Öz
Purpose: We aimed to determine the factors that we think may pose a risk in order to develop preventive medicine interventions in the prevention of this situation, which is a public health issue problem, and to screen the factors that may constitute a risk.
Materials and Methods: This study involved 90 participants in all, including 46 adolescent patients aged (10-18) years who submitted an application to the Pediatric and Adolescent Mental Health and Diseases Outpatient Clinic at Mersin University Faculty of Medicine Research and Application Hospital between 01/12/2019-01/04/2020 with suicide attempt and 44 adolescents aged 10-18 years without suicide attempt who applied between these dates as a control group.
Results: Among those who took part in the research, 68% (n=61) were women. The mean age was 15.5±1.3 years in the patient group and 14.8±1.7 years in the control group. It was shown that those who attempted suicide had good, few or inadequate peer relationships whereas the control group had good peer relationships and this factor analysis was statistically significant. Major depressive disorder was the most prevalent psychiatric disorder in the suicide attempt group with a rate of 65.2%. The presence of psychiatric comorbidity was statistically significantly distinct among the group of people who attempted suicide compared to the control group.
Conclusion:. In our study, the relationship with self-esteem, quality of life, peer relations and psychiatric illness was found to be significant, but not statistically significant result was found with impulsivity. Investigating the causes of suicide attempts is important to improve suicide prevention and intervention in adolescents in the future.
Anahtar Kelimeler
suicide depression adolescent self-perception quality of life
Etik Beyan
Hem katılımcılar hem de ebeveynleri bilgilendirilmiş onam formunu doldurarak araştırmaya katılmayı kabul etmişlerdir. Mersin Üniversitesi Klinik Araştırmalar Etik Kurulu projeye onay vermiştir. (Karar No. 2019/483).
Destekleyen Kurum
yok
Kaynakça
- Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372-94.
- Nock MK, Green JG, Hwang I, McLaughlin K A, Sampson NA, Zaslavsky AM et al.Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry. 2013;70:300-10.
- Sandoval J, Brock SE. School violence and disasters. In Handbook of Crisis Counseling, Intervention, And Prevention in the Schools. New York, Routledge. 2001.
- MacPherson, H. A., Kim KL, Seymour K E, Wolff J, Esposito-Smythers C et al. Cognitive flexibility and impulsivity deficits in suicidal adolescents. Res Child Adolesc Psychopathol. 2022;50:1643-56.
- Zygo M, Pawłowska B, Potembska E, Dreher P, Kapka-Skrzypczak L. Prevalence and selected risk factors of suicidal ideation, suicidal tendencies and suicide attempts in young people aged 13–19 years. Ann Agric Environ Med. 2019;26:329-36.
- Wunderlich U, Bronisch T, Wittchen HU, Carter R. Gender differences in adolescents and young adults with suicidal behaviour. Acta Psychiatr Scand. 2001;104:332-9.
- Kaess M, Parzer P, Haffner J, Steen R, Roos J, Klett M et al. Explaining gender differences in non-fatal suicidal behaviour among adolescents: a population-based study. BMC Public Health. 2011;11:597.
- Mergl R, Koburger N, Heinrichs K, Székely A, Tóth MD, Coyne et al. What are reasons for the large gender differences in the lethality of suicidal acts? An epidemiological analysis in four European countries. PloS One 2015;10:e0129062.
- Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I et al. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. Int J Public Health. 2019;64:265-83.
- Wichstrøm L. Predictors of adolescent suicide attempts: a nationally representative longitudinal study of Norwegian adolescents. J Am Acad Child Adolesc Psychiatry. 2000;39:603-10.
- Kelly TM, Lynch KG, Donovan JE, Clark DB. Alcohol use disorders and risk factor interactions for adolescent suicidal ideation and attempts. Suicide Life Threat Behav. 2001;31:181-93.
- Moksnes UK, Reidunsdatter RJ. Self-esteem and mental health in adolescents–level and stability during a school year. Norsk Epidemiologi. 2019;28: 59-67
- Wilburn VR, Smith DE. Stress, self-esteem, and suicidal ideation in late adolescents. Adolescence. 2005;40:157
- Auerbach RP, Gardiner CK. Moving beyond the trait conceptualization of self-esteem: The prospective effect of impulsiveness, coping, and risky behavior engagement. Behav Res Ther. 2012;50:596-603.
