VITAL SIGNS – BMJ Column (2018)

Each working day begins with an email from the paediatric ward, informing me of the number of children admitted overnight in various states of mental distress. Most commonly these are young people who have self-harmed or attempted suicide. These are paediatric emergencies.  Previously, numbers of these acute presentations felt practically and emotionally ‘manageable’: resources couldContinue reading “VITAL SIGNS – BMJ Column (2018)”

“Sometimes the healthiest wheel is the squeaky wheel: Why children and young people come to the attention of health services, and the meanings made of this”

Psychiatrists and psychologists recognise that a child’s behaviour, when unusual, troubling or troublesome, is often a reflection of a disturbance in the system around them. This is an unconscious process. The function of that behaviour can be to draw the attention of professionals to that which is (or should be) concerning: abuse or neglect, parentalContinue reading ““Sometimes the healthiest wheel is the squeaky wheel: Why children and young people come to the attention of health services, and the meanings made of this””