suicide. British Journal of Medical Psychology, 44, 45–52.Google Scholar
Hawton, K. & Catalan, J. (1982) Attempted Suicide: A Practical Guide to its Nature and Management. Oxford: Oxford University Press (in press).Google Scholar
Hawton, K., Marsack, P. & Fagg, J. (1981) The attitudes of psychiatrists to deliberate self-poisoning: Comparison with physicians and nurses. British Journal of Medical Psychology, 54, 341–8.Google Scholar
Hawton, K., O'Grady, J., Osborn, M. & Cole, D. (1982a) Adolescents who take overdoses: Their characteristics, problems and contacts with helping agencies. British Journal of Psychiatry, 140, 118–23.Google Scholar
Hawton, K., Osborn, M., O'Grady, J. & Cole, D. (1982b) Classification of adolescents who take overdoses. British Journal of Psychiatry, 140, 124–31.Google Scholar
Ramon, S., Bancroft, J. H. J. & Skrimshire, A. M. (1975) Attitudes towards self-poisoning among physicians and nurses in a general hospital. British Journal of Psychiatry, 127, 257–64.Google Scholar
Walker, W. L. (1980) Intentional self-injury in school age children. Journal of Adolescence, 3, 217–28.Google ScholarPubMed
White, H. C. (1974) Self-poisoning in adolescence. British Journal of Psychiatry, 124, 24–35.Google Scholar
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