RESUMO
This study evaluates an intervention program designed to reduce suicidal, self-destructive behavior among high-risk adolescents aged 13- to 17 years. The intervention combined a program of community education and direct service to youth who had required emergency care for self-inflicted injuries. The intervention program was effective in increasing subjects' compliance with medical regimen. To a lesser degree, the intervention also facilitated early help seeking among adolescents with suicidal thoughts and appeared to diminish slightly the overall occurrence of emergency room admissions for suicidal behaviors. However, the intervention program had no demonstrable effect on the occurrence of repeat suicidal episodes.
Assuntos
Automutilação/prevenção & controle , Serviço Social , Prevenção do Suicídio , Adolescente , Comportamento do Adolescente , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Massachusetts , Cooperação do Paciente , Recidiva , Risco , Apoio SocialRESUMO
The authors designed a pilot study to test if exposure to child abuse or neglect is associated with suicidal behavior in adolescence. Each of 159 adolescents who had attempted suicide was age- and sex-matched with two comparison subjects who had been treated for medical conditions unrelated to suicide attempts. The registry of the Massachusetts Department of Social Services was searched for the names of the subjects and comparison subjects. For both sexes prior contact with the Department of Social Services was three to six times more likely for probands than for the comparison subjects.
Assuntos
Maus-Tratos Infantis , Tentativa de Suicídio/psicologia , Adolescente , Fatores Etários , Criança , Feminino , Humanos , Masculino , Massachusetts , Projetos Piloto , Psicologia do Adolescente , Sistema de Registros , Risco , Fatores Sexuais , Serviço Social/estatística & dados numéricos , Tentativa de Suicídio/epidemiologiaRESUMO
In suicidal behavior emergency room admissions of 13- to 17-year olds at the Brockton Hospital (Massachusetts), females predominated over males by almost two to one. For subclassification of life-threatening behaviors, frequency was about the same for males and females, but for suicide attempts and suicide gestures, female frequency was two to four times that of males. Repeat episodes of self-inflicted injury were more common among females. The type of the initial episode was a powerful predictor of a repeat occurrence.