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Re: Suicide



The following is a little extract from the UK Select Committee on Health-
House of Commons 2nd Report year 1998 into Children Looked After By Local
Authorities. http://www.parliament.the-stationery-office.co.uk/pa/cm199798/cmselect/cmhealth/319/31902.htm  It shows that outcomes for kids who have been through care are quite horrible.
 
Suicides for this group have not been studied in any great depth (very little on anything about this group has been studied) but it would appear to my reading that it is not abuse or neglect that leads to overrepressentaion in such heads as suicide but rather the intervention itself that has the most bearing.
 
 
In NSW Australia our Children's Commissioner through the Child Deaths Review Unit refuses to look at the death rates of children in care, and in fact has removed the 'previously known to DOCS' (CPS) catagory. Not surprising realy since that category blossomed out to a staggering 60-80% in the three annual reports from a small 8% in the first report!   Hence we know absolutly nothing about kids in care which is just how it should be in any organisation dedicated and legislatively mandated to protecting children.

 
 
OUTCOMES

    46. Any improvements in the quality of service do not seem to be
reflected in outcomes. The Who Cares? Trust
    supplied us with a useful summary of research findings over the
past two decades which illustrate the extent to
    which care leavers underperform and are disadvantaged (with dates
of publication of research in brackets):

    Education: between 50% and 75% of care leavers complete their
schooling with no formal qualifications
    compared with only 6% of the general population (1992, 1995)

    Further education: between 12% and 19% of care leavers go on to
further education compared with 68% of the
    general population (1994, 1995)

    Employment: between 50% and 80% of care leavers are unemployed
(1986)

    Offending: 23% of adult pr! ! isoners and 38% of young prisoners have
been in care (1991)

    Parenthood: at least one in seven young women leaving care are
pregnant or already mothers (1986)         [ 1:3 to 1:4 in NSW ]

    Homelessness: 30% of young, single homeless people have been in
care (1981)         [50% in Australia]

    Poverty: one in ten 16-17 year old claimants of DSS severe
hardship payments have been in care (1993).[46]

