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Suicide in young people

Study of 174 cases, aged under 25 years, based on coroners and medical records

Published online by Cambridge University Press:  03 January 2018

Keith Hawtdn ,
Kelly Houston  and
Rosie Shepperd
Keith Hawtdn*
Affiliation:
University of Oxford, Department of Psychiatry, Warneford Hospital, Oxford
Kelly Houston
Affiliation:
University of Oxford, Department of Psychiatry, Warneford Hospital, Oxford
Rosie Shepperd
Affiliation:
Department of Child and Adolescent Psychiatry, Abingdon Mental Health Centre, Abingdon, Oxfordshire
*
Professor Keith Hawton, University of Oxford, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX. e-mail: [email protected]
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Abstract

Background

Suicide rates in youngmales in the UK have risen markedly in recent years.

Aims

To investigate the characteristics of a series of consecutive suicides in under-25-year-olds.

Method

We studied coroners' inquest notes, general practitioners' records and psychiatric case notes of 174 individuals (148 males and 26 females) whose deaths received a verdict of suicide or an open or accidental verdict (excluding traffic accidents) where the circumstances strongly suggested suicide.

Results

More individuals were of lower social class and unemployed than in the local population. Hanging and carbon monoxide poisoning were the most frequent methods of suicide, and co-proxamol was the drug most often used in overdoses. Previous self-harm had occurred in 44.8%, nearly half of these having carried out multiple episodes and 80% having self-harmed within the previous year. Little support was found for an earlier finding of increasing frequency of general practitioner visits shortly before death. Only 22.4% of individuals were in the care of psychiatric services.

Conclusions

Diverse strategies are required to prevent suicide in the very young.

Type
Papers
Information
The British Journal of Psychiatry , Volume 175 , Issue 3 , September 1999 , pp. 271 - 276
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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References

Appleby, L., Amos, T., Doyle, U., et al (1996) General practitioners and young suicides. A preventive role for primary care. British Journal of Psychiatry, 168, 330–333.CrossRefGoogle Scholar
Beautrais, A., Joyce, P. & Mulder, R. (1998) Unemployment and serious suicide attempts. Psychological Medicine, 28, 209–218.CrossRefGoogle ScholarPubMed
Brent, D., Perper, J., Kolko, D., et al (1988) The psychological autopsy: methodological considerations for the study of adolescent suicide. Journal of the American Academy of Chad and Adolescent Psychiatry, 27, 362–366.Google Scholar
Brent, D., Perper, J., Moritz, G., et al (1993) Psychiatric risk factors for adolescent suicide: a case control study. Journal of the American Academy of Child and Adolescent Psychiatry 32, 521–529.Google Scholar
Cattell, H. & Jolley, D. J. (1995) One hundred cases of suicide in elderly people. British Journal of Psychiatry 166, 451–457.CrossRefGoogle ScholarPubMed
Charlton, J., Kelly, S., Dunnell, K., et al (1992) Trends in suicide deaths in England and Wales. Population Trends, 69, 10–16.Google Scholar
Goldacre, M. & Hawton, K. (1985) Repetition of self-poisoning and subsequent death in adolescents who take overdoses. British Journal of Psychiatry 146, 395–398.Google Scholar
Hawton, K. (1992) By their own young hand. British Medical Journal, 304, 1000.CrossRefGoogle ScholarPubMed
Hawton, K., Fagg, J., Platt, S., et al (1993) Factors associated with suicide after parasuicide in young people. British Medical Journal. 306, 1641–1644.Google Scholar
Hawton, K., Appleby, L., Platt, S., et al (1998a) The psychological autopsy approach to studying suicide: a review of methodological issues. Journal of Affective Disorders, 50, 271–278.Google ScholarPubMed
Hawton, K., Arensman, E., Townsend, E., et al (1998b) Deliberate self harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. British Medical Journal, 317, 441–447.CrossRefGoogle ScholarPubMed
Kelly, S. & Bunting, J. (1998) Trends in suicide in England and Wales. 1982–1996. Population Trends, 92, 29–41.Google Scholar
Kreitman, N., Carstairs, V. & Duffy, J. (1991) Association of age and social dass with suicide among men in Great Britain. Journal of Epidemiology and Community Health, 45, 195–202.Google Scholar
Lawson, A. & Northridge, D. (1987) Dextropropoxyphene overdose: epidemiology, clinical presentation and management. Medical Toxicology of Adverse Drug Experiences, 2, 430–444.Google Scholar
Madge, N. & Harvey, J. (1999) Suicide among the young – the size of the problem. Journal of Adolescence, 22, 145–155.Google Scholar
Martunnen, M., Aro, H. & Lönnqvist, J. (1993) Adolescence and suicide: a review of psychological autopsy studies. European Child and Adolescent Psychiatry 2, 10–18.CrossRefGoogle Scholar
Otto, U. (1972) Suicidal acts by children and adolescents. Acta Psychiatrica Scandinavica, 306 (suppl. 233), 7–123.Google Scholar
Platt, S. (1984) Unemployment and suicidal behaviour: a review of the literature. Social Science and Medicine, 19, 93–115.Google Scholar
Royal College of Psychiatrists (1994) The General Hospital Management of Adult Deliberate Self Harm. A Consensus Statement on Standards for Service Provision. Council Report CR32. London: Royal College of Psychiatrists.Google Scholar
Royal College of Psychiatrists (1998) Managing Deliberate Self harm in Young People. Council Report CR64. London: Royal College of Psychiatrists.Google Scholar
Schmidtke, A., Bille-Brahe, U., DeLeo, D., et al (1994) Attempted suicide in Europe: rates, trends and socio-demographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatrica Scandinavicn, 93, 327–338.Google Scholar
Sellar, C., Hawton, K. & Goldacre, M. J. (1990) Self-poisoning in adolescents. Hospital admissions and deaths in the Oxford region 1980–85. British Journal of Psychiatry 154, 866–870.Google Scholar
Shaffer, D., Gould, M., Fisher, P., et al (1994) Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry 53, 339–348.Google Scholar
SPSS (1993) SPSSX for Unix: Base System Users Guide 5.0. Chicago. IL: SPSS.Google Scholar
Wilson, R., Saunders, P. & Smith, G. (1994) An epidemiological study of acute carbon monoxide poisoning in the West Midlands. Occupational and Environmental Medicine, 55, 723–728.Google Scholar
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