Department of Child and Adolescent Psychiatry, Outpatient Clinic of Transcultural Psychiatry and Migration Induced Disorders in Childhood and Adolescence, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Eur Child Adolesc Psychiatry. 2022 Nov;31(11):1671-1683. doi: 10.1007/s00787-021-01805-7. Epub 2021 May 29.
While 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.
虽然自杀可能发生在整个生命周期中，但全球范围内自杀是 15 至 29 岁年轻人的第二大主要死因。这项多中心研究在奥地利、德国和土耳其进行，旨在调查有和没有移民背景的儿童和青少年自杀未遂的跨文化差异。本研究是对 247 名年轻人的记录进行的回顾性分析，这些年轻人在自杀未遂后被送往合作大学的儿童和青少年精神病学急诊门诊，包括维也纳医科大学、柏林夏里特医科大学和 Cerrahpaşa 医学院以及伊斯坦布尔 Bakirkoy 培训和研究医院精神卫生科。本研究的结果表明，有和没有移民背景的未成年人在触发原因、自杀未遂方法和精神诊断方面存在显著的跨文化差异。具有移民背景的患者中，触发事件“家庭内部冲突”和使用“低风险方法”自杀的情况更为频繁。此外，与生活在伊斯坦布尔的父母相比，生活在维也纳和柏林的本地父母离婚更为频繁，而生活在维也纳的移民父母离婚更为频繁。这些结果部分可以用移民和宿主社会之间的文化差异来解释。移民在社会经济方面的劣势及其获得医疗保健系统的机会较差，也可能导致急性和延迟治疗。需要进行更大规模的纵向研究，以更好地了解移民对年轻人自杀行为的影响。
