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儿童和青少年自杀模式、原因及触发因素的评估

Evaluation of suicide patterns, causes and triggering factors in children and adolescents.

作者信息

Kılınç Büşra Baydemir, Şener Mustafa Talip

机构信息

Morgue Department, Council of Forensic Medicine, Erzurum Branch, Erzurum, 25010, Türkiye.

Forensic Medicine Department, Faculty of Medicine, Atatürk University, Erzurum Branch, Erzurum, 25010, Türkiye.

出版信息

BMC Pediatr. 2025 Aug 12;25(1):620. doi: 10.1186/s12887-025-05961-6.

DOI:10.1186/s12887-025-05961-6
PMID:40796831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12341323/
Abstract

This study aims to enhance understanding of child and adolescent suicide by raising awareness of the issue and analyzing the socio-demographic characteristics, suicide methods, and triggering factors associated with these cases. A total of 47 pediatric suicide cases were analyzed based on forensic autopsy reports conducted at the Erzurum Forensic Medicine Group Presidency between 1 January 2018 and 31 December 2024. The mean age of the subjects was 15.32 years, with the majority belonging to the 15–17 age group. Suicides predominantly occurred in rural areas and at home. The most common method was firearm injury (51%), followed by hanging (42.6%). Violent methods were used in all cases. A proportion of the cases (10.6%) had diagnosed psychiatric disorders, and a similar proportion (10.6%) originated from broken families. Triggering factors included family conflicts, relationship problems, and pregnancy. Suicides were generally more common in the summer months. Easy access to firearms in rural areas and family conflicts were identified as significant risk factors for suicide. To prevent suicide among children and adolescents, it is important to raise social awareness, strengthen communication within families, improve pediatricians’ knowledge of the issue, and increase the effectiveness of counseling services in schools. Additionally, we suggest that supporting adolescents living in rural areas and expanding access to psychological help mechanisms could play an important role in reducing suicide rates.

摘要

本研究旨在通过提高对该问题的认识,并分析与这些案例相关的社会人口学特征、自杀方式和触发因素,来增进对儿童和青少年自杀的理解。基于2018年1月1日至2024年12月31日在埃尔祖鲁姆法医学集团主席办公室进行的法医尸检报告,对47例儿科自杀案例进行了分析。受试者的平均年龄为15.32岁,大多数属于15 - 17岁年龄组。自杀主要发生在农村地区和家中。最常见的方式是火器伤(51%),其次是上吊(42.6%)。所有案例均采用暴力方式。一部分案例(10.6%)被诊断患有精神疾病,类似比例(10.6%)来自破裂家庭。触发因素包括家庭冲突、人际关系问题和怀孕。自杀在夏季月份通常更为常见。农村地区火器的容易获取和家庭冲突被确定为自杀的重要风险因素。为预防儿童和青少年自杀,提高社会意识、加强家庭内部沟通、提高儿科医生对该问题的认识以及提高学校咨询服务的有效性很重要。此外,我们建议支持生活在农村地区的青少年并扩大心理帮助机制的可及性,这在降低自杀率方面可能发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/12341323/e9a590d048db/12887_2025_5961_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/12341323/e9a590d048db/12887_2025_5961_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/12341323/e9a590d048db/12887_2025_5961_Fig1_HTML.jpg

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