000			02735nam a2200349Ia 4500
999			_c2972 _d2972
001			111299
005			20250625151234.0
008			110331s2003 eng
040			_aWSS _dAFV
100			_aFortune, Sarah Ann _91171
245			_aTreating suicidal children, adolescents and their families _cFortune, Sarah Ann
246			_aA thesis submitted in fulfillment of the requirements for the degree of Doctor of Philosophy at the University of Auckland
260			_c2003
300			_a247 p.
365			_a00 _b0
500			_aThesis 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.
520			_aThis 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
522			_anz
650	2	7	_2FVC _aADOLESCENTS _943
650	2	7	_aCHILD SEXUAL ABUSE _9121
650	2	7	_2FVC _aCHILDREN _9127
650	2	7	_2FVC _aFAMILIES _9238
650	2	7	_2FVC _aMENTAL HEALTH _9377
650	2	7	_2FVC _aSELF HARM _9519
650	2	4	_aSEXUAL VIOLENCE _9531
650	2	4	_aSOCIAL SERVICES _9555
650	2	7	_2FVC _aSUICIDE _9586
650	2	7	_aTHESES _9606
650	2	0	_aVICTIMS OF SEXUAL VIOLENCE _96716
651		4	_aNEW ZEALAND _92588
942			_2ddc _cTHESIS