التفاصيل البيبلوغرافية
| العنوان: |
Demographic and clinical correlates of suicidality in adolescents attending a specialist community mental health service: a naturalistic study. |
| المؤلفون: |
Posporelis, Sotirios, Paspali, Aspasia, Takayanagi, Yoichiro, Sawa, Akira, Banerjea, Partha, Kyriakopoulos, Marinos |
| المصدر: |
Journal of Mental Health; Aug2015, Vol. 24 Issue 4, p225-229, 5p, 2 Charts |
| مصطلحات موضوعية: |
SUICIDAL behavior, PSYCHIATRIC drugs, SUICIDAL ideation, CONFIDENCE intervals, DEMOGRAPHY, PSYCHOLOGICAL tests, RISK assessment, RISK-taking behavior, SELF-injurious behavior, SEX distribution, SUBSTANCE abuse, LOGISTIC regression analysis, CROSS-sectional method, DATA analysis software, DESCRIPTIVE statistics, ODDS ratio, ADOLESCENCE, DIAGNOSIS |
| مصطلحات جغرافية: |
ENGLAND |
| مستخلص: |
Background: Adolescents comprise a unique and often challenging group of patients with diverse presentations to the Mental Health Services; suicidal behavior being one of them. Aims: The main aim of this naturalistic project was to investigate demographic and clinical correlates of adolescent suicidal and self-harm events, which may be of value to decision-making in clinical practice. Method: All adolescents (n = 149) registered and actively managed by a specialist community mental health service in South London were included in the study. Clinical information from their files was used to determine suicidality/self-harm events. The Columbia Classification Algorithm of Suicide Assessment (C-CASA) was utilised for classification purposes. Logistic regression was used to explore the effects of age, sex, diagnosis, medication, substance use (alcohol and/or cannabis) and ethnicity on suicidality/self-harming behaviors. Results: Age, sex and use of psychotropic medication were identified to play a significant role in determining the risk of engaging in self-harming behavior. The risk was higher with increasing age and female sex. Medication seemed to have a protective effect. Reporting a 20% prevalence of non-suicidal self-injury (NSSI) in our population, we highlight the importance of NSSI as a distinct diagnostic category. Conclusions: Our findings have implications for risk assessment and appropriate decision-making in clinical settings. Results are translatable and relevant to other metropolitan areas. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
