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Acute paediatrics
Psychological management of two cases of self injury on the paediatric intensive care unit
  1. G A Colville1,
  2. Q Mok2
  1. 1Department of Psychology, St George’s Hospital Medical School, London, UK
  2. 2Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children, London, UK
  1. Correspondence to:
    Dr G A Colville, Department of Psychology, St George’s Hospital Medical School, London SW17 0RE, UK; email
    g.colville{at}sghms.ac.uk

Abstract

Self injury has not been previously reported in an intensive care setting. Two cases are presented of ventilator dependent children with high spinal cord lesions who exhibited an unusual form of self mutilation, namely lip biting. The key to extinguishing this behaviour was to address the children’s psychological needs.

  • self injury
  • psychology
  • intensive care
  • ventilator

https://doi.org/10.1136/adc.88.4.335

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