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Suicidal Behavior as a Child Psychiatric Emergency: Clinical Characteristics and Follow-up Results

Suicidal Behavior as a Child Psychiatric Emergency: Clinical Characteristics and Follow-up Results Abstract THIS PAPER reports the results of a retrospective and follow-up study of 75 children and adolescents with suicidal behavior at the child psychiatry clinic at University Hospitals, Cleveland. They were part of a total group of 170 child psychiatric emergencies seen over a two-year period at our clinic. In an earlier paper1 clinical and follow-up data on these emergencies were presented and compared with those of a randomly selected group of regular clinic intakes of children not considered emergencies. Similarly to other authors2,3 we were impressed by the prominence of suicidal behavior as a major cause of emergency referrals to a child psychiatry clinic. Some of the demographic and clinical differences between our group of emergencies and that of regular clinic intakes lost their significance when the subgroup of 75 suicidal children was removed from the emergency group and the References 1. Mattsson, A.; Hawkins, J.W.; and Seese, L.R.: Child Psychiatric Emergencies , Arch Gen Psychiat 17:584-592 ( (Nov) ) 1967.Crossref 2. Burks, H.L., and Hoekstra, M.: Psychiatric Emergencies in Children , Amer J Orthopsychiat 34:134-137 ( (Jan) ) 1964.Crossref 3. Morrison, G.C., and Collier, J.G.: Family Treatment Approaches to Suicidal Children and Adolescents, read before the annual meeting of the American Association of Psychiatric Clinics for Children, Washington, DC, March 1967. 4. Tabachnick, N.D., and Farberow, N.L.: " The Assessment of Self-Destructive Potentiality ," in Farberow, N.F., and Shneidman, E.S. (eds.): The Cry for Help , New York: McGraw-Hill Book Co., Inc., 1961. 5. Errera, P.: Wyshak, G.; and Jarecki, H.: Psychiatric Care in a General Hospital Emergency Room , Arch Gen Psychiat 9:105-112 ( (Aug) ) 1963.Crossref 6. Schowalter, J.E., and Solnit, A.J.: Child Psychiatry Consultation in a General Hospital Emergency Room , J Amer Acad Child Psychiat 5:534-551 ( (July) ) 1966.Crossref 7. Morrison, G.C., and Smith, W.R.: Emergencies in Child Psychiatry: A Definition and Comparison of Two Groups, read before the annual meeting of the American Orthopsychiatric Association, Washington, DC, March 1967. 8. Jacobziner, H.: Attempted Suicides in Adolescence , JAMA 191:7-11 ( (Jan 4) ) 1965.Crossref 9. Lourie, R.S.: Clinical Studies of Attempted Suicide in Childhood , Clin Proc Child Hosp 22:163-173 ( (June) ) 1966. 10. Ackerly, W.C.: Latency-Age Children Who Threaten or Attempt to Kill Themselves , J Amer Acad Child Psychiat 6:242-261 ( (April) ) 1967.Crossref 11. Shaw, C.R., and Schelkun, R.F.: Suicidal Behavior in Children , Psychiatry 28:157-168 ( (May) ) 1965. 12. Toolan, J.M.: Suicide and Suicidal Attempts in Children and Adolescents , Amer J Psychiat 118:719-724 ( (Feb) ) 1962. 13. Gould, R.E.: Suicide Problems in Children and Adolescents , Amer J Psychother 19:228-246 ( (April) ) 1965. 14. Glaser, K.: " Suicide in Children and Adolescents ," in Abt, L.E., and Weissman, S.L. (eds.): Acting Out: Theoretical and Clinical Aspects , New York: Grune and Stratton, Inc., 1965. 15. Toolan, J.M.: " Suicide in Children ," in Green, M., and Haggerty, R.J. (eds.): Ambulatory Pediatrics , Philadelphia: W.B. Saunders Co. 1968. 16. Tuckman, J., and Connon, H.E.: Attempted Suicide in Adolescents , Amer J Psychiat 119:228-232 ( (Sept) ) 1962. 17. Levi, L.D., et al: Separation and Attempted Suicide , Arch Gen Psychiat 15:158-164 ( (Aug) ) 1966.Crossref 18. Teicher, J.D., and Jacobs, J.: Adolescents Who Attempt Suicide , Amer J Psychiat 122:1,248-1,257 ( (May) ) 1966. 19. Schrut, A.: Some Typical Patterns in the Behavior and Background of Adolescent Girls Who Attempt Suicide , Amer J Psychiat 125:69-74 ( (July) ) 1968. 20. Shneidman, E.S., and Farberow, N.L.: Clues to Suicide , New York: McGraw-Hill Book Co., Inc., 1957. 21. Lewis, M., and Solnit, A.J.: " The Adolescent in a Suicidal Crisis: Collaborative Care on a Pediatric Ward ," in Solnit, A.J., and Provence, S. (eds.): Modern Perspectives in Child Development , New York: International Universities Press, Inc., 1963. 22. Farberow, N.L.: " Crisis, Disaster, and Suicide: Theory and Therapy ," in Schneidman, E.S. (ed.): Essays in Self-Destruction , New York: Science House, Inc., 1967. 23. Glaser, K.: Masked Depression in Children and Adolescents , Amer J Psychother 21:565-574 ( (July) ) 1967. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Suicidal Behavior as a Child Psychiatric Emergency: Clinical Characteristics and Follow-up Results

