By Russell Viner
The recognized ABC sequence, as serialised within the BMJ
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Extra resources for ABC of Adolescence
Htm x Wertheimer A. A special scar: the experiences of people bereaved by suicide. 2nd ed. London: Brunner-Routledge, 2001. Chassenet/SPL (self poisoning). Keith Hawton is professor of psychiatry and director of the Centre for Suicide Research at the University of Oxford, and consultant psychiatrist at Oxfordshire Mental Healthcare Trust, Warneford Hospital, Oxford. Anthony James is consultant in adolescent psychiatry at the Highfield Adolescent Unit, Oxfordshire Mental Healthcare Trust, Warneford Hospital, Oxford.
As well as eliciting symptoms and risk factors for depression, it is essential to assess potential suicide risk in depressed young people. They must be asked about past and present suicidal ideation and self harming behaviour, past attempts, and whether they plan to harm themselves. Asking about suicide reduces rather than increases the risk of suicide. Treatment usually involves psychotherapy, drug treatment, and a mixture of measures directed at improving the home and school environment. Useful instruments for screening for mental health problems in adolescents Name of tool (inventor) Beck depression inventory (Beck) SCL-90-R (Derogatis) Brief symptom inventory (Derogatis) Children’s depression inventory (Kovacs) Strengths and difficulties questionnaire (Goodman) Child behaviour checklist; youth self report (Achenbach) Giessen test Scope of screening Depressive state No of items (time needed, minutes) 21 (5) Mental health problems Mental health problems 90 (12-15) 53 (8-10) Depression 27 (5-10) General psychopathology and associated impairment General psychopathology 25 or 30 (5-10) 120 (25) Psychopathology 30 (5-10) The brief symptom inventory is a shortened version of the SCL-90-R.
London: Gaskell, 1995. uk (YoungMinds is a national charity working to improve the mental health of all children and young people). com (for information on teaching about mental health issues in young people). For parents and others bereaved by suicide x Hill K, Hawton K, Malmberg A, Simkin S. Bereavement information pack: for those bereaved by suicide or other sudden death. London: Gaskell, 1997. htm x Wertheimer A. A special scar: the experiences of people bereaved by suicide. 2nd ed. London: Brunner-Routledge, 2001.
ABC of Adolescence by Russell Viner