Completed Suicide in Childhood

Dervic, Kanita; Brent, David A.; Oquendo, María A.

doi:10.1016/j.psc.2008.01.006

Cited by 129 publications

(113 citation statements)

References 80 publications

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“…This construct was measured by a ten-item scale, with seven items derived from the Disapproval of Deviancy Scale from the School Health Study [5] and three items [''hurting someone badly''; ''being a look-out for a drug dealer''; and ''carrying a gun''] added by the SAHA Research Team [21]. Respondents were asked to rate on a four-point Likert-type scale [ranging from ''Not wrong'' to ''Very wrong''] how wrong it is to be involved in various antisocial activities [stealing, lying, damaging property, hurting someone badly in a fight, starting a fist-fight etc.…”

Section: J Prosocial Beliefsmentioning

confidence: 99%

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Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

Suk

Mill

Vermeiren

et al. 2009

Eur Child Adolesc Psychiatry

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Background: The aim of this study was to investigate suicidal ideations and associated psychopathology in two groups of adolescents, a sample of detained youth and a general population sample. In both groups the comparisons of mental health characteristics between suicidal ideators and non-suicidal youth were conducted separately for girls and boys. Methods: The study sample consisted of 290 delinquent adolescents [228 boys and 62 girls] from three Flemish juvenile detention centers and 1,548 adolescents [811 boys and 737 girls] from an age-matched school-based sample. Both groups were administered the Social and Health Assessment [SAHA], a self-report survey investigating levels of psychopathology [internalizing and externalizing] and risk-taking behavior. Results: Suicidal ideations during the past year were reported by 21.5% of detained males, compared to 6.7% in the general population. In females, 58.1% of detained individuals reported suicidal thoughts during the past year, compared to 14.4% of the general population. In girls and boys from the general population, both internalizing and externalizing problems were higher in suicidal ideators than in non-suicidal youth, while in the detention group mainly internalizing problems were higher in suicidal ideators. When comparing detention suicidal ideators with those from the general population, male suicidal ideators scored higher on delinquency, while detained female suicidal ideators also scored higher on posttraumatic stress, but lower on prosocial beliefs. Limitations: Information used in this study was solely based on self-report measures only and limited to Flemish adolescents. Conclusion: Since suicidal ideation is a frequent problem in detained youth, adequate recognition and treatment seems clinically relevant. While both internalizing and externalizing psychopathology may be an indicator of suicidal ideation in the general population, internalizing problems may be the main clinical predictor in detained youth

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Section: J Prosocial Beliefsmentioning

confidence: 99%

“…Although suicidal ideation rates in boys are lower in comparison with girls, completed suicide rates are higher in boys; the boygirl ratio for completed suicide is 2:1 [5]. Delinquent adolescents represent a particularly high-risk group with respect to suicide [8,19].…”

Section: Introductionmentioning

confidence: 99%

Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

Suk

Mill

Vermeiren

et al. 2009

Eur Child Adolesc Psychiatry

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“…and one-third later than 4 hr after exposure. The time criterion for gastric lavages was fulfilled in less than half of the cases, and in every fourth case, the procedure was performed when it was unlikely to be beneficial.The problem of suicides in children and adolescents as one of the leading causes of death is widely discussed [1][2][3][4][5]. Suicide is the fifth among the leading factors of death for children between 9 and 13 years of age and the third for adolescents between 14 and 18 years of age in the USA [6].…”

mentioning

confidence: 99%

Non‐Fatal Suicidal Self‐Poisonings in Children and Adolescents over a 5‐Year Period (2007–2011)

