Treating suicidal children, adolescents and their families
Fortune, Sarah Ann
Treating suicidal children, adolescents and their families A thesis submitted in fulfillment of the requirements for the degree of Doctor of Philosophy at the University of Auckland Fortune, Sarah Ann - 2003 - 247 p.
Thesis submitted in fulfillment of the requirements for the degree of Doctor of Philosophy at the University of Auckland. Available on short term loan from the University's general library.
This study explored treatment issues faced by clinicians working with suicidal children, adolescents and their families. Two studies were conducted in an outpatient Child and Adolescent Mental Health Service. Study one involved a clinical file audit of 100 children and adolescents who attended the service from 1998-2000. Study two was a prospective study of 66 adolescents who were referred to the service in 2002 with significant suicidal ideation or deliberate self-harm (DSH). The relationship between suicidal ideation and DSH was explored by combining data from Study one and Study two. Study two also involved interviewing adolescents, parents and clinicians about key elements of successful treatment. The results from study one indicate almost universally high loadings of biopsychosocial risk factors for suicide behaviour among children, adolescents and their families presenting to the clinic. Suicidal children and adolescents have higher rates of childhood sexual abuse, previous episodes of DSH, maternal substances abuse and family offending. Study two demonstrated that treatment protocols can facilitate a shift in clinician behaviour towards more aggressive outreach of non-participating families and can improve health outcomes for suicidal adolescents. This thesis found that suicidal children, adolescents and their families had higher levels of biopsychosocial risk factors than did non-suicidal participants, including history of childhood sexual abuse.--AUTHOR'S ABSTRACT
nz
ADOLESCENTS
CHILD SEXUAL ABUSE
CHILDREN
FAMILIES
MENTAL HEALTH
SELF HARM
SEXUAL VIOLENCE
SOCIAL SERVICES
SUICIDE
THESES
VICTIMS OF SEXUAL VIOLENCE
NEW ZEALAND
Treating suicidal children, adolescents and their families A thesis submitted in fulfillment of the requirements for the degree of Doctor of Philosophy at the University of Auckland Fortune, Sarah Ann - 2003 - 247 p.
Thesis submitted in fulfillment of the requirements for the degree of Doctor of Philosophy at the University of Auckland. Available on short term loan from the University's general library.
This study explored treatment issues faced by clinicians working with suicidal children, adolescents and their families. Two studies were conducted in an outpatient Child and Adolescent Mental Health Service. Study one involved a clinical file audit of 100 children and adolescents who attended the service from 1998-2000. Study two was a prospective study of 66 adolescents who were referred to the service in 2002 with significant suicidal ideation or deliberate self-harm (DSH). The relationship between suicidal ideation and DSH was explored by combining data from Study one and Study two. Study two also involved interviewing adolescents, parents and clinicians about key elements of successful treatment. The results from study one indicate almost universally high loadings of biopsychosocial risk factors for suicide behaviour among children, adolescents and their families presenting to the clinic. Suicidal children and adolescents have higher rates of childhood sexual abuse, previous episodes of DSH, maternal substances abuse and family offending. Study two demonstrated that treatment protocols can facilitate a shift in clinician behaviour towards more aggressive outreach of non-participating families and can improve health outcomes for suicidal adolescents. This thesis found that suicidal children, adolescents and their families had higher levels of biopsychosocial risk factors than did non-suicidal participants, including history of childhood sexual abuse.--AUTHOR'S ABSTRACT
nz
ADOLESCENTS
CHILD SEXUAL ABUSE
CHILDREN
FAMILIES
MENTAL HEALTH
SELF HARM
SEXUAL VIOLENCE
SOCIAL SERVICES
SUICIDE
THESES
VICTIMS OF SEXUAL VIOLENCE
NEW ZEALAND