Analyzing the psychosocial and sociodemographic features of adolescents attempting suicide

Year 2024, Volume: 41 Issue: 2, 370 - 376, 19.05.2024

Gülçin Arslan , Muhammet Ali Kanık , Kayı Eliaçık , Nurullah Bolat , Tolga İnce , Mehmet Helvacı

Abstract

Determinants related to suicide attempts for adolescents have been the subject of several studies. Here, we aimed to reveal the factors that constitute the idea of suicide by examining the depression-anxiety status and self-concept of adolescents, as well as their socio-demographic characteristics. A total of 100 adolescents between the ages of 12 and 18 who were admitted to İzmir Tepecik Teaching and Research Hospital between January 2013 and December 2015 due to a suicide attempt were included in the study. In addition to the questionnaire containing socio-demographic information and familial characteristics, the Beck depression scale, the state and trait anxiety inventory, and the Piers-Harris self-concept scale were filled out by the adolescents. Compared with the control group, adolescent suicide attempters report a greater rate of smoking and alcohol use, having a broken family, a suicide attempt history, and a family history of psychiatric disorders. In addition, higher levels of depression and anxiety and lower levels of self-concept were detected among the suicidal adolescents. The study results show that suicidal adolescents who have high levels of depression and anxiety, as well as low self-concept, may lead the adolescent to suicide attempts by reducing their capacity to cope with problems.

