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Suicide behaviour among Guyanese orphans: identification of suicide risk and protective factors in a low- to middle-income country.
Journal of Child & Adolescent Mental Health Pub Date : 2017-11-03 , DOI: 10.2989/17280583.2017.1372286
Ellen-Ge D Denton 1 , George J Musa 2 , Christina Hoven 2
Affiliation  

OBJECTIVE Suicide is the leading cause of death among youth in Guyana, a low- and middle-income country (LMIC), which globally ranks first in female adolescent suicides over the last decade. Worldwide, Guyana has experienced the largest increase in youth suicide, despite focused public health efforts to reduce suicide. Further, youth in Guyana, who are clients of the orphanage system and have faced early childhood trauma, may have an additive risk for suicide. Guided by an ideation-to-action theoretical framework for suicide prevention, the goal of the proposed research study is to describe and identify risk and protective factor correlates of youth suicidal behaviour among those at highest risk for suicide - orphans who reside in a LMIC institutional setting. METHODS In a preliminary sample of 25 orphan youth, one licensed psychologist and two social workers administered the DSM-5 Level 1 Cross-Cutting Symptom Measure and Behavioural Assessment Schedule for Children, 2nd Edition (BASC-2) during a semi-structured interview. RESULTS Nine of the 25 (36%) orphans reported a previous suicide attempt. Youth who endorsed suicidal behaviour had clinically elevated interpersonal relations scale scores when compared to youth who did not. CONCLUSIONS Interpersonal skills may be protective for youth at highest risk for suicide.

中文翻译:

圭亚那孤儿的自杀行为:确定中低收入国家的自杀风险和保护因素。

目的自杀是低收入和中等收入国家(LMIC)圭亚那年轻人中青年死亡的主要原因,在过去的十年中,该国在全球女性青少年自杀中排名第一。尽管在全球公共卫生方面致力于减少自杀,但圭亚那在青年自杀方面的增幅最大。此外,在圭亚那,孤儿院系统的服务对象并曾遭受儿童早期创伤的年轻人可能有自杀的额外风险。在预防自杀的构想理论框架的指导下,本研究的目标是描述和确定自杀风险最高的孤儿(居住在LMIC机构中)中青年自杀行为的风险和保护因素相关性环境。方法在25名孤儿的初步样本中,在半结构化访谈中,一名持照心理学家和两名社会工作者管理了DSM-5第1版《儿童横切症状衡量和行为评估时间表》(第二版)。结果25名孤儿中有9名(36%)报告过曾尝试自杀。与未自杀的年轻人相比,赞同自杀行为的年轻人在临床上具有较高的人际关系量表评分。结论人际交往能力可能对自杀风险最高的年轻人起到保护作用。与未自杀的年轻人相比,赞同自杀行为的年轻人在临床上具有较高的人际关系量表评分。结论人际交往能力可能对自杀风险最高的年轻人起到保护作用。与未自杀的年轻人相比,赞同自杀行为的年轻人在临床上具有较高的人际关系量表评分。结论人际交往能力可能对自杀风险最高的年轻人起到保护作用。
更新日期:2019-11-01
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