Abstract

Introduction: Suicide is the leading cause of death among adolescents worldwide and in India. The various personal, social, and psychological risk factors are associated with suicidal behavior in adolescents. The study of these risk factors helps the early identification of vulnerable populations to prevent suicide and suicidal behavior. Method: This is a cross-sectional study conducted over a period of 1 year in PICU and pediatric wards of DR.BRAMH Raipur, Chhattisgarh, India. A total of 80 admitted patients of age group 10 to 18 years, who have attempted suicide, were included except those who were comatose or died. Psychiatric assessment using Beck’s suicide intent scale was also done to assess the level of the intent and risk of the future suicide attempt. Results: Out of 80 adolescents, who were attempted suicide, 66.25% are females, most of are 16-18 year of age group. Poisoning (90%) and hanging (10%) were the frequently used method. Major risk factors were dysfunction in the family (71.25%), poor-academic performance (57.5%), domestic violence (52.5%), disturbed relationships (45%), addiction in family members (35%) and others were bullying/ragging (15%), substance abuse (11.25%), mental disorder (8.75%), and previous suicide attempts (3.75%). Study subject with a history of previous suicide tendency of self and family members and the presence of suicidal note have shown a strong association (p=0.000) with Beck’s suicidal intent score. Conclusion: Late adolescent age group was noted more vulnerable to suicidal behavior with female gender predominance. Poisoning and hanging were noted as the main methods used for a suicide attempt.

Highlights

  • Suicide is the leading cause of death among adolescents worldwide and in India

  • Sample size: This is a facility-based study all adolescent patients who were suicide attempters admitted in Pediatric ward and PICU between age group 10 years to 18 years during a period of 1 year from April 18 to March 19 taken in to study as sample size.A total of 80 adolescents who attempted suicide were taken into study

  • Age distribution data showed thatthe mean age of adolescents who were committed suicide was 15.