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Self-destructive behaviour in adolescents
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|November 23, 1985
Summary
Parasuicide rates are increasing globally, with a notable rise in young patients under 19. Self-poisoning remains the most common method, highlighting the need for public health interventions.
Area of Science:
- Psychiatry
- Public Health
- Epidemiology
Background:
- Parasuicide rates are a significant public health concern, with evidence suggesting a global increase.
- Previous studies have underestimated actual rates due to reporting and classification issues.
Purpose of the Study:
- To update a 1978 study on parasuicides in young patients at Addington Hospital, Durban.
- To analyze trends in parasuicide demographics and methods from 1978 to 1983.
Main Methods:
- Retrospective analysis of patient records from Addington Hospital, Durban.
- Data collection included patient demographics, referral reasons, and methods of parasuicide.
- Comparison of 1983 data with a 1978 study.
Main Results:
- Parasuicides constituted 17.7% of all consultations (567 cases).
- Young patients (≤19 years) represented 29% of parasuicides, an increase from 25% in 1978.
- Girls outnumbered boys; peak months were October and November.
- Common methods included self-poisoning with analgesics, benzodiazepines, and antidepressants.
- 10% of patients had a history of alcohol or drug abuse.
Conclusions:
- The study confirms an increasing trend in parasuicides, particularly among young individuals.
- Findings underscore the importance of psychological services in general hospitals for addressing parasuicide.
- Further research is needed to understand contributing factors and develop targeted interventions.