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July 1973, Vol 126, No. 1 >
Article | July 1973

Psychological "Biopsy" in Self-Poisoning of Children and Adolescents FREE

Matilda S. McIntire, MD; Carol R. Angle, MD
[+] Author Affiliations

Submitted for publication Dec 8, 1972; accepted March 23, 1973.

Reprint requests to the University of Nebraska College of Medicine, Omaha, NB 68105 (Dr. Angle).


Am J Dis Child. 1973;126(1):42-46. doi:10.1001/archpedi.1973.02110190038007.
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A "psychological biopsy" to assess suicidal intent was conducted by public health nurses on 50 subjects, ages 6 to 18, treated at a poison control center. The hospital diagnoses were accident in 42% and suicide attempt in 58%. After assessment, the diagnoses were accident in 4%, suicide gesture in 70%, suicide attempt in 2%, intoxication in 22%, and homicide in 2%.

Prior suicide gestures had been made by 26% of the subjects. Extremes or divergence of parental expectations and control were found in 60%. A dominant pattern of hostility and low lethality of intent was associated with low parental control and low expectations as contrasted to a dominant depression in the high control-high expectations group. The authors propose a "rejection cycle" in which the parental response to the suicide gesture and to acting-out behavior favors recidivism.

REFERENCES

1 +
McIntire MS, Angle CR: " Suicide" as seen in poison control centers . Pediatrics 48:914-922, 1971;.
2 +
McIntire MS, Angle CR:  The taxonomy of suicide as seen in poison control centers . Pediat Clin North Am 17:697-706, 1970;.
3 +
McIntire MS, Angle CR:  The concept of death in midwestern children . Am J Dis Child 123:527-532, 1972;.
4 +
Shneidman ES:  Suicide, lethality and the psychological autopsy . Int Psychiatr Clin 6:225-280, 1969;.
5 +
Sendbuehler JM, Bernstein J, Nemeth G:  Attempted suicide and social class: Part 1 . Canad Psychiatr Assoc J 17:185-191, 1972;.
6 +
Dorpat TL, Ripley HS:  The relationship between attempted suicide and committed suicide . Compr Psychiatry 8:74-79, 1967;.
7 +
Weisman AD, Worden JW:  Risk-rescue rating in suicide assessment . Arch Gen Psychiatry 26:553-560, 1972;.
8 +
Yusin A, Sinay R, Nihira K:  Adolescents in crisis: Evaluation of a questionnaire . Am J Psychiatry 129:86-89, 1972;.
9 +
McLaughlin BE:  Recognition and treatment of youthful depression in a rural area . Psychosomatics 11:420-421, 1970;.
10 +
Poznanski E, Zrull JP:  Childhood depression: Clinical characteristics of overtly depressed children . Arch Gen Psychiatry 23:8-15, 1970;.

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References

1 +
McIntire MS, Angle CR: " Suicide" as seen in poison control centers . Pediatrics 48:914-922, 1971;.
2 +
McIntire MS, Angle CR:  The taxonomy of suicide as seen in poison control centers . Pediat Clin North Am 17:697-706, 1970;.
3 +
McIntire MS, Angle CR:  The concept of death in midwestern children . Am J Dis Child 123:527-532, 1972;.
4 +
Shneidman ES:  Suicide, lethality and the psychological autopsy . Int Psychiatr Clin 6:225-280, 1969;.
5 +
Sendbuehler JM, Bernstein J, Nemeth G:  Attempted suicide and social class: Part 1 . Canad Psychiatr Assoc J 17:185-191, 1972;.
6 +
Dorpat TL, Ripley HS:  The relationship between attempted suicide and committed suicide . Compr Psychiatry 8:74-79, 1967;.
7 +
Weisman AD, Worden JW:  Risk-rescue rating in suicide assessment . Arch Gen Psychiatry 26:553-560, 1972;.
8 +
Yusin A, Sinay R, Nihira K:  Adolescents in crisis: Evaluation of a questionnaire . Am J Psychiatry 129:86-89, 1972;.
9 +
McLaughlin BE:  Recognition and treatment of youthful depression in a rural area . Psychosomatics 11:420-421, 1970;.
10 +
Poznanski E, Zrull JP:  Childhood depression: Clinical characteristics of overtly depressed children . Arch Gen Psychiatry 23:8-15, 1970;.

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