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塔塔主医院青少年蓄意自伤入院风险因素研究,贾姆谢德布尔

Study on risk factors in adolescents admitted with deliberate self-harm in Tata main hospital, Jamshedpur.

作者信息

Sahoo Manoj Kumar, Biswas Harshita, Agarwal Sanjay Kumar

机构信息

Department of Psychiatry, Tata Main Hospital, Jamshedpur, Jharkhand, India.

出版信息

Ind Psychiatry J. 2018 Jan-Jun;27(1):80-86. doi: 10.4103/ipj.ipj_62_17.

Abstract

BACKGROUND

Suicide ranks as the second cause of death worldwide among 15-19 years olds, with at least one lakh adolescents dying by suicide every year. Therefore, research on understanding the dynamics of suicide attempts in adolescents can be used as a means of suicide prevention.

OBJECTIVE

The objective of this study is to understand the psychological, social, and personality factors contributing to deliberate self-harm/suicide attempt in patients of adolescent age group admitted to Tata Main Hospital, Jamshedpur.

MATERIALS AND METHODS

This study was carried out at Tata Main Hospital Jamshedpur. Consecutive suicide attempters up to the age of 19 years referred from medical or surgical wards over a period of 1 year are taken up for study. Data were collected on socio-demographic sheet and specific pro forma to collect various risk factors contributing to this behavior specifically designed for this study. Data were analyzed using descriptive statistics and Chi-square test.

RESULTS

Majority of the suicide attempters were females of younger age, lower-middle income status, urban background, and students. Two-third (68%) of the attempter had at least one psychiatric diagnosis. Nearly 75% of the suicide attempts were committed after a precipitating factor. The risk factors associated with suicide attempts in included increased family conflicts, peer-interpersonal problems, perceived humiliations and personality traits.

CONCLUSION

The early identification and treatment of vulnerable populations with risk factors for suicide across the lifespan will help in planning and implementing strategies for prevention.

摘要

背景

自杀是全球15至19岁人群中的第二大死因,每年至少有10万青少年自杀身亡。因此,研究青少年自杀未遂的动态过程可作为预防自杀的一种手段。

目的

本研究的目的是了解在詹谢普尔塔塔主医院住院的青少年患者中,导致故意自我伤害/自杀未遂的心理、社会和人格因素。

材料与方法

本研究在詹谢普尔塔塔主医院开展。选取在1年时间内从内科或外科病房转诊来的19岁及以下的连续自杀未遂者进行研究。通过社会人口学表格和专门设计的特定表格收集数据,以收集导致这种行为的各种风险因素。使用描述性统计和卡方检验对数据进行分析。

结果

大多数自杀未遂者为年龄较小、收入处于中低水平、来自城市背景的女性学生。三分之二(68%)的未遂者至少有一种精神科诊断。近75%的自杀未遂是在有诱发因素后发生的。与自杀未遂相关的风险因素包括家庭冲突增加、同伴人际问题、感知到的羞辱和人格特质。

结论

在整个生命周期中对有自杀风险因素的脆弱人群进行早期识别和治疗,将有助于规划和实施预防策略。

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Suicide and its prevention: The urgent need in India.自杀及其预防:印度的迫切需求。
Indian J Psychiatry. 2007 Apr;49(2):81-4. doi: 10.4103/0019-5545.33252.
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Suicidal behavior amongst adolescent students in south Delhi.南德里青少年学生的自杀行为。
Indian J Psychiatry. 2008 Jan;50(1):30-3. doi: 10.4103/0019-5545.39756.
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Adolescent suicide and suicidal behavior.青少年自杀与自杀行为。
J Child Psychol Psychiatry. 2006 Mar-Apr;47(3-4):372-94. doi: 10.1111/j.1469-7610.2006.01615.x.
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Family genetic studies, suicide, and suicidal behavior.家族遗传研究、自杀及自杀行为。
Am J Med Genet C Semin Med Genet. 2005 Feb 15;133C(1):13-24. doi: 10.1002/ajmg.c.30042.

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