Psychiatric problems and suicidal behaviour in incarcerated adolescents in the Islamic Republic of Iran

Abstract

Data are lacking about the prevalence of psychiatric disorders and suicidal behaviour in incarcerated adolescents in Asia. This cross-sectional study evaluated the prevalence of psychiatric disorders and the prediction of suicidal attempts in 100 incarcerated males aged 12-19 years in Shiraz. Data were collected in face-to-face interview using the Kiddie Schedule for Affective Disorders and Schizophrenia (Farsi version). The mean age was 16.8 (SD 1.3) years and mean age at first imprisonment was 16.0 (SD 1.5) years. Nearly 70% of the adolescents had at least one current psychiatric disorder, the commonest being: conduct disorder (55%), oppositional defiant disorder (48%) and attention deficit hyperactivity disorder (33%); 11% had major depressive disorder and 2% schizophrenia. In all, 20% had self-harmed without intent to kill themselves and 12% had attempted suicide, 50% of whom had tried more than once. In logistic regression analysis only self-harming behaviour and major depressive disorder were significant predictors of attempted suicide.

An Updated Systematic Review and Meta-regression Analysis: Mental Disorders Among Adolescents in Juvenile Detention and Correctional Facilities

“…12,19,21,27,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] We combined them with the 25 surveys identified in the previous review. 28, Two studies 12,69 were based on the same sample, which provided 12,28,40,42,[50][51][52][53]57,[59][60][61]63,66,68,69,72,73 ; six were from the United Kingdom (n ¼ 1,145) 27,44,54,55,62,64 ; three were from Canada (n ¼ 408) 37,<...>…”

The health of adolescents in detention: a global scoping review

“…[51][52][53][54][55][56] In detained adolescents, the prevalence of suicidal ideation ranged from 12•7% to 59•0% over the lifetime, 57 40,41,59,65 For both sexes combined, the prevalence of suicide attempts was 1•9-6•6% during the past month and 13•3-35•0% during the past year (appendix p 10). 11,28,29,41,45,[57][58][59][60][61][62][63][64]66,67,[69][70][71][72][73][74][75][76][77][78][79][80][81] The prevalence 57,59,78 Although suicide accounted for ≤1% of all deaths among adolescents in detention, 11,74,83 the risk of suicide following release from detention is estimated to be two to nine times greater than that of their agematched and sexmatched peers. 6,11,…”

“…]),26,28,29,37,38 and from 17•5% to 62•0% for females (38•4% [15•8]; 39•7% [25•0-46•4]; appendix p 8).…”

What Protects Adolescents from Suicidal Attempt: A Qualitative Study

“…The suicide attempt rate in our country is higher than the majority of Muslim countries (11). Recently, the rate of suicide attempts in Southern Iran has increased and the age of people who attempt suicide has declined (12)(13)(14). A review of previous studies suggests that adolescence is a critical period for initiating selfinjurious behavior (15).…”