- Vilugrón Aravena F, Molina T, Gras Pérez ME, Font-Mayolas S. Conducta suicida, consumo de sustancias psicoactivas y calidad de vida en adolescentes chilenos. Rev Méd Chil. 2022;150:1036-45.
- Chamberlain SR, Sahakian BJ. The neuropsychiatry of impulsivity. Curr Opin Psychiatry. 2007;20:255-61.
- Hamilton KR., Mitchell MR, Wing V C, Balodis IM, Bickel W K, Fillmore M et al. Choice impulsivity: Definitions, measurement issues, and clinical implications. Personal Disord. 2015;6:182.
- Hamilton K, Mitchell M, Wing V, IM Balodis, WK Bickel, Fillmore M et al. Choice impulsivity: Definitions, measurement issues, and clinical implications. Personal Disord. 2015;6:182–198.
- Gvion Y, Apter A. Aggression, impulsivity, and suicide behavior: a review of the literature. Arch Suicide Res. 2011;15:93-112.
- Conner KR. A call for research on planned vs. unplanned suicidal behavior. Suicide Life Threat Behav. 2004;34:89-98.
- Weyrauch KF, Roy-Byrne P, Katon W, Wilson L. Stressful life events and impulsiveness in failed suicide. Suicide Life Threat Behav. 2001;31:311-9.
- Üneri ÖŞ, Şenbil N, Turgut S. Migrenli ergenlerde yaşam kalitesi. Anadolu Psikiyatri Derg. 2009;10:137-41.
- Oy B. Validity and reliability study of Depression Scale for Children. Turk Psikiyatri Derg. 1991;2:137-40.
- Güleç H, Tamam L, Turhan M, Karakuş G, Zengin M, Stanford MS. Psychometric properties of the Turkish version of the Barratt Impulsiveness Scale-11. Klin Psikofarmakol Bulteni. 2008;18.
- Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J et al. The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry. 1997;36:545-53.
- Çuhadaroğlu F. Adolesanlarda benlik saygısı (Umzanlık tezi). Ankara, Hacettepe Üniversitesi, 1986.
- Rodríguez BO, Vicent MG, Bartolomé SM, Flores JC. Suicidio en la edad pediátrica: presentación de 30 casos. An Es Pediatrí. 2000;52:31-5.
- Mars B, Heron J, Crane C, Hawton K, Kidger J, Lewis G et al. Differences in risk factors for self-harm with and without suicidal intent: findings from the ALSPAC cohort. J Affect Disord. 2014;168:407-14.
- Chau K, Kabuth B, Chau N. Gender and family disparities in suicide attempt and role of socioeconomic, school, and health‐related difficulties in early adolescence. BioMed Research International. 2014;2014:314521.
- Blum RW, Beuhring T, Shew ML, Bearinger LH, Sieving RE, Resnick MD. The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. American Journal of Public Health. 2000;90:1879.
- Kim HS, Kim HS. Risk factors for suicide attempts among Korean adolescents. Child Psychiatry Hum Dev. 2008;39:221-35.
- Gili M, Castellví P, Vives M, de la Torre-Luque A, Almenara J, Blasco MJ et al. Mental disorders as risk factors for suicidal behavior in young people: A meta-analysis and systematic review of longitudinal studies. J Affect Disord. 2019;245:152-62.
- Goldston DB, Daniel SS, Erkanli A, Reboussin BA, Mayfield A, Frazier PH et al. Psychiatric diagnoses as contemporaneous risk factors for suicide attempts among adolescents and young adults: developmental changes. J Consult Clin Psychol. 2009;77:281-90.
- Sareen J, Cox B J, Afifi TO, De Graaf R, Asmundson et al. Anxiety disorders and risk for suicidal ideation and suicide attempts: a population-based longitudinal study of adults. Arch Gen Psychiatry. 2005;62:1249-57.
- Pereira AL, dos Santos Zuppani T, Gonçalves MN. Crenças de autoeficácia e carreira de estudantes de administração. Atos de Pesquisa em Educação. 2014;9:535-47.
- Pereira AS, Willhelm AR, Koller SH, Almeida RMMd. Risk and protective factors for suicide attempt in emerging adulthood. Ciencia Saude Coletiva. 2018;23:3767-77.
