Hawton K, O'Grady J, Osborn M, Cole D
Br J Psychiatry. 1982 Feb;140:118-23. doi: 10.1192/bjp.140.2.118.
In a consecutive sample of 50 adolescents aged 13-18 admitted to hospital after taking overdoses, 90 per cent were girls. There were other clear differences between this sample and adolescents in general. Twenty-four per cent had visited their general practitioners in the previous week, and 50 per cent during the previous month. The most common difficulties preceding the overdoses were problems with parents, boys or girlfriends, and with school or work, including unemployment. A substantial proportion of the subjects had recent recurrent physical ill health. In the majority of cases the problems appeared to be transient so that one month later two-thirds of the adolescents had shown considerable general improvement. However, 14 per cent were referred to hospital for further self-poisoning or self-injury in the following year. The recent increase in the incidence of self-poisoning among adolescents suggests that more attention must be paid to this group in terms of both primary and secondary prevention.
在连续抽取的50名13至18岁因过量服药而住院的青少年样本中，90%为女孩。该样本与一般青少年之间还存在其他明显差异。24%的人在前一周看过全科医生，50%的人在前一个月看过。过量服药前最常见的困难是与父母、男孩或女朋友以及学校或工作（包括失业）有关的问题。相当一部分受试者近期反复出现身体不适。在大多数情况下，这些问题似乎是暂时的，以至于一个月后三分之二的青少年总体上有了明显改善。然而，在接下来的一年里，14%的人因再次自我中毒或自我伤害而被送往医院。青少年中近期自我中毒发生率的上升表明，在一级和二级预防方面都必须更加关注这一群体。
