Bipolar disorder in adolescents is a serious mental illness with problematic diagnosis that adversely affects social, academic, emotional, and family functioning. The objective of this study was to analyze features of premorbid and clinical symptoms, comorbidity, and course of bipolar disorder in adolescence. Data for analysis were collected from all case histories (N=6) of 14–18-year-old patients, hospitalized with diagnosis of bipolar disorder in theUnit of Children’s and Adolescents’ Psychiatry, Department of Psychiatry, Hospital of Kaunas University of Medicine, during the period from 2000 to 2005. Analysis of bipolar disorder course showed that five patients previously had been diagnosed with an episode of depression. The most frequent symptoms typical to bipolar disorder were disobedience and impulsive behavior, rapid changes of mood. The most common premorbid features were frequent changes of mood, being active in communication, hyperactive behavior. Adolescence-onset bipolar disorder was frequently comorbid with emotionally instable personality disorder, borderline type. Findings of the study confirm the notion that oppositional or impulsive behavior, rapid changes of mood without any reason, dysphoric mood and euphoric mood episodes with increased energy were cardinal symptoms of bipolar disorder with mania in adolescents. Most frequent premorbid features of these patients were quite similar to attention-deficit/hyperactivity disorder making differential diagnosis problematic.
Objective:Suicidal behavior becomes more and more actual problem in many countries. Lithuania is known as a country where suicides rate, especially among young people, is the highest in Europe.The goal of this research was to establish the coherence between family, psychosocial characteristics and teenagers' suicide behavior.Methods:Two groups of teenagers from 14 to 17 were researched: the analyzed group (N=109) and the control group (N=218). To evaluate anamnesis, psychosocial factors of the researched teenagers, structural questionnaire, concluded by the authors was presented.Seeking to establish the coherence between psychosocial factors and suicide behavior, the comparisons were made between the frequencies of this factor among 14 – 17 year old teenagers, having no suicide anamnesis and the teenagers who have tried to commit a suicide.Results:The data analysis proved the statistically reliable evidence that in analyzed group both male and female teenagers, who have tried to commit a suicide, live in not full families (p<0,001). The frequent behavior in such families is addiction of both or one of the parents to alcohol (p<0,001); physical punishment is not an exception (p<0,001). The teenagers who have tried to commit a suicide indicated that they more often than the teenagers in the control group fell badly or even very badly among their contemporaries (p<0,001) and most of their time they spend alone (p<0,001).Conclusions:According to the results, the psychosocial factors and teenagers suicidal behavior are related, but only they themself can't predeterminate the suicide.
Objective:because of the increasing rates of suicides, especially among young people, suicidal behavior becomes more and more actual problem in many countries. Lithuania is known as a country where suicides rate is the highest in Europe.The goal is to find out and compare gender differences in teenagers suicidal behavior relations with depression, personal peculiarities.Methods:two groups of teenagers from 14 to 17 were researched: cases (who tried to commit a suicide, N=109) and control group (without suicidal anamnesis, N=218). Aiming to establish teenagers' diagnoses in cases group, clinical psychiatric research was performed, in accordance with ICD- 10 classification of mental and behavioural disorders diagnostic reference requirements, diagnoses distribution was compared in relation to sex. Minnesota Multiphasic Personality Inventory (MMPI) was used to evaluate personalities in both groups, obtained profiles were compared among groups and sex.Results:depression diagnosis (F32) was established only to 22,9% of teenagers, more cases were established among boys than girls (p<0,001). Adjustment disorders (F43) and disorders of conduct and emotions (F91-92) diagnoses were more frequent among girls (p<0,001). Cases group boys in MMPI profile more often than girls had greater scales of depression, psychasteny and anxiety, girls, relatively, had greater scales of hysteric, psychopathic and mania (p<0,05).Conclusions:Depression is less frequent than adjustment disorders and disorders of conduct and emotions among the teenagers who tried to commit a suicide. The researched boys proved to be more inclined to depression and girls implemented more hysteria and psychopathic personality attributes.
Objective:Suicides rate, especially among young people in Lithuania, is the highest in Europe.The goal is to define and compare the peculiarities of suicide behavior among teenagers of different sex.Methods:109 teenagers were researched in the age group of 14 to 17 (52 boys and 57 girls), they were treated in Kaunas University of Medicine Psychiatry Clinics Children – Teenagers Department after they had tried to commit a suicide. Medical documentation and authors' concluded structuralized questionnaire were used to evaluate anamnesis data.Results:More than one half of boys and girls tried to commit a suicide for the first time, the other part of researched teenagers attempted this repeatedly (46,2 % of boys and 42,1 % of girls). Researching suicide environment, the correlation between suicide surroundings and sex was established (χ2=9,21, lls=2, p=0,01). Three fourths (75,4 %) of girls chose parental home surroundings, whereas only every second boy chose the surroundings of parental home (51,9 %) (p<0,05). Quite the same percentage of researched boys and girls - accordingly - 17,3 % and 15,8 % percent chose school and friend environment; the percentage of boys who chose other environment (remote places) was triple larger than the percentage of the girls in this group - accordingly 30,8 % and 8,8 % (p<0,01).Conclusions:research data suggests that suicidal behavior of teenage boys and girls implies statistically significant differences.
Objective:suicide is one of the core health problems in the global society. One of the predominant causes of death among young Europeans is suicide. Recent statistic data on suicide proves that Lithuania is one of the leaders in this range.The goal is to define and compare the peculiarities of suicide behavior among teenagers of different sex.Methods:109 teenagers were researched in the age group of 14 to 17 (52 boys and 57 girls), they were treated in Kaunas University of Medicine Psychiatry Clinics Children – Teenagers Department after they had tried to commit a suicide.Results:Researching teenagers' mode of suicide, the correlation between mode of suicide and sex was defined (χ2=19,29, lls=3, p=0,0001). Only every fourth (25,0 %) teenager – boy used medicaments for killing himself, whereas even two thirds of girls (64,9 %) took medicine to commit a suicide (p<0,001). Self inflicted wound (32,7 %) was prevailing in the group of boys comparing with the group of girls (15,8 %) (p<0,05); hanging as a suicide method was eight times more frequent between the boys than the girls - accordingly 13,5 % and 1,8 % (p<0,001).Conclusions:research data suggests that teenage boys and girls manner of suicide implies statistically significant differences.
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