Zakharov

Navrátil

Pelclová

2013

Basic Clin Pharma Tox

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The objective of this study was to analyse non-fatal suicidal self-poisonings in children and adolescents and to identify commonalities that might direct preventive health efforts. From the database of the Czech Toxicological Information Center, the inquiries due to non-fatal suicidal self-poisonings in children (9-13 years old) and adolescents (14-18 years old) in 2007-2011 were evaluated. From 10,492 calls about suicide attempts, 2393 concerned children and adolescents (13.5% and 86.5%, respectively). Most suicide attempts were committed during the spring (31.3%). Among toxic agents, drugs were used in 97.8% of the cases. 63% of cases involved monopoisonings and combinations of more than three drugs (10.3%) were rare. The most frequent ingestions appeared using drugs affecting the nervous system and anti-inflammatory non-steroids. The dose was evaluated as toxic in 73.4% of the cases and as severely toxic in 3.0% of the cases. The symptoms of moderate and severe intoxications were present in 10.5% of the cases. First aid was provided in 5.6%, and gastric lavage was performed in 21.9% of the cases. Antidotes were indicated in 13.3% and secondary elimination methods in 4.4% of the cases. Mostly, one or two easily accessible drugs were used in suicide attempts, with paracetamol and ibuprofen were the most common ones. Only one in 10 children applied a non-toxic dose. One-fifth of the patients received medical care within 60 min. and one-third later than 4 hr after exposure. The time criterion for gastric lavages was fulfilled in less than half of the cases, and in every fourth case, the procedure was performed when it was unlikely to be beneficial.The problem of suicides in children and adolescents as one of the leading causes of death is widely discussed [1][2][3][4][5]. Suicide is the fifth among the leading factors of death for children between 9 and 13 years of age and the third for adolescents between 14 and 18 years of age in the USA [6]. In Europe, suicide is the second leading cause of death in male and female adolescents [7,8].For young people, non-fatal suicidal behaviour is more prevalent than completed suicides, so the ratio of completed suicides to non-fatal suicide attempts may reach 1:10-20 [9,10]. However, those who survive suicidal attempts may often harm themselves seriously and suffer from the health consequences requiring long-term medical assistance [11]. Poisoning is the most common method of non-fatal suicide attempt all around the world [12][13][14][15]. A certain deficit of information on nonfatal suicidal behaviour exists; the main reason lies in the difficulty of collecting reliable information [14,16]. Hence, the scale of attempted suicide is not clearly known; the large part of cases remains unnoticed. Therefore, their circumstances important for morbidity and mortality prevention have not been sufficiently investigated [17][18][19].Poison control centres collect data on calls concerning suicide attempts lacking in national mortality registries by keeping the records of cons...

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“…Suicidality, from suicidal ideation to a single attempt and to multiple attempts, is thought to be a severity marker of psychopathology (17,18). Suicidal ideation is a strong predictor of suicide attempt (19), and suicidal ideation and attempts are the most important predictors for future suicide (20,21). The risk factors of suicide attempts in adolescents are psychopathology, prior suicide attempt, cognitive functions, sexual orientation, biological factors, familial factors, stress, socio-economic level, and school problems (22)(23)(24)(25)(26)(27); cultural factors also play a role (28)(29)(30).…”

Section: Discussionmentioning

confidence: 99%

Possible predictors of hospitalization for adolescents with conduct disorder seen in psychiatric emergency service

Mutlu¹,

Özdemir²,

Yorbık³

et al. 2015

Dusunen Adam

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Possible predictors of hospitalization for adolescents with conduct disorder seen in psychiatric emergency service Objective: The aim was to investigate predictors of hospitalization of adolescents with conduct disorder (CD) seen in emergency service of a mental health hospital.Method: Patients were evaluated retrospectively by age, gender, school status, family structure, presenting symptoms and their duration, comorbid psychiatric diagnoses, prior emergency service or outpatient clinic use, prior psychiatric hospitalization and family history of any mental disorder, according to first presentation during a 6-month period.Results: Mean age was 15.69±1.26 (12-17) years. Of the total of 144 patients, 61.8% (n=89) were female and 50 (34.7%) were hospitalized. Adolescents admitted to the inpatient unit presented significantly more often with suicidal ideation, had longer symptom duration, and were more likely to have a comorbid psychiatric disorder and a family history of a psychiatric disorder compared to those not admitted. In multivariate logistic regression analysis, suicidal ideation, having a comorbid psychiatric disorder, and having family history of a mental disorder predicted admission to the psychiatric inpatient unit. Conclusion:Clinicians in emergency settings should be aware of the prediction of hospitalization in adolescents with CD who have suicidal ideation, a comorbid psychiatric disorder and family history of a mental disorder. Suicide attempt seems to have an indirect effect, rather than a direct effect, on the prediction of hospitalization in youths with CD.

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Completed Suicide in Childhood

Cited by 129 publications

References 80 publications

Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

Non‐Fatal Suicidal Self‐Poisonings in Children and Adolescents over a 5‐Year Period (2007–2011)

Possible predictors of hospitalization for adolescents with conduct disorder seen in psychiatric emergency service

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