Suicidal Behavior in German Adolescents

Straub, Joana; Keller, Ferdinand; Sproeber, Nina; Koelch, Michael; Plener, Paul L.

doi:10.1024/1422-4917/a000331

Cited by 7 publications

(1 citation statement)

References 23 publications

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“…Previous studies indicated that the high risk of suicide among AWD increased caregivers' supervision of AWD and in turn decreased caregivers' emotional well-being and increased their stress. 44,45 Moreover, the negative emotion was also associated with poorer mental QoL among caregivers of AWD, which were supportive of the findings of the qualitative data in this study. The caregivers often felt guilt about their child's illness and were concerned about their future, which resulted in their feeling overwhelmed by care-giving.…”

Section: Discussionsupporting

confidence: 88%

<p>Quality of Life in Family Caregivers of Adolescents with Depression in China: A Mixed-Method Study</p>

Zhang

Yang

Guo

et al. 2020

PPA

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Purpose In this study, we investigated quantitatively the quality of life (QoL) and its influencing factors among Chinese family caregivers who care for adolescents with depression (AWD) and we explored qualitatively their care-giving experiences. Methods The study was a mixed method with convergent parallel design. The sociodemographic characteristics, QoL, caregivers’ burden, family functioning, positive and negative affects were assessed by using questionnaires on 240 family caregivers of AWD in China. Twelve of these family caregivers were interviewed by using a semi-structured guide to explore their care-giving experiences. Results The mean score among family caregivers of AWD for physical QoL was 65.18 and 59.42 for mental QoL, which was significantly lower than the Chinese norms for QoL. Multiple regression analysis demonstrated that course of disease of AWD, caregivers’ educational qualification, family functioning, positive affect and care-giving burden accounted for 57% of the variance in physical QoL. Suicide history of AWD, caregivers’ educational qualification, negative affect, positive affect, care-giving burden and family functioning accounted for 54% of the variance in mental QoL. Four major themes of the care-giving experiences emerged: lack of knowledge about depression, being overwhelmed emotionally with psychological burden, the devastating impact of illness on family, and the perceived benefits of care-giving. Conclusion The QoL among family caregivers of AWD in China was low. It is necessary for health-care professionals to pay more attention to the QoL of family caregivers who care for AWD.

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Section: Discussionsupporting

confidence: 88%

<p>Quality of Life in Family Caregivers of Adolescents with Depression in China: A Mixed-Method Study</p>

Zhang

Yang

Guo

et al. 2020

PPA

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Suicide Attempts in Juvenile Bipolar Versus Major Depressive Disorders: Systematic Review and Meta-Analysis

Crescenzo

Serra

Maisto

et al. 2017

Journal of the American Academy of Child & Adolescent Psych

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Suizidalität bei Adoleszenten – Prävention und Behandlung

Berger¹,

Casa²,

Pauli³

2015

Therapeutische Umschau

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Adolescence is associated with a dramatic surge in suicide rate. While worldwide age-adjusted suicides rate per 100’000 in under 14-year olds are relatively low around 0.6, a dramatic increase to 7.4 can be observed in 15 – 19 year olds with suicide being one of the three leading causes of mortality in most countries in this age group. From 2000 to 2013 the Swiss annual average of completed suicides in 15 – 19 year olds was 33.1 (minimum 24; maximum 47). This corresponds to an average age-specific death rate of 7.6, which is slightly above the global mean. Suicide prevention and treatment of suicidality in adolescents is a complex underpinning. Subjectively experienced feelings of insufficiency, hopelessness and the feeling of worthlessness combined with concrete suicidal ideations and the capacity to act out are important indicators for assessing suicidal risk. Suicide attempts as the strongest risk factor for suicide should always be taken seriously, even if they occur in the context of situational crisis. Narcissistic personality traits or increased impulsivity are further indicators of risk. The early detection and effective treatment of mental disorders such as depression, anxiety disorders, bipolar-affective disorders or psychotic disorders provide a great opportunity to reduce the frequency of suicide attempts and suicide. Particular caution is required when co-morbid addictions are present. The maintenance or establishment of sustainable relationships with significant others is considered a key protecting factor. Increasing withdrawal from significant others is an important warning sign and needs urgent involvement of experts. In acute suicidality, the admission to a psychiatric hospital must be considered, if necessary against the will of affected adolescent and their relatives. Personality-related recurrent suicidal behavior requires specific treatment approaches taking into account the prevention of iatrogenic worsening of suicidal patterns.

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Suicidal Behavior in German Adolescents

Cited by 7 publications

References 23 publications

<p>Quality of Life in Family Caregivers of Adolescents with Depression in China: A Mixed-Method Study</p>

<p>Quality of Life in Family Caregivers of Adolescents with Depression in China: A Mixed-Method Study</p>

Suicide Attempts in Juvenile Bipolar Versus Major Depressive Disorders: Systematic Review and Meta-Analysis

Suizidalität bei Adoleszenten – Prävention und Behandlung

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