Keywords

adolescent depression, self-concept, suicide attempt

References

• Genç G. Ergenlik (Puberte)'te Fizyolojik Değişiklikler. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 1989; 5: 2.
• Derman O. Ergenlerde Psikososyal Gelişim. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Adolesan Sağlığı II Sempozyum Dizisi 2008; 63: 19-21.
• Muslu GK, Aygün Ö. Ergenlerin Riskli Sağlık Davranışlarının ve Etkileyen Faktörlerin Belirlenmesi. DEUHFED 2017; 10 (4): 242-250.
• Bayraktar S. Özkıyım kavramının Çocuklar ve Ergenler Açısından Ele Alınması. Mediterranean Journal of Humanities V/1, 2015, 139-159.
• Akın E, Berkem M. Özkıyım Girişiminde Bulunan Ergenlerde Olumsuz Yaşam Olayları: Vaka kontrol Çalışması. Fırat Tıp Dergisi 2013; 18 (1): 026-029.
• Crespi TD. Approaching Adolescent Suicide: Queries and Signposts. Sch Couns 1990; 37: 256-261.
• Şimşek S. Ergenlerde Davranış Problemlerinin Anne-Babadan ve Öğretmenlerden Algılanan Duygusal İstismar açısından İncelenmesi. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Eğitim Bilimleri Anabilim Dalı Yüksek Lisans Tezi. Adana, 2010.
• Bayam G, Dilbaz N, Holat H, Bitlis V, Tüzer T, Şenol S. Genel Bir Hastanede Acil Servise Özkıyım Girişimi Nedeniyle Başvuran Ergenlerin Sosyodemografik Özellikleri. Çocuk ve Gençlik Ruh Sağlığı Dergisi 1995; 2: 57-63.
• Kızmaz Z (Fırat Üniversitesi). Şiddetin Çocuklar Üzerindeki Travmatik Etkisi: Aile İçinde Şiddete Maruz Kalma ve Şiddet. Aile Eksenli Şiddetten Sosyal Travmalara (Adem Solak) 2018; 386-398.
• Tezcan E, Çulha F, Karabulut C, Namlı M. Suicide Thought among Children. O.M.Ü. Tıp Dergisi 1996; 13(1): 35-39.
• Delgado B, Inglés CJ, García-Fernández JM. Social Anxiety and Self Concept in Adolescence. Rev Psicodid 2013; 18(1): 179–95.
• Au AC, Lau S, Lee MT. Suicide ideation and depression: the moderation effects of family cohesion and social self-concept. Adolescence 2009; 44(176): 851-68.
• Harmancı P. Dünyadaki ve Türkiye’deki Özkıyım Vakalarının Sosyodemografik Özellikler Açısından İncelenmesi. Hacettepe University Faculty of Health Sciences Journal Vol 1, No Suppl1 2015.
• Yükseloğlu EH, Uğraş S, Karamustafalıoğlu KO. Duygudurum Bozuklukları ve Genetik. Karamustafalıoğlu KO, editör. Bipolar Bozukluk. 1. Baskı. Ankara: Türkiye Klinikleri; 2019; 17-21.
• Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-71.
• Hisli, N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji dergisi 1989; 7(23): 3-13.
• Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto, 1983, CA: Consulting Psychologists Press.
• Öner N, Le Compte. Durumluk Surekli Kaygi Envanteri El Kitabi. Bogazici Universitesi Yayinlari, Istanbul, 1983; 1-26.
• Piers EV, Harris DB. Age and other correlates of self-concept in children. Journal of Educational Psychology 1964; 55(2): 91–95.
• Öner N. Piers-Harris’ in çocuklar için öz kavram ölçeği el kitabı. Türk Psikologlar Derneği Yayınları, Ankara, 1996.
• Clarke GN, Hornbrook M, Lynch F, Polen M, Gale J, Beardslee W et al. A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Archives of General Psychiatry 2001; 58: 1127–1134.
• Costello EJ, Angold A, Keeler GP. Adolescent outcomes of childhood disorders: The consequences of severity and impairment. Journal of the American Academy of Child and Adolescent Psychiatry 1999; 38: 121–128.
• Cerel J, Fristad MA, Weller EB, Weller RA. Suicide-bereaved children and adolescents: II. Parental and family functioning. Journal of the American Academy of Child & Adolescent Psychiatry 2000; 39(4): 437–444.
• Rich CL, Young D, Fowler RC. San Diego suicide study: I. young vs old subjects. Arch. Gen. Psychiatry 1986; 43: 577-582.
• Barrigon ML, Cegla-Schvartzman F. Sex, Gender, and Suicidal Behavior. Curr Top Behav Neurosci 2020; 46: 89-115.
• Özsoylu S, Kondolot M, Akyıldız B, Özmen S, Demirci E. Özkıyım Girişimi Nedeniyle Yoğun Bakıma Yatırılan Çocuk ve Ergenlerin Değerlendirilmesi. Bakırköy Tıp Dergisi 2019; 15: 131-5.
• Ünlü G, Aksoy Z, Ersan EE. Özkıyım Girişiminde Bulunan Çocuk ve Ergenlerin Değerlendirilmesi. Pam Tıp Derg 2014; 7(3): 176-183.
• Kim B, Ahn JH, Cha B, Chung YC, Ha TH, Hong Jeong S et al. Characteristics of methods of suicide attempts in Korea: Korea National Suicide Survey (KNSS). J Affect Disord 2015 Dec 1; 188: 218-25.
• Beghi M, Butera E, Cerri CG, Cornaggia CM, Febbo F, Mollica A et al. Suicidal behaviour in older age: A systematic review of risk factors associated to suicide attempts and completed suicides. Neurosci Biobehav Rev 2021 Aug; 127: 193-211.
• Eliacik K, Bolat N, Kanik A, Malas N, Demircan T, Hortu H et al. Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning. Acta Paediatr 2020 Aug;109(8):1642-1648.
• Freudenstein O, Valevski A, Apter A, Zohar A, Shoval G, Nahshoni E at all. Perfectionism, narcissism, and depression in suicidal and nonsuicidal adolescent inpatients. Compr Psychiatry 2012; 53(6): 746-52.
• Prinstein MJ, Brechwald WA, Cohen GL. Susceptibility to peer influence: Using a performance-based measure to identify adolescent males at heightened risk for deviant peer socialization. Developmental Psychology 2011; 47(4): 1167–1172.
• Dishion TJ, Tipsord JM. Peer contagion in child and adolescent social and emotional development. Annu Rev Psychol. 2011; 62: 189-214.
• Quigley L, Dobson KS. Behavioral activation treatments for depression. In S. G. Hofmann & G. J. G. Asmundson (Eds.), The science of cognitive behavioral therapy (pp. 291–318). Elsevier Academic Press 2017.
• Fallahi-Khoshknab M, Amirian Z, Maddah SSB, Khankeh HR. Instability of emotional relationships and suicide among youth: a qualitative study. BMC Psychiatry 2023; 23: 50.
• Cash SJ, Bridge JA. Epidemiology of youth Suicide and Suicidal Behavior. Curr Opin Pediatr 2009 Oct; 21(5): 613-9.
• Dávila-Cervantes C, Luna-Contreras M. Suicide attempt in teenagers: associated factors. Rev Chil Pediatr 2019; 90(6): 606-616.
• Pérez JC, Coo S, Irarrázaval M. Is maternal depression related to mother and adolescent reports of family functioning. Journal of Adolescence 2018; 63: 129–141.
• Lee J, Song K, Jeon S, Lee HS, Lee S, Kim HS et al. Association of maternal mental health and drinking/smoking with adolescents' mental health based on the Korea National Health and Nutrition Examination Survey. Front Psychiatry 2023 Jun 20; 14: 1087300.
• Li L, Bai L, Zhang X, Chen Y. Family Functioning during Adolescence: The Roles of Paternal and Maternal Emotion Dysregulation and Parent–Adolescent Relationships. J Child Fam Stud 2018; 27: 1311–1323.
• De Los Reyes A, Ohannessian CM. Introduction to the special issue: Discrepancies in adolescent–parent perceptions of the family and adolescent adjustment [Editorial]. Journal of Youth and Adolescence 2016; 45(10): 1957–1972.
• Huang X, Hu N, Yao Z, Peng B. Family functioning and adolescent depression: A moderated mediation model of self-esteem and peer relationships. Front Psychol 2022 Aug 9; 13: 962147.
• Assis SG, Avanci JQ. Labyrinth of mirrors: formation of self-esteem in childhood and adolescence. Rio de Janeiro: Fiocruz 2004.
• Özgüven HD, Sayıl I. Suicide Attempts in Turkey: Results of the WHO/EURO Multicentre Study of Suicidal Behavior. Can J Psychol 2003; 48: 324-329.
• Pesce RP, Assis SG, Santos N, Oliveira RVC. Risco e proteção: em busca de um equilíbrio promotor de resiliência. Psicologia: Teoria e Pesquisa 2004; 20(2): 135-143.
• Daniela-Calero A, Fernanda-Molina M. Más allá de la cultura: validación de un modelo multidimensional de autoconcepto en adolescentes argentinos. Escritos Psicologia 2016; 9(1): 33–41.
• Rizo-Baeza MM, González-Brauer NG, Cortés E. Quality of the Diet and Lifestyles in Health Sciences Students. Nutr Hosp 2014; 29(1): 153–7.
• Luna-Alfaro R, Neira-Esquivel R, Román-Paredes E, Luna-Muñoz C. Autopercepción de la imagen corporal y hábitos alimenticios en estudiantes universitarios, Arequipa 2012 [Self-perception of body image and eating habits in university students, Arequipa 2012]. Rev Fac Med 2015; 15(3): 4–10.
• Silva Fhon JR, Ayala-Caire M, Valério-Mendonça Júnior JA, Partezani-Rodríguez RA. Estilo de vida asociado a autoestima y variables demográficas en estudiantes de enfermería. Salud 2016; 9(2): 72–8.