- González JJZ, Cuéllar AI, Miguel JMT, Desfilis ES. El desarrollo de la identidad en la adolescencia y adultez emergente: Una comparación de la identidad global frente a la identidad en dominios específicos. Anales de Psicología/Annals of Psychology. 2009;25:316-29.
- Quarshie EN-B, Onyeaka HK, Oppong Asante K. Suicidal behaviours among adolescents in Liberia. BMC Psychiatry. 2020;20:572.
- Seidu AA, Amu H, Dadzie LK., Amoah A, Ahinkorah BO, Ameyaw EK et al. Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data. PloS one. 2020;15:e0236448.
- Balazs J, Miklosi M, Halasz J, Horváth LO, Szentiványi D, Vida P. Suicidal risk, psychopathology, and quality of life in a clinical population of adolescents. Front Psychiatry. 2018;9:17.
- Goldney RD, Fisher LJ, Wilson DH, Cheok F. Suicidal ideation and health‐related quality of life in the community. Med J Aust. 2001;175:546-9.
- Farabaugh A, Bitran S, Nyer M, Holt DJ, Pedrelli P, Shyu I et al. Depression and suicidal ideation in college students. Psychopathology. 2012;45:228-34.
- Alves VdM, Francisco LCFdL, Belo FMP, de-Melo-Neto VL, Barros VG, Nardi AE. Evaluation of the quality of life and risk of suicide. Clinics (Sao Paulo). 2016;71:135-9.
- Akın E, Berkem M. İntihar girişiminde bulunan ergenlerde öfke ve dürtüsellik. Marmara Medical Journal. 2012;25:148-52.
- Ghanem M, Gamaluddin H, Mansour M, Samiee' AA, Shaker NM, El Rafei H. Role of impulsivity and other personality dimensions in attempted suicide with self-poisoning among children and adolescents. Arch Suicide Res. 2013;17:262-74.
Öz
Öz
Amaç: Bir halk sağlığı sorunu olan bu durumun önlenmesinde koruyucu hekimlik müdahalelerinin geliştirilebilmesi için risk oluşturabileceğini düşündüğümüz faktörlerin belirlenmesi ve risk oluşturabilecek faktörlerin taranması amaçlanmıştır.
Gereç ve Yöntem: Bu çalışmaya 01/12/2019-01/04/2020 tarihleri arasında Mersin Üniversitesi Tıp Fakültesi Araştırma ve Uygulama Hastanesi Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Polikliniğine intihar girişimi ile başvuran (10-18) yaş arası 46 ergen hasta ve kontrol grubu olarak bu tarihler arasında başvuran intihar girişimi olmayan (10-18) yaş arası 44 ergen olmak üzere toplam 90 katılımcı dahil edilmiştir.
Bulgular: Araştırmaya katılanların %68'i (n=61) kadındı. Yaş ortalaması hasta grubunda 15.5±1.3 yıl, kontrol grubunda ise 14.8±1.7 yıl idi. İntihar girişiminde bulunanların akran ilişkilerinin iyi, az veya yetersiz olduğu, kontrol grubunun ise iyi olduğu ve bu faktör analizinin istatistiksel olarak anlamlı olduğu gösterilmiştir. İntihar girişimi grubunda en sık görülen psikiyatrik bozukluk %65,2 ile major depresif bozukluktur. İntihar girişiminde bulunan grupta psikiyatrik komorbidite varlığı kontrol grubuna kıyasla istatistiksel olarak anlamlı derecede farklıydı..
Sonuç: Çalışmamızda benlik saygısı, yaşam kalitesi, akran ilişkileri ve psikiyatrik hastalık ile ilişki anlamlı bulunurken, dürtüsellik ile istatistiksel olarak anlamlı sonuç bulunmamıştır. İntihar girişimlerinin nedenlerinin araştırılması, gelecekte ergenlerde intiharı önleme ve müdahaleyi geliştirmek için önemlidir..
Anahtar Kelimeler
Kaynakça
- Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372-94.
- Nock MK, Green JG, Hwang I, McLaughlin K A, Sampson NA, Zaslavsky AM et al.Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry. 2013;70:300-10.
- Sandoval J, Brock SE. School violence and disasters. In Handbook of Crisis Counseling, Intervention, And Prevention in the Schools. New York, Routledge. 2001.
