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March 04-05, 2019 | London, UK
European Nursing Congress
Journal of Intensive and Critical Care Nursing | Volume 2
Child Abuse & Who Kill Children: The missing psychiatric preventative interface
Colin Pritchard
University of Southampton, UK
The study compares Mental-Disorder-Related (MDR)
suicide rates with Child-Sex-Abuse-Related (CSAR) suicide
of ‘Victims’ and ‘Perpetrators’ of child sex abuse, based upon
an examination of all Coroners’ inquest files over a six-year
period (n = 1,017). Census data, psychiatric case register
and police records were used to calculate the potential
MDR and CSAR populations. There were five main findings:
(i) male and female CSAR victim suicide rates were 2.2.
and 2.5 times the General Population Suicide Rate (GPSR),
respectively; (ii) every female, and 80 per cent of male CSAR
victim suicides, also had a mental disorder but none of the
CSAR perpetrator suicides; (iii) male and female MDR suicide
rates were 5 and 6 times the CSAR Victim rates; (iv) the sex
abuser perpetrators’ suicide rate was more than 3 times the
male MDR rate; (v) the intra- and extra-familial perpetrator
suicide rates, were 25 and 78 times the GPSR, respectively.
Possible explanations for these surprising results are briefly
discussed. They confirm the over-representation of people
with mental disorder amongst suicides, and identify an over-
representation of CSAR suicides, particularly perpetrators.
The results have implications for suicide prevention
programmes, whilst highlighting the importance of the child
protection–psychiatric interface and indicates the futility
of simple explanations in an area of practical and moral
complexity.
Speaker Biography
After 15 years in practice, ending as Principal Psychiatric Social Worker, Prof Pritchard
became a Lecturer 1970, Dept Psychiatry, University Leeds. He gained a Senior
Lectureship at the University of Bath 1976-80 before moving to the Foundation Chair
in Social Work Studies at University of Southampton 1980-1998. From 1998-2001
he was Research Professor in Psychiatric Social Work, Dept of Psychiatry, University
of Southampton since which he has been Emeritus Professor, School of Medicine,
University of Southampton and Visiting Professor at Dept Psychiatry, 2001 to present.
From 2003, Prof Pritchard has been Research Professor in Psychiatric Social Work,
Bournemouth University. He has enjoyed a distinguished career in academia. Including:
Prime Minister’s Strategy Group (Education) 2006 to 2008. Member of Post-Graduate
Centre for Medical Education and Research 2007 to present. Appointed Royal College
of Surgeons (England) Specialist Recertification Board April 2008. (Outcome and Peer
Review sub-committee).
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