scholarly journals Transcultural differences in suicide attempts among children and adolescents with and without migration background, a multicentre study: in Vienna, Berlin, Istanbul

2021 ◽  
Author(s):  
Zeliha Özlü-Erkilic ◽  
Robert Diehm ◽  
Thomas Wenzel ◽  
R. Hülya Bingöl Ҫağlayan ◽  
Hatice Güneş ◽  
...  
Keyword(s):  
Young People ◽  
Suicide Attempt ◽  
Multicentre Study ◽  
Children And Adolescents ◽  
Suicide Attempts ◽  
Child And Adolescent Psychiatry ◽  
Migration Background ◽  
University Medicine ◽  
Medical University ◽  
The Impact

AbstractWhile suicide can occur throughout the lifespan, worldwide suicide is the second leading cause of death among young people aged between 15 and 29 years. The aim of this multicentre study, conducted in Austria, Germany and Turkey, is to investigate the transcultural differences of suicide attempts among children and adolescents with and without migration background. The present study is a retrospective analyses of the records of 247 young people, who were admitted after a suicide attempt to Emergency Outpatient Clinics of Departments of Child and Adolescent Psychiatry of the collaborating Universities including Medical University of Vienna, Charité University Medicine Berlin and Cerrahpaşa School of Medicine and Bakirkoy Training and Research Hospital for Mental Health in Istanbul over a 3-year period. The results of the present study show significant transcultural differences between minors with and without migration background in regard to triggering reasons, method of suicide attempts and psychiatric diagnosis. The trigger event “intra-familial conflicts” and the use of “low-risk methods” for their suicide attempt were more frequent among patients with migration background. Moreover among native parents living in Vienna and Berlin divorce of parents were more frequent compared to parents living in Istanbul and migrants in Vienna. These results can be partly explained by cultural differences between migrants and host society. Also disadvantages in socio-economic situations of migrants and their poorer access to the healthcare system can mostly lead to acute and delayed treatments. Larger longitudinal studies are needed to understand better the impact of migration on the suicidal behaviour of young people.

scholarly journals Transcultural Differences in Risk Factors and in Triggering Reasons of Suicidal and Self-Harming Behaviour in Young People with and without a Migration Background

2020 ◽  
Vol 17 (18) ◽  
pp. 6498
Author(s):  
Zeliha Özlü-Erkilic ◽  
Thomas Wenzel ◽  
Oswald D. Kothgassner ◽  
Türkan Akkaya-Kalayci
Keyword(s):  
Risk Factors ◽  
Young People ◽  
Children And Adolescents ◽  
Suicidal Behaviour ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Stress Disorder ◽  
Acute Stress ◽  
Migration Background ◽  
Migrant Children

Minors with and without migration background can have different risk factors and triggering reasons for self-harming and suicidal behaviour. We retrospectively analysed the data of 192 children and adolescents to investigate the transcultural differences in self-harming, as well as suicidal behaviour in Austrian, Turkish, and Bosnian/Croatian/Serbian (BCS)-speaking patients, who were treated in an emergency out-patient clinic in Vienna. Our results showed transcultural differences in both behaviours. In all groups, females had higher rates of suicide attempts and self-harming behaviour than males. While Turkish-speaking patients received treatment more often, after attempted suicide, Austrians and BCS-speaking patients needed treatment more often for acute stress disorder. Suicide attempts and self-harming behaviours were triggered most frequently by intrafamilial problems, but more frequently in migrant patients. Turkish-speaking patients were at a more than 2 times (OR = 2.21, 95%CI: 1.408–3.477) higher risk for suicide attempts, and were triggered almost 3 times (OR = 2.94, 95%CI: 1.632–5.304) more often by interfamilial conflicts. The suicide attempts of BCS-speaking minors were more often caused by relationship and separation crises (OR = 2.56, 95%CI: 1.148–5.705). These transcultural differences in suicidal and self-harming behaviour of minors, demand an increase of transcultural competence to provide optimal treatment of migrant children.

scholarly journals Sleep disorders in children and adolescents†

2015 ◽  
Vol 21 (2) ◽  
pp. 124-131 ◽  
Author(s):  
Gregory Stores
Keyword(s):  
Children And Adolescents ◽  
Sleep Disorders ◽  
Psychiatric Illness ◽  
Risk Groups ◽  
Sleep Medicine ◽  
Child And Adolescent Psychiatry ◽  
Accurate Diagnosis ◽  
Contributory Factor ◽  
The Impact ◽  
The Relationship

SummaryDisordered sleep has long been recognised as both a consequence of psychiatric illness and a contributory factor to its development. Significant sleep disturbance occurs in about 25% of children and adolescents and 80% or more of children in high-risk groups; it often continues into adulthood. All psychiatrists should therefore be familiar with the principles of sleep medicine and the impact of sleep and its disorders. In this article, the relationship between sleep disorders and the breadth of child and adolescent psychiatry in particular is explored. The classification, aetiology and implications of sleep disorders are discussed, as well as the practicalities of screening, diagnosis and management, with a view to informing readers how accurate diagnosis, prevention and successful treatment of sleep disorders can benefit patients and their families.