    47. Other recent research suggests that up to 50% of children
looked after may be in need of some form of health
    intervention, that up to 30% may have special educational needs,
and that 67% may experience psychiatric disorders compared with 15% in the general population.[47]

```````````



From: rbarth@email.unc.edu (Rick Barth)
Reply-To: CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
To: Child Maltreatment Researchers
CC: jek7@po.cwru.edu@ ("Jill E. Korbin, Ph.D.")
Subject: Re: Suicide
Date: Wed, 21 Mar 2001 12:23:02 -0500 (Eastern Standard Time)
Dear Jill: I would be very surprised if there is such a refined finding--although
this work certainly could be done. In the Sabotta and Davis study in WA they did
show that subsequen child mortality rates for abused and neglected children (at
least those reported as such) are substantially higher than for the general
public--they did not control for income and did not break these down by reason for
death.
One of the problems in looking for a link between abuse and other outcomes is
that we often don't know whether or not our services mitigate those
risks/relationships.
Foster care appears to do so for some groups. In a study that I did with Deborah
Blackwell--published in Children and Youth Services Review in 1998-- we looked at
during and after foster care and compared them to the general population. We
created a category called "violent ends" which included homicides, suicides and
injuries undetermined. We found some evidence that children formerly in foster
care had a higher likelihood of experiencing a violent end than chidlren currently
in foster care (24.2 vs. 16.6 per 100,000 children with confidence intervals
barely overlapping) and strong evidence that these rates were higher than in the
general population. As for your original question, we did not have enough
suicides to study that independently.
Linking child abuse and foster care and mortality data should be high on our
research agenda--we should have an answer for your question. This is achieveable
and important.
Rick
Richard P. Barth, Ph.D.
Frank A Daniels Professor and
Chair of the Doctoral Program
School of Social Work
301 Pittsboro Rd
University of North Carolina
Chapel Hill, NC 27599-3550
(v) 919 962 6516
(f) 962 1486
-- Begin original message --
From: "Jill E. Korbin, Ph.D."
Date: Wed, 21 Mar 2001 11:01:51 -0500
Subject: Suicide
To: Child Maltreatment Researchers
Reply-To: CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
For an Institute of Medicine Study, does anyone have published, preferably
peer-reviewed studies on the relationship between child maltreatment and
later suicide? Thanks very much.
Jill E. Korbin, Ph.D., Professor
Department of Anthropology
Director, Childhood Studies Program
Co-Director, Schubert Center for Child Development
Case Western Reserve University
Cleveland, Ohio 44106-7125
(216)368-2278 FAX (216)368-5334
-- End original message --


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From ???@??? Thu Jun 28 10:40:33 2001 Status: U Return-Path: Received: from elist01.mail.cornell.edu (elist01.mail.cornell.edu [132.236.56.28]) by postoffice.mail.cornell.edu (8.9.3/8.9.3) with ESMTP id KAA16969; Thu, 28 Jun 2001 10:39:22 -0400 (EDT) Received: (from daemon@localhost) by elist01.mail.cornell.edu (8.9.3/8.9.3) id KAA04554; Thu, 28 Jun 2001 10:39:21 -0400 (EDT) Received: from elist01.mail.cornell.edu (localhost [127.0.0.1]) by elist01.mail.cornell.edu (8.9.3/8.9.3) with SMTP id KAA04526; Thu, 28 Jun 2001 10:38:53 -0400 (EDT) Received: from router2.mail.cornell.edu (router2.mail.cornell.edu [132.236.56.16]) by elist01.mail.cornell.edu (8.9.3/8.9.3) with ESMTP id DAA16419 for ; Thu, 28 Jun 2001 03:28:51 -0400 (EDT) Received: (from daemon@localhost) by router2.mail.cornell.edu (8.9.3/8.9.3) id DAA27585 for CHILD-MALTREATMENT-RESEARCH-L@elist01.mail.cornell.edu; Thu, 28 Jun 2001 03:28:50 -0400 (EDT) Received: from hotmail.com (f226.law10.hotmail.com [64.4.15.226]) by router2.mail.cornell.edu (8.9.3/8.9.3) with ESMTP id DAA27559 for ; Thu, 28 Jun 2001 03:28:48 -0400 (EDT) Received: from mail pickup service by hotmail.com with Microsoft SMTPSVC; Thu, 28 Jun 2001 00:28:48 -0700 Received: from 61.8.18.249 by lw10fd.law10.hotmail.msn.com with HTTP; Thu, 28 Jun 2001 07:28:48 GMT X-Originating-IP: [61.8.18.249] X-PH: V4.1@router2.mail.cornell.edu (Cornell Modified) X-PH: V4.1@elist01.mail.cornell.edu (Cornell Modified) From: "john murray" To: Child Maltreatment Researchers Subject: "acting out" as denial of service Date: Thu, 28 Jun 2001 07:28:48 Mime-Version: 1.0 Content-Type: text/plain; format=flowed Message-ID: X-OriginalArrivalTime: 28 Jun 2001 07:28:48.0609 (UTC) FILETIME=[F8D8E510:01C0FFA3] Message-Tag: 2781 Reply-To: CHILD-MALTREATMENT-RESEARCH-L@cornell.edu Sender: owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu X-Listprocessor-Version: 8.2.09.cu01/000107/15:22 -- ListProc(tm) by CREN I agree totally... For many 'acting out' is yet another tool used to classify children as unresponsive in the 'clinical' (or other) environment and then deny services to the child. It seems to me it is used readily to thrust blame on children, rather than blaming (or readjusting) the program or environment that the child is 'acting out' in. Does the term 'resiliency' often get used with these children i.e. we must work on their resilience to the negative- abusing- inappropriate environment, rather than do all that hard work like change the environment? Anyone noticed an acting out/ resilience nexus yet? cheers John From: lisa fontes Reply-To: CHILD-MALTREATMENT-RESEARCH-L@cornell.edu To: Child Maltreatment Researchers CC: "Child Maltreatment Researchers @" Subject: Re: the term "acting out" Date: Wed, 27 Jun 2001 13:59:51 -0400 MIME-Version: 1.0 Received: from [132.236.56.28] by hotmail.com (3.2) with ESMTP id MHotMailBD0388B20075400438CB84EC381C9BF70; Wed, 27 Jun 2001 13:10:28 -0700 Received: from elist01.mail.cornell.edu (localhost [127.0.0.1])by elist01.mail.cornell.edu (8.9.3/8.9.3) with SMTP id PAA14734;Wed, 27 Jun 2001 15:29:23 -0400 (EDT) Received: from router2.mail.cornell.edu (router2.mail.cornell.edu [132.236.56.16])by elist01.mail.cornell.edu (8.9.3/8.9.3) with ESMTP id OAA10331for ; Wed, 27 Jun 2001 14:01:41 -0400 (EDT) Received: (from daemon@localhost)by router2.mail.cornell.edu (8.9.3/8.9.3) id OAA00394for CHILD-MALTREATMENT-RESEARCH-L@elist01.mail.cornell.edu; Wed, 27 Jun 2001 14:01:29 -0400 (EDT) Received: from mail1.javanet.com (mail1.javanet.com [205.219.162.10])by router2.mail.cornell.edu (8.9.3/8.9.3) with ESMTP id OAA00210for ; Wed, 27 Jun 2001 14:01:17 -0400 (EDT) Received: from javanet.com (209-94-153-244.s244.tnt2.spng.ma.dialup.rcn.com [209.94.153.244])by mail1.javanet.com (8.9.3/8.9.2) with ESMTP id OAA10461;Wed, 27 Jun 2001 14:02:01 -0400 (EDT) >From owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu Wed, 27 Jun 2001 13:10:42 -0700 Message-ID: <3B3A1F16.16AC728B@javanet.com> X-PH: V4.1@router2.mail.cornell.edu (Cornell Modified) X-Mailer: Mozilla 4.61 [en] (Win95; I) X-Accept-Language: en References: <000801c0ff21$2253e120$fd7ba8c0@siteone> Message-Tag: 2771 Sender: owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu X-Listprocessor-Version: 8.2.09.cu01/000107/15:22 -- ListProc(tm) by CREN I think of "acting out" as describing a class of symptoms. By using that term we dismiss the seriousness of the symptoms and divorce them from their cause, as well as recognize the (real) problems in terms of behavioral management. Lisa Fontes, Ph.D. hdervish wrote: > I always took "acting out"to describe behaviour that is believed to > be either a child's dramatisation of experiences he has been subject > to or has witnessed.Also I have seen the term used to refer to the > behaviour that is believed to be an expression of difficult and/or > painful internal conflicts or emotionsHasan > > -----Original Message----- > From: owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu > [mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu]On > Behalf Of JWRIGHTTTT@aol.com > Sent: 27 June 2001 04:12 > To: Child Maltreatment Researchers > Subject: > > I have a brief question about the term "acting out." Some > would use this in > the sense of a child demonstrating age inapropriate sexual > behavior as a > initial clue to the consideration that this child may have > been sexually > abused. I have also seen the term used to describe violent > or unmanagable > behavior by children or young people in response to stress > or maltreatment. > Could you define the term as used in this context? Or could > you refer me to > an accepted definition of the term "acting out." Thank you. > > John Wright, MD FAAP > _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.