Abstract
Abstract. Research has shown that the prevalence of deliberate self-harm (DSH) is higher in adolescents than in adults, but little is known about other differences. In this study we compare adolescent and adult DSH-patients regarding factors contributing to the suicidal act. In two regions in Norway, 98 persons under 20 years of age and 83 older persons were interviewed following an act of DSH. They were compared regarding intentions involved in the DSH, precipitating circumstances, level of suicidal intent, medical seriousness of the act, depression, hopelessness, and self-esteem. Few differences were found. The adults more often wanted to escape from unbearable thoughts or situations, or to receive care and attention. Adults also reported a slightly higher level of medical seriousness of the DSH act, more psychiatric problems, and substance abuse. The similarities between young and adult DSH-patients are striking. The differences found are most likely related to factors of age itself, such as cognitive immaturity, impulsivity, and lack of experience in enduring problems.
References
(1993). Anxiety, impulsivity, and depressed mood in relation to suicidal and violent behavior. Acta Psychiatrica Scandinavia, 87, 1–5
(1979). The reasons people give for taking overdoses: A further inquiry. British Journal of Medical Psychology, 52, 353–365
(1976). The reasons people give for taking overdose. British Journal of Psychiatry, 128, 289–303
(1999). Personality traits and cognitive styles as risk factors for serious suicide attempts among young people. Suicide and Life-Threatening Behavior, 29, 37–47
(1974). Development of Suicide Intent Scales. In A.T. Beck, H.L.P. Resnik, & D.J. Lettieri (Eds.), The prediction of suicide (pp.45-56). Philadelphia: The Charles Press
(1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychological Review, 8, 77–100
(1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142, 559–563
(1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571
(1974). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 42, 861–865
(1996). A repetition-prediction study on European parasuicide populations. Crisis, 17, 22–31
(1995). Background and introduction to the WHO/EURO Multicentre Study on Parasuicide. Crisis, 16, 72–84
(1991). The correlates of planning in adolescent suicide attempts. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 95–99
(1997). Meanings of gender and suicidal behavior during adolescence. Suicide and Life-Threatening Behavior, 27, 339–351
(1994). Clustering of attempted suicide: New Zealand national data. International Journal of Epidemiology, 23, 1185–1189
(2001). Adolescents hospitalised with deliberate self-harm: The significance of an intention to die. European Child & Adolescent Psychiatry, 9, 244–254
(2000). Young suicide attempters: A comparison between a clinical and an epidemiological sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 868–875
(1999). The construction of the self. A developmental perspective. New York: The Guilford Press
(1999). Repetition of deliberate self-harm by adolescents: The role of psychological factors. Journal of Adolescence, 22, 369–378
(2002). Why people engage in parasuicide: A cross-cultural study of intentions. Suicide and Life-Threatening Behavior,
(2001, September). Psychological factors in parasuicide: Are there sex differences?. Paper presented at the “XXI Congress of the International association for Suicide Prevention: Together in Suicide Prevention - Meeting the Challenge.” Chennai. India
(2000). A cross-cultural study of suicide intent in parasuicide patients. Suicide and Life-Threatening Behavior, 30, 295–303
(1989). European Parasuicide Study Interview Schedule (EPSIS) for the WHO (Euro) multicentre study on parasuicide. Leiden: Department of Clinical and Health Psychology, University of Leiden
(1996). The health of youth: A cross-national study. Copenhagen: World Health Organization
(1997). Suicidal behavior in adolescence. In R.W. Maris, M.M. Silverman, & S.S. Canetto (Eds.), Review of suicidology (pp.61-95). New York: Guilford
(1996). Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications. Clinical Psychology Science and Practice, 3, 25–46
(2000). Psychiatric aspects of suicidal behaviour: Depression. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide. Chichester: Wiley
(1995). Self-esteem deficits and suicidal tendencies among adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 919–928
(1992). Parasuicide in europe: The WHO/Euro Multicentre Study on Parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatrica Scandinavia, 85, 97–104
(1992). Gender differences in the psychosocial correlates of suicidal ideation among adolescents. Suicide and Life-Threatening Behavior, 22, 364–373
(1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press
(1988). Hopelessness, depression, and suicidal intent among adolescent suicide attempters. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 700–704
(1994). Child and adolescent psychiatry. London: Blackwell
(1996). Increased rate of conduct problems in urban areas: What is the mechanism?. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 471–479