The impact of migration and culture on suicide attempts of children and adolescents living in Istanbul

2014 ◽  
Vol 19 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Türkan Akkaya-Kalayci ◽  
Christian Popow ◽  
Dietmar Winkler ◽  
R. Hülya Bingöl ◽  
Türkay Demir ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Suicide Attempts ◽  
The Impact

scholarly journals Comparison of Suicide Attempts and Suicide Deaths by Jumping from a High Place in Korean Children and Adolescents

2021 ◽  
Vol 18 (18) ◽  
pp. 9513
Author(s):  
Jungeun Song ◽  
Sung-Hee Hong ◽  
Joonbeom Kim ◽  
Seyeun Chang ◽  
Ki-Hwan Yook ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Children And Adolescents ◽  
Suicide Attempts ◽  
School Adjustment ◽  
Ministry Of Education ◽  
School Life ◽  
Korean Children ◽  
Suicide Note ◽  
Difficulty Score ◽  
High Place

Jumping from a high place is the most common method of suicide among Korean children and adolescents. The aim of this study was to examine the personal, family, and school life of Korean children and adolescents who chose jumping from a high place, among suicide attempts and suicide deaths, based on teachers’ reports. Data on suicide attempts and suicide deaths by jumping from a high place in children and adolescents were collected through the Ministry of Education in South Korea from 2016 to 2018. We compared sociodemographic variables, suicide-related variables, emotional and behavioral status, school life related variables, and variables related to family problems among suicide deaths (n = 262), actual suicide attempts (n = 50), and interrupted or aborted suicide attempts (n = 210). There were differences in educational stage (p < 0.001), place of suicide (p < 0.001), presence of suicide note (p < 0.05) and previous suicide attempt (p < 0.001) among the three groups. The total difficulty score on the Strength Difficulty Questionnaire of interrupted or aborted suicide attempts was higher than that of the other two groups. Our study suggests that the suicide death group tend to present fewer personal and family pathologies and better school adjustment than the suicide attempt group.

scholarly journals Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations

2021 ◽  
Vol 9 ◽  
Author(s):  
Sol I. Kim ◽  
Doug Hyun Han ◽  
Jin Ho Hwang ◽  
Je Hyeok Oh ◽  
Myung Hee Shin ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Young People ◽  
Suicide Attempt ◽  
Drug Overdose ◽  
Suicide Attempts ◽  
University Hospital ◽  
Adult Group ◽  
Consultation System ◽  
The Cost ◽  
People Group

The purpose of this study was to compare the characteristics of suicide attempts by drug overdose between young people and adults, and evaluate the cost-effectiveness of a multi-disciplinary emergency consultation system (MECS) for suicide attempters with drug overdose. It was verified by comparing and analyzing data from June 1, 2017 to May 31, 2018 (before the MECS was implemented; pre-MECS), and from June 1, 2018 to May 31, 2019 (after the MECS was implemented; post-MECS). The data were retrospectively reviewed for a total of 251 such patients with suicide attempts by drug overdose who visited the emergency room of a university hospital in Seoul during the period. The young people group were shown to be more likely to use painkillers and less likely to use psychoactive drugs for a suicide attempt (p &lt; 0.01), had more unplanned attempts than planned ones (p &lt; 0.01), and had lower levels of intentionality for suicide (p = 0.04) and of suicide lethality (p = 0.02), compared to the adult group. We defined suicide attempts as being “serious” when there was both high intentionality and lethality. On this basis, the young people group had less serious suicide attempts, compared to the adult group (p = 0.02). Young people in the post-MECS group had lower intensive care unit (ICU) costs (p = 0.01) and lower costs in the 6-months after the suicide attempt (p = 0.02) compared to those in the pre-MECS group. Young people, both with serious (p &lt; 0.01) and non-serious attempts (p &lt; 0.01) in the post-MECS group had lower ICU costs compared to those in the pre-MECS group. Adults with non-serious attempts in the post-MECS group had lower ICU costs (p &lt; 0.01) compared to those in the pre-MECS group. Therefore, it can be concluded that fast and precise cooperation from the multidisciplinary departments for patients who attempted suicide by drug overdose reduced unnecessary ICU treatment and costs, especially in young attempters and those with lower levels of intentionality and lethality.

Moral injury and peri- and post-military suicide attempts among post-9/11 veterans

2022 ◽  
pp. 1-10
Author(s):  
Shira Maguen ◽  
Brandon J. Griffin ◽  
Dawne Vogt ◽  
Claire A. Hoffmire ◽  
John R. Blosnich ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicide Attempt ◽  
Military Service ◽  
Suicide Attempts ◽  
Moral Injury ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nationally Representative ◽  
Military Suicide ◽  
The Impact

