Denton Ellen-Ge D, Musa George J, Hoven Christina
a Department of Psychology , City University of New York College of Staten Island , Staten Island , USA.
b Global Psychiatric Epidemiology Group, Department of Psychiatry , Columbia University-New York State Psychiatric Institute , New York , USA.
J Child Adolesc Ment Health. 2017 Nov;29(3):187-195. doi: 10.2989/17280583.2017.1372286. Epub 2017 Nov 2.
Suicide is the leading cause of death among youth in Guyana, a low- and middle-income country (LMIC), which globally ranks first in female adolescent suicides over the last decade. Worldwide, Guyana has experienced the largest increase in youth suicide, despite focused public health efforts to reduce suicide. Further, youth in Guyana, who are clients of the orphanage system and have faced early childhood trauma, may have an additive risk for suicide. Guided by an ideation-to-action theoretical framework for suicide prevention, the goal of the proposed research study is to describe and identify risk and protective factor correlates of youth suicidal behaviour among those at highest risk for suicide - orphans who reside in a LMIC institutional setting.
In a preliminary sample of 25 orphan youth, one licensed psychologist and two social workers administered the DSM-5 Level 1 Cross-Cutting Symptom Measure and Behavioural Assessment Schedule for Children, 2nd Edition (BASC-2) during a semi-structured interview.
Nine of the 25 (36%) orphans reported a previous suicide attempt. Youth who endorsed suicidal behaviour had clinically elevated interpersonal relations scale scores when compared to youth who did not.
Interpersonal skills may be protective for youth at highest risk for suicide.
自杀是圭亚那青少年的首要死因，圭亚那是一个低收入和中等收入国家（LMIC），在过去十年中，该国女性青少年自杀率在全球排名第一。在全球范围内，尽管公共卫生部门为减少自杀做出了集中努力，但圭亚那的青少年自杀率仍出现了最大幅度的上升。此外，圭亚那的青少年，即孤儿院系统的服务对象，他们曾遭受过童年早期创伤，可能会增加自杀风险。在一个从自杀意念到自杀行为的预防自杀理论框架的指导下，拟议的研究旨在描述和确定自杀风险最高的人群——居住在低收入和中等收入国家机构环境中的孤儿——的青少年自杀行为的风险和保护因素相关性。
在一个由25名孤儿组成的初步样本中，一名持牌心理学家和两名社会工作者在半结构化访谈期间实施了《精神疾病诊断与统计手册》第5版一级交叉症状测量量表和《儿童行为评估量表》第2版（BASC - 2）。
25名孤儿中有9名（36%）报告曾有过自杀未遂。与未出现自杀行为的青少年相比，出现自杀行为的青少年在人际关系量表得分上临床升高。
人际技能可能对自杀风险最高的青少年起到保护作用。