- MacPherson, H. A., Kim KL, Seymour K E, Wolff J, Esposito-Smythers C et al. Cognitive flexibility and impulsivity deficits in suicidal adolescents. Res Child Adolesc Psychopathol. 2022;50:1643-56.
- Zygo M, Pawłowska B, Potembska E, Dreher P, Kapka-Skrzypczak L. Prevalence and selected risk factors of suicidal ideation, suicidal tendencies and suicide attempts in young people aged 13–19 years. Ann Agric Environ Med. 2019;26:329-36.
- Wunderlich U, Bronisch T, Wittchen HU, Carter R. Gender differences in adolescents and young adults with suicidal behaviour. Acta Psychiatr Scand. 2001;104:332-9.
- Kaess M, Parzer P, Haffner J, Steen R, Roos J, Klett M et al. Explaining gender differences in non-fatal suicidal behaviour among adolescents: a population-based study. BMC Public Health. 2011;11:597.
- Mergl R, Koburger N, Heinrichs K, Székely A, Tóth MD, Coyne et al. What are reasons for the large gender differences in the lethality of suicidal acts? An epidemiological analysis in four European countries. PloS One 2015;10:e0129062.
- Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I et al. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. Int J Public Health. 2019;64:265-83.
- Wichstrøm L. Predictors of adolescent suicide attempts: a nationally representative longitudinal study of Norwegian adolescents. J Am Acad Child Adolesc Psychiatry. 2000;39:603-10.
- Kelly TM, Lynch KG, Donovan JE, Clark DB. Alcohol use disorders and risk factor interactions for adolescent suicidal ideation and attempts. Suicide Life Threat Behav. 2001;31:181-93.
- Moksnes UK, Reidunsdatter RJ. Self-esteem and mental health in adolescents–level and stability during a school year. Norsk Epidemiologi. 2019;28: 59-67
- Wilburn VR, Smith DE. Stress, self-esteem, and suicidal ideation in late adolescents. Adolescence. 2005;40:157
- Auerbach RP, Gardiner CK. Moving beyond the trait conceptualization of self-esteem: The prospective effect of impulsiveness, coping, and risky behavior engagement. Behav Res Ther. 2012;50:596-603.
- Vilugrón Aravena F, Molina T, Gras Pérez ME, Font-Mayolas S. Conducta suicida, consumo de sustancias psicoactivas y calidad de vida en adolescentes chilenos. Rev Méd Chil. 2022;150:1036-45.
- Chamberlain SR, Sahakian BJ. The neuropsychiatry of impulsivity. Curr Opin Psychiatry. 2007;20:255-61.
- Hamilton KR., Mitchell MR, Wing V C, Balodis IM, Bickel W K, Fillmore M et al. Choice impulsivity: Definitions, measurement issues, and clinical implications. Personal Disord. 2015;6:182.
- Hamilton K, Mitchell M, Wing V, IM Balodis, WK Bickel, Fillmore M et al. Choice impulsivity: Definitions, measurement issues, and clinical implications. Personal Disord. 2015;6:182–198.
- Gvion Y, Apter A. Aggression, impulsivity, and suicide behavior: a review of the literature. Arch Suicide Res. 2011;15:93-112.
- Conner KR. A call for research on planned vs. unplanned suicidal behavior. Suicide Life Threat Behav. 2004;34:89-98.
- Weyrauch KF, Roy-Byrne P, Katon W, Wilson L. Stressful life events and impulsiveness in failed suicide. Suicide Life Threat Behav. 2001;31:311-9.
- Üneri ÖŞ, Şenbil N, Turgut S. Migrenli ergenlerde yaşam kalitesi. Anadolu Psikiyatri Derg. 2009;10:137-41.
- Oy B. Validity and reliability study of Depression Scale for Children. Turk Psikiyatri Derg. 1991;2:137-40.
- Güleç H, Tamam L, Turhan M, Karakuş G, Zengin M, Stanford MS. Psychometric properties of the Turkish version of the Barratt Impulsiveness Scale-11. Klin Psikofarmakol Bulteni. 2008;18.
- Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J et al. The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry. 1997;36:545-53.
- Çuhadaroğlu F. Adolesanlarda benlik saygısı (Umzanlık tezi). Ankara, Hacettepe Üniversitesi, 1986.
