ERGENLERDE İNTİHAR DAVRANIŞI İLE ANNEYE BAĞLANMA ÖZELLİKLERİ ARASINDAKİ İLİŞKİ

Abstract

Objective: Adolescent suicide attempt is a common public health problem all over the world. There are many biological, psychological and social risk factors for suicidal behavior. In adolescent suicides, the relationship between suicidal behaviors and insecure attachment to parents has been shown in various studies. In our country, there are few studies examining the relationship between attachment and suicide attempt in adolescents. In this study, we aimed to investigate other factors related to mother attachment and suicidal behavior in adolescents with and without suicidal behavior. Methods: Of 49 adolescents who admitted to a training and research hospital for suicide attempt were included in the study group and 47 healthy adolescents whose no history of suicide attempt were included. All participants were applied a sociodemographic data form, Children's Depression Inventory (CDI), Inventory of Parents and Peer Attachment-Short Form (IPPA-SF), Suicidal Behavior Scale (SBS), Strengths and Difficulties Questionnaire-Adolescent Form (SDQ-A) and Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime (K-SADS). Results: Psychopathology was found in 81.6% of the suicide attempts group. The mean scores of all the subscales (emotional, behavioral, hyperactivity, expression and introductory) of the group attempting suicide except the GGA peer problems subscale, the mean scores of CDI, the total score of SBS and SBS-1, SBS-2 and SBS-4 subscale scores were significantly higher and the median IPPA-SF scale was significantly lower than that of the healthy control group. There was a positive correlation between total score of SBS, SBS-1, SBS-2, SBS-4, CDI, SDQ total score and its all subscale scores whereas a negative correlation was found with IPPA-SF maternal attachment subscale score. In the logistic regression analysis, the IPPA-SF mother attachment scale scores was predicted by SBS total score and SBS-4 subscale score. Discussion: The low attachment scores to the mother in the suicide group are consistent with the literature that insecure attachment may be an important risk factor for suicidal behavior. In adolescents with suicide attempts, attachment to the mother predicts the seriousness of suicide and the intention of future suicide. Approaches to improve parent-adolescent attachment may play an important role in preventing suicide. Further studies are needed in this field.