[Self-harm among children and adolescents].

Autor: Louman S; Amsterdam UMC, locatie AMC-UvA, Medisch Psychiatrische Unit voor Kind en Jeugd., Fredriks AM; Amsterdam UMC, locatie AMC-UvA, Medisch Psychiatrische Unit voor Kind en Jeugd., van Bellegem ACM; Amsterdam UMC, locatie AMC-UvA, Medisch Psychiatrische Unit voor Kind en Jeugd., Teeuw AH; Amsterdam UMC, locatie AMC-UvA, Medisch Psychiatrische Unit voor Kind en Jeugd.; Contact: A.H. Teeuw (a.h.teeuw@amc.uva.nl).
Jazyk: Dutch; Flemish
Zdroj: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2018 Oct 15; Vol. 162. Date of Electronic Publication: 2018 Oct 15.
Abstrakt: Self-harm among children and adolescents is a prevalent health issue. Definitions of self-harm differ, and the distinction between attempted suicide or self-harm is often unclear. A recent large population-based cohort study on self-harm among children and adolescents aged 10-29 years showed a sharp increase in the incidence of self-harm, especially in girls aged 13-16 years. It also showed an inequality in treatment offered, depending upon the socio-economic profile of the region in which the patient presented.We illustrate the problem of self-harm by presenting a clinical case, and provide advice on when to suspect self-harm and how to proceed when self-harm is suspected. Furthermore, we show that a similar increase in incidence of self-harm to that which has taken place in the UK has also been signaled in the Netherlands. Self-harm is associated with an increased risk of death by suicide and other causes of unnatural death. Evidence for therapeutic options for self-harm is limited.
Databáze: MEDLINE