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伊斯坦布尔青年自杀未遂的诱因,特别是与他们的社会人口背景相关的诱因。

Triggers for attempted suicide in Istanbul youth, with special reference to their socio-demographic background.

机构信息

a Outpatient Clinic of Transcultural Psychiatry and Migration-Induced Disorders in Childhood and Adolescence, Department of Child and Adolescent Psychiatry , Medical University of Vienna , Vienna , Austria.

b Department of Psychoanalysis and Psychotherapy , Medical University of Vienna , Vienna , Austria.

出版信息

Int J Psychiatry Clin Pract. 2018 Jun;22(2):95-100. doi: 10.1080/13651501.2017.1376100. Epub 2017 Sep 12.

Abstract

OBJECTIVE

Suicidal behavior of young people is a topic of utmost importance because suicide is irreversible, and should be prevented. Knowing about the psychosocial background and the triggering events could help in preventing suicidal behavior. We therefore aimed at identifying psychosocial factors that may trigger suicidal behavior in youth.

METHODS

We analyzed retrospectively the standardized records of 2232 youths aged ≤25 years, who were treated after a suicide attempt at emergency units of public hospitals in Istanbul, Turkey during a period of 1 year. We describe this population according to sex and socio-economic conditions, like educational, occupational, relationship status and link them with their reported reasons for suicide attempts.

RESULTS

The majority of patients were female (81.6%, N = 1822 females, 18.4%, N = 410 males). Independent of their educational and occupational background, patients indicated most frequently intra-familial problems (females 45.8%, males 30.5%), intrapersonal problems (females 19.9%, males 18.5%), and relationship problems (females 11.3%, males 23.9%) as triggering reasons.

CONCLUSIONS

Because intra-familial problems were the most frequently reported triggers of suicide attempts, preventive measures should focus on handling intra-familial conflicts. As sex differences were observed for the second-most common trigger-reasons, prevention should also focus on differentially handling intrapersonal and relationship conflicts better.

摘要

目的

年轻人的自杀行为是一个极其重要的话题,因为自杀是不可逆转的,应该加以预防。了解心理社会背景和触发事件有助于预防自杀行为。因此,我们旨在确定可能引发年轻人自杀行为的心理社会因素。

方法

我们回顾性地分析了 2232 名年龄≤25 岁的年轻人在土耳其伊斯坦布尔公立医院急诊部因自杀未遂而接受治疗的标准化记录。我们根据性别和社会经济状况描述了这一人群,例如教育、职业、关系状况,并将其与他们报告的自杀企图原因联系起来。

结果

大多数患者为女性(81.6%,N=1822 名女性,18.4%,N=410 名男性)。独立于他们的教育和职业背景,患者最常指出家庭内部问题(女性 45.8%,男性 30.5%)、个人内部问题(女性 19.9%,男性 18.5%)和关系问题(女性 11.3%,男性 23.9%)作为触发原因。

结论

由于家庭内部问题是自杀未遂最常报告的触发因素,预防措施应侧重于处理家庭内部冲突。由于性别差异在第二常见的触发原因中也存在,预防措施还应侧重于更好地有区别地处理个人内部和关系冲突。

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