- Rodríguez BO, Vicent MG, Bartolomé SM, Flores JC. Suicidio en la edad pediátrica: presentación de 30 casos. An Es Pediatrí. 2000;52:31-5.
- Mars B, Heron J, Crane C, Hawton K, Kidger J, Lewis G et al. Differences in risk factors for self-harm with and without suicidal intent: findings from the ALSPAC cohort. J Affect Disord. 2014;168:407-14.
- Chau K, Kabuth B, Chau N. Gender and family disparities in suicide attempt and role of socioeconomic, school, and health‐related difficulties in early adolescence. BioMed Research International. 2014;2014:314521.
- Blum RW, Beuhring T, Shew ML, Bearinger LH, Sieving RE, Resnick MD. The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. American Journal of Public Health. 2000;90:1879.
- Kim HS, Kim HS. Risk factors for suicide attempts among Korean adolescents. Child Psychiatry Hum Dev. 2008;39:221-35.
- Gili M, Castellví P, Vives M, de la Torre-Luque A, Almenara J, Blasco MJ et al. Mental disorders as risk factors for suicidal behavior in young people: A meta-analysis and systematic review of longitudinal studies. J Affect Disord. 2019;245:152-62.
- Goldston DB, Daniel SS, Erkanli A, Reboussin BA, Mayfield A, Frazier PH et al. Psychiatric diagnoses as contemporaneous risk factors for suicide attempts among adolescents and young adults: developmental changes. J Consult Clin Psychol. 2009;77:281-90.
- Sareen J, Cox B J, Afifi TO, De Graaf R, Asmundson et al. Anxiety disorders and risk for suicidal ideation and suicide attempts: a population-based longitudinal study of adults. Arch Gen Psychiatry. 2005;62:1249-57.
- Pereira AL, dos Santos Zuppani T, Gonçalves MN. Crenças de autoeficácia e carreira de estudantes de administração. Atos de Pesquisa em Educação. 2014;9:535-47.
- Pereira AS, Willhelm AR, Koller SH, Almeida RMMd. Risk and protective factors for suicide attempt in emerging adulthood. Ciencia Saude Coletiva. 2018;23:3767-77.
- González JJZ, Cuéllar AI, Miguel JMT, Desfilis ES. El desarrollo de la identidad en la adolescencia y adultez emergente: Una comparación de la identidad global frente a la identidad en dominios específicos. Anales de Psicología/Annals of Psychology. 2009;25:316-29.
- Quarshie EN-B, Onyeaka HK, Oppong Asante K. Suicidal behaviours among adolescents in Liberia. BMC Psychiatry. 2020;20:572.
- Seidu AA, Amu H, Dadzie LK., Amoah A, Ahinkorah BO, Ameyaw EK et al. Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data. PloS one. 2020;15:e0236448.
- Balazs J, Miklosi M, Halasz J, Horváth LO, Szentiványi D, Vida P. Suicidal risk, psychopathology, and quality of life in a clinical population of adolescents. Front Psychiatry. 2018;9:17.
- Goldney RD, Fisher LJ, Wilson DH, Cheok F. Suicidal ideation and health‐related quality of life in the community. Med J Aust. 2001;175:546-9.
- Farabaugh A, Bitran S, Nyer M, Holt DJ, Pedrelli P, Shyu I et al. Depression and suicidal ideation in college students. Psychopathology. 2012;45:228-34.
- Alves VdM, Francisco LCFdL, Belo FMP, de-Melo-Neto VL, Barros VG, Nardi AE. Evaluation of the quality of life and risk of suicide. Clinics (Sao Paulo). 2016;71:135-9.
- Akın E, Berkem M. İntihar girişiminde bulunan ergenlerde öfke ve dürtüsellik. Marmara Medical Journal. 2012;25:148-52.
- Ghanem M, Gamaluddin H, Mansour M, Samiee' AA, Shaker NM, El Rafei H. Role of impulsivity and other personality dimensions in attempted suicide with self-poisoning among children and adolescents. Arch Suicide Res. 2013;17:262-74.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları |
| Bölüm | Araştırma |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2025 |
| Gönderilme Tarihi | 28 Eylül 2024 |
| Kabul Tarihi | 25 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 50 Sayı: 2 |
