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Case studies in adolescent deliberate self-harm.

A W Shugg1, S Menahem

  • 1Royal Children's Hospital, Parkville, Victoria, Australia.

Journal of Paediatrics and Child Health
|October 1, 1992
PubMed
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Prolonged hospital admissions for adolescents with deliberate self-harm may not effectively resolve ongoing psychosocial issues. A 12-month follow-up revealed persistent problems despite multidisciplinary assessments during hospitalization.

Area of Science:

  • Adolescent health
  • Mental health services
  • Clinical psychology

Background:

  • Deliberate self-harm is a significant concern in adolescent populations.
  • Current management often involves hospital admission for assessment and intervention.
  • The long-term effectiveness of inpatient assessment for self-harm requires further investigation.

Purpose of the Study:

  • To review the outcomes of adolescents admitted for deliberate self-harm.
  • To evaluate the effectiveness of prolonged hospital admission and multidisciplinary assessment.
  • To highlight challenges in managing adolescent self-harm.

Main Methods:

  • Retrospective case review of four adolescents admitted to a general paediatric ward.
  • Initial psychosocial assessment documentation.

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  • Follow-up assessment of patient course 12 months post-discharge.
  • Main Results:

    • All four adolescents experienced ongoing psychosocial problems 12 months after discharge.
    • Despite extensive initial multidisciplinary assessment, significant issues persisted.
    • The study identified difficulties in the long-term management of these patients.

    Conclusions:

    • Prolonged hospital admission for initial assessment of deliberate self-harm in adolescents may be of limited effectiveness.
    • Alternative or supplementary management strategies may be needed for sustained improvement.
    • The findings question the appropriateness of current inpatient approaches for this population.