Isobel

Isobel’s younger daughter took the first of three overdoses when she was 15, but has not repeated this for nearly a year. Isobel says she is more mature now and able to talk about how she feels.

Isobel’s daughter Lily [not her real name] took her first overdose when she was 15. Isobel and Lily’s father had split up acrimoniously, she and her daughters had just moved house and Lily was having trouble at school, worrying about exams. Lily also had problems in her relationships with friends and her boyfriend. Isobel had taken Lily to their GP, who referred Lily to the CAMHS (Child and Adolescent Mental Health Service), but they had not yet been given an appointment. Lily’s boyfriend warned Isobel that he was worried that Lily might do something. Then Lily took an overdose of some over-the-counter painkillers. Isobel took her to A&E. She felt quite annoyed and angry, but hid this from Lily as she saw the overdose as a cry for help and wanted to be supportive.

The nurses in the children’s part of the hospital were very warm and caring. Lily asked Isobel to talk to the hospital psychiatrist for her as she was tired and sick and didn’t want to talk. Isobel thinks the overdose speeded up their CAMHS treatment, which started within a week.

Some months later Lily took a second overdose which also involved some of her mother’s strong painkillers. This time Isobel called an ambulance, though Lily begged her not to and said she wanted to die. The ambulance staff were very kind, but Isobel thought the nurses in the adult part of the general hospital were brusque and seemed uncaring. Soon after this Lily took a third overdose. Isobel’s father had just died in the same hospital and she didn’t want to go back there as she was feeling very low, so Lily’s aunt, her sister and paternal aunt went with her. She hasn’t taken an overdose for nearly a year. Isobel thinks this is because Lily is much more mature now she is almost 18; she is happy at college, has good friends and is able to talk about how she feels.

Isobel stopped attending the family sessions with the CAMHS team as she didn’t agree with their way of working. Lily’s father now takes her to CAMHS meetings and Isobel is sent the care plan, but has no other contact with the service.

Lily’s sister was upset by the overdoses. She was annoyed as she thought Lily was being selfish, but tried to be supportive and sympathetic. Lily’s father didn’t show any outward emotion, but talked about practical things like Lily going to college. Isobel’s work were supportive, letting her have time off when she needed it. She found books, newspaper articles and websites helpful.

Isobel’s own childhood was difficult after her mother died when she was three. She and her sister took overdoses in their teens; her brother tried to kill himself last year. Lily knew about this and Isobel felt guilty that this might have made taking an overdose more acceptable to her.

Isobel advises hospital staff not to make judgments about young people who take overdoses but to treat them sensitively and take them seriously. She thinks young people should know the facts about the dangers of overdoses the tablets Lily took have damaged her liver. Parents should hide medication away, and salespeople should be concerned when distressed young people try to buy tablets. Isobel says to parents: It’s not a blaming thing. Try really hard to be as supportive as you can, see your child from an outsider’s point of view, looking at your own part in your child’s development and what might have happened that’s beyond your control… And see if there are changes you can make in your family.’

Although the family still worry that Lily might take another overdose, Isobel thinks she knows the warning signs better now, and that as Lily is more able to talk about her problems, they could be proactive in dealing with them.

Isobel was aware of depression on both sides of the family and a possible family suicide but it wasn’t discussed.

Age at interview 46

Gender Female

Isobel was scared when her daughter told her she found self-harm websites helpful

Age at interview 46

Gender Female

Isobel was angry at first but tried to be supportive of her daughter.

Age at interview 46

Gender Female

Isobel wasn’t happy with the CAMHS approach and stopped going to therapy sessions.

Age at interview 46

Gender Female

Isobel thinks her daughter’s problems became too much for her. Taking an overdose was the only way she could think of to escape.

Age at interview 46

Gender Female

Isobel’s daughter had problems in several areas of her life

Age at interview 46

Gender Female