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[自杀未遂后的青少年。社会学特征]

[Adolescents after suicidal attempts. Sociological characteristics].

作者信息

Rosa Krzysztof

机构信息

Klinika Ostrych Zatruć Instytutu Medycyny, Pracy im. prof. Jerzego Nofera w Łodzi.

出版信息

Przegl Lek. 2007;64(1):24-30.

Abstract

Adolescents are thought to be one of the high risk groups for suicidal behaviours. About 400 persons till 20 years old commit suicide every year, and from 10 to 20 times more suicide attempts. The paper discusses differences in sociological profiles of youngsters after suicidal attempts and those who never had suicidal attempts. There were several factors in the scope of interest as: sociodemo-graphic characteristics, family structure, school problems, relationship with peers, history of abusive behaviours of youngsters and their relatives. Some particular elements of suicidal acts (suicidal thoughts, circumstances, events directly preceding the attempts, motives for suicidal attempts) were also described. The study group was comprised of 100 adolescents recruited from consecutive patients presented to the Clinic of Acute Poisonings of the Nofer Institute of Occupational Medicine between January 2001 and June 2002 due to self-poisoning. The reference group (100 youngsters) was randomly selected from the different types of secondary schools situated in the area of Lodz voivodeship. The data were collected with help of standardized surveys. The results obtained point to some differences between the study group. The groups differ in 24 among 31 analysed variables. The average teenager who attempts suicide is a 17 year old girl, living in a big city with a full family (not necessarily biological) who was faced with relational and school problems, and affected by abusive behaviour. Sociological characteristics of individuals attempting suicide together with precise diagnosis of risk factors and risk groups is the important step toward the effective prevention of suicide behaviour. Suicidal behaviour appears to be a significant public health problem, and suicide prevention itself should be the essential component of each mental health promotion program.

摘要

青少年被认为是自杀行为的高危群体之一。每年约有400名20岁以下的人自杀,自杀未遂的人数则是自杀人数的10至20倍。本文讨论了有自杀未遂经历的青少年与从未有过自杀未遂经历的青少年在社会学特征方面的差异。研究涉及的因素包括:社会人口统计学特征、家庭结构、学校问题、与同伴的关系、青少年及其亲属的虐待行为史。文中还描述了自杀行为的一些具体要素(自杀念头、情况、自杀未遂前直接发生的事件、自杀未遂的动机)。研究组由2001年1月至2002年6月期间因自我中毒到诺费职业医学研究所急性中毒诊所就诊的连续患者中招募的100名青少年组成。对照组(100名青少年)是从罗兹省不同类型的中学中随机选取的。数据通过标准化调查收集。所得结果表明研究组之间存在一些差异。在分析的31个变量中,两组有24个变量存在差异。平均而言,试图自杀的青少年是一名17岁的女孩,生活在大城市,家庭完整(不一定是亲生家庭),面临人际关系和学校问题,并受到虐待行为的影响。了解自杀青少年的社会学特征以及准确诊断风险因素和风险群体是有效预防自杀行为的重要一步。自杀行为似乎是一个重大的公共卫生问题,自杀预防本身应成为每个心理健康促进项目的重要组成部分。

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