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References (21)

Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1969.01740130102010
Publisher site
See Article on Publisher Site

Abstract

Abstract THIS PAPER reports the results of a retrospective and follow-up study of 75 children and adolescents with suicidal behavior at the child psychiatry clinic at University Hospitals, Cleveland. They were part of a total group of 170 child psychiatric emergencies seen over a two-year period at our clinic. In an earlier paper1 clinical and follow-up data on these emergencies were presented and compared with those of a randomly selected group of regular clinic intakes of children not considered emergencies. Similarly to other authors2,3 we were impressed by the prominence of suicidal behavior as a major cause of emergency referrals to a child psychiatry clinic. Some of the demographic and clinical differences between our group of emergencies and that of regular clinic intakes lost their significance when the subgroup of 75 suicidal children was removed from the emergency group and the References 1. Mattsson, A.; Hawkins, J.W.; and Seese, L.R.: Child Psychiatric Emergencies , Arch Gen Psychiat 17:584-592 ( (Nov) ) 1967.Crossref 2. Burks, H.L., and Hoekstra, M.: Psychiatric Emergencies in Children , Amer J Orthopsychiat 34:134-137 ( (Jan) ) 1964.Crossref 3. Morrison, G.C., and Collier, J.G.: Family Treatment Approaches to Suicidal Children and Adolescents, read before the annual meeting of the American Association of Psychiatric Clinics for Children, Washington, DC, March 1967. 4. Tabachnick, N.D., and Farberow, N.L.: " The Assessment of Self-Destructive Potentiality ," in Farberow, N.F., and Shneidman, E.S. (eds.): The Cry for Help , New York: McGraw-Hill Book Co., Inc., 1961. 5. Errera, P.: Wyshak, G.; and Jarecki, H.: Psychiatric Care in a General Hospital Emergency Room , Arch Gen Psychiat 9:105-112 ( (Aug) ) 1963.Crossref 6. Schowalter, J.E., and Solnit, A.J.: Child Psychiatry Consultation in a General Hospital Emergency Room , J Amer Acad Child Psychiat 5:534-551 ( (July) ) 1966.Crossref 7. Morrison, G.C., and Smith, W.R.: Emergencies in Child Psychiatry: A Definition and Comparison of Two Groups, read before the annual meeting of the American Orthopsychiatric Association, Washington, DC, March 1967. 8. Jacobziner, H.: Attempted Suicides in Adolescence , JAMA 191:7-11 ( (Jan 4) ) 1965.Crossref 9. Lourie, R.S.: Clinical Studies of Attempted Suicide in Childhood , Clin Proc Child Hosp 22:163-173 ( (June) ) 1966. 10. Ackerly, W.C.: Latency-Age Children Who Threaten or Attempt to Kill Themselves , J Amer Acad Child Psychiat 6:242-261 ( (April) ) 1967.Crossref 11. Shaw, C.R., and Schelkun, R.F.: Suicidal Behavior in Children , Psychiatry 28:157-168 ( (May) ) 1965. 12. Toolan, J.M.: Suicide and Suicidal Attempts in Children and Adolescents , Amer J Psychiat 118:719-724 ( (Feb) ) 1962. 13. Gould, R.E.: Suicide Problems in Children and Adolescents , Amer J Psychother 19:228-246 ( (April) ) 1965. 14. Glaser, K.: " Suicide in Children and Adolescents ," in Abt, L.E., and Weissman, S.L. (eds.): Acting Out: Theoretical and Clinical Aspects , New York: Grune and Stratton, Inc., 1965. 15. Toolan, J.M.: " Suicide in Children ," in Green, M., and Haggerty, R.J. (eds.): Ambulatory Pediatrics , Philadelphia: W.B. Saunders Co. 1968. 16. Tuckman, J., and Connon, H.E.: Attempted Suicide in Adolescents , Amer J Psychiat 119:228-232 ( (Sept) ) 1962. 17. Levi, L.D., et al: Separation and Attempted Suicide , Arch Gen Psychiat 15:158-164 ( (Aug) ) 1966.Crossref 18. Teicher, J.D., and Jacobs, J.: Adolescents Who Attempt Suicide , Amer J Psychiat 122:1,248-1,257 ( (May) ) 1966. 19. Schrut, A.: Some Typical Patterns in the Behavior and Background of Adolescent Girls Who Attempt Suicide , Amer J Psychiat 125:69-74 ( (July) ) 1968. 20. Shneidman, E.S., and Farberow, N.L.: Clues to Suicide , New York: McGraw-Hill Book Co., Inc., 1957. 21. Lewis, M., and Solnit, A.J.: " The Adolescent in a Suicidal Crisis: Collaborative Care on a Pediatric Ward ," in Solnit, A.J., and Provence, S. (eds.): Modern Perspectives in Child Development , New York: International Universities Press, Inc., 1963. 22. Farberow, N.L.: " Crisis, Disaster, and Suicide: Theory and Therapy ," in Schneidman, E.S. (ed.): Essays in Self-Destruction , New York: Science House, Inc., 1967. 23. Glaser, K.: Masked Depression in Children and Adolescents , Amer J Psychother 21:565-574 ( (July) ) 1967.

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Jan 1, 1969

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