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Self-poisoning in Adolescents

Hospital Admissions and Deaths in the Oxford Region 1980–85

Published online by Cambridge University Press:  02 January 2018

C. Sellar*
Affiliation:
Unit of Clinical Epidemiology, Oxford Regional Health Authority, Old Road, Headington, Oxford OX3 7LF
K. Hawton
Affiliation:
University of Oxford Department of Psychiatry, Warneford Hospital, Headington, Oxford OX3 7JX
M. J. Goldacre
Affiliation:
Unit of Clinical Epidemiology
*
Correspondence

Abstract

Linked hospital and death records for 10–20–year-olds admitted with a diagnosis of poisoning were analysed. Between 1980 and 1985 there was a significant decline in admission rates, which was mainly attributable to a decline among 16–20–year-old females. There was no evidence of a decline in the admission rates among 12–15–year-olds. Ten per cent of the study population had at least one further hospital admission for poisoning during the mean follow-up period of 3.6 years. Female admission rates were substantially higher than those in males but readmission rates, given a first admission, were similar. The death rate in the study cohort was significantly higher than would be expected in the general population of this age and nearly all the deaths were from violent or unnatural causes.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Adelstein, A. & Mardon, C. (1975) Suicides 1961–1974. Population Trends, 2, 1318.Google Scholar
Armitage, P. & Berry, G. (1987) Statistical Methods in Medical Research. Oxford: Black well.Google Scholar
Brewer, C. & Farmer, R. (1985) Self-poisoning in 1984: a prediction that didn't come true. British Medical Journal, 290, 391.CrossRefGoogle ScholarPubMed
Department of Health and Social Security (1984) The Management of Deliberate Self Harm, Health Notice HN(84):25. London: DHSS.Google Scholar
Gardner, R. (1980) Management of patients after self-poisoning. British Medical Journal, 281, 1562.CrossRefGoogle ScholarPubMed
Goldacre, M. I. & Hawton, K. (1985) Repetition of self-poisoning and subsequent death in adolescents who take overdoses. British Journal of Psychiatry, 146, 395398.CrossRefGoogle ScholarPubMed
Goldacre, M. I., Simmons, H., Henderson, J., et al (1988) Trends in episode based and person based rates of admission to hospital in the Oxford Record Linkage study area. British Medical Journal, 296, 583585.CrossRefGoogle ScholarPubMed
Hawton, K. & Goldacre, M. J. (1982) Hospital admissions for adverse effects of medicinal agents (mainly self-poisoning) among adolescents in the Oxford Region. British Journal of Psychiatry, 141, 166170.CrossRefGoogle ScholarPubMed
Hawton, K. & Fagg, J. (1988) Suicide and other causes of death, following attempted suicide. British Journal of Psychiatry, 152, 359366.CrossRefGoogle ScholarPubMed
OPCS (1986) Recorded Internal Population Movements in the United Kingdom. OPCS Monitor. London: OPCS.Google Scholar
Owens, D. W. & Jones, S. J. (1988) The accident and emergency department management of deliberate self-poisoning. British Journal of Psychiatry, 152, 830833.CrossRefGoogle ScholarPubMed
Platt, S., Hawton, K., Kreitman, N., et al (1988) Recent clinical and epidemiological trends in parasuicide in Edinburgh and Oxford: a tale of two cities. Psychological Medicine, 18, 405418.CrossRefGoogle Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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