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：

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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

目标：自杀是中低收入国家（LMIC）圭亚那年轻人中主要的死亡原因，在过去的十年中，全球少女自杀率在全球排名第一。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，在圭亚那的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。以预防自杀的构想行动理论框架为指导，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设置。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。