Abstract Background Our goal was to examine the association between moral injury, mental health, and suicide attempts during military service and after separation by gender in post-9/11 veterans. Methods A nationally representative sample of 14057 veterans completed a cross-sectional survey. To examine associations of exposure to potentially morally injurious events (PMIEs; witnessing, perpetrating, and betrayal) and suicidal self-directed violence, we estimated two series of multivariable logistic regressions stratified by gender, with peri- and post-military suicide attempt as the dependent variables. Results PMIE exposure accounted for additional risk of suicide attempt during and after military service after controlling for demographic and military characteristics, current mental health status, and pre-military history of suicidal ideation and attempt. Men who endorsed PMIE exposure by perpetration were 50% more likely to attempt suicide during service and twice as likely to attempt suicide after separating from service. Men who endorsed betrayal were nearly twice as likely to attempt suicide during service; however, this association attenuated to non-significance after separation in the fully adjusted models. In contrast, women who endorsed betrayal were over 50% more likely to attempt suicide during service and after separation; PMIE exposure by perpetration did not significantly predict suicide attempts before or after service among women in the fully adjusted models. Conclusions Our findings indicate that suicide assessment and prevention programs should consider the impact of moral injury and attend to gender differences in this risk factor in order to provide the most comprehensive care.

Helping Bereaved Children and Adolescents: Strategies and Implications for Counselors

2010 ◽  
Vol 32 (3) ◽  
pp. 206-217 ◽  
Author(s):  
James Morgan ◽  
Jesse Roberts
Keyword(s):  
Young People ◽  
Children And Adolescents ◽  
Support Group ◽  
Bereavement Support ◽  
Inner Experiences ◽  
Case Examples ◽  
Bereaved Children ◽  
Counselor Competency ◽  
Bereavement Support Group ◽  
The Impact

This article provides an overview of how loss affects young people of different ages and describes methods for helping bereaved children and adolescents. Case examples demonstrate the use of drawings to elucidate the inner experiences of young people who are grieving and to facilitate the counseling process. A format for a bereavement support group is detailed, and guidelines are provided for the use of bibliotherapy. Cultural, ethical, and counselor competency issues are also considered. The importance of counselors' awareness of the impact of their own loss experiences is also discussed.

Youth Suicide Attempts: A Social and Demographic Profile

1998 ◽  
Vol 32 (3) ◽  
pp. 349-357 ◽  
Author(s):  
Annette L. Beautrais ◽  
Peter R. Joyce ◽  
Roger T. Mulder
Keyword(s):  
Young People ◽  
Suicide Attempt ◽  
Suicide Attempts ◽  
Educational Achievement ◽  
Religious Affiliation ◽  
Control Sample ◽  
Elevated Risk ◽  
Demographic Characteristics ◽  
Young Males ◽  
And Gender

Objective: The social and demographic characteristics of a New Zealand sample of young people making medically serious suicide attempts were examined and compared with those of a control sample of similar age. Method: Using a case control design, 129 young people making serious suicide attempts were contrasted with 153 randomly selected community controls on a series of social and demographic characteristics including educational achievement, socioeconomic status, income, occupation, religious affiliation and ethnicity. The age and gender distribution of the sample, and the methods of suicide attempt, were examined. Results: Almost equal numbers of young males (45.7%) and females (54.3%) made medically serious suicide attempts. The clear majority of serious suicide attempts were by overdose or poisoning (78.3%), with tricyclic antidepressants (38.6%) and paracetamol (37.6%) together accounting for three-quarters (76.2%) of all drug overdoses. Young people who were less well educated and who were from lower socio-economic backgrounds had elevated risk of serious suicide attempts. Conclusions: Young people from socially disadvantaged backgrounds have elevated risk of serious suicide attempt.

Effects on Social Support Networks: Exploring the Impact of Type and Severity of Abuse Experienced by Children and Adolescents

2015 ◽  
Vol 40 (3) ◽  
pp. 180-187 ◽  
Author(s):  
Felicity A. Quirk ◽  
Debra J. Rickwood
Keyword(s):  
Social Support ◽  
Social Network ◽  
Young People ◽  
Children And Adolescents ◽  
Child Protection ◽  
Support Networks ◽  
Social Support Networks ◽  
Abuse And Neglect ◽  
High Level ◽  
The Impact

The importance of social networks for young people who have experienced abuse and neglect remains an underdeveloped area of research and practice. The aim of the study was to investigate the relationship between abuse experienced by children and adolescents and subsequent outcomes on their social support networks. The study sample consisted of 85 clients (aged 8–15) of a service specifically for children reported to child protection due to child abuse and neglect. Abuse was measured using the Harm Consequences Assessment (HCA), which recorded the level of abuse experienced in five domains: Abandonment/No Appropriate Carer, Developmental and Medical Harm, Emotional and Psychological Harm, Physical Harm and Injury, and Sexual Harm. This also ranked abuse experienced in terms of severity: concerning, serious or extreme. Social network was measured using the Social Network Map. Analyses revealed a very high level of abuse for most young people across multiple domains. Social support was most evident in the “other family” category, and a relatively high level of perceived support was reported. There were few significant associations between levels of abuse and social support networks. However, one significant effect evident was for those young people who had not experienced developmental abuse who reported a significantly better network quality in work/school area of life than those who had experienced concerning or serious developmental abuse. This study contributes to an important body of emerging evidence on social support networks for children who have experienced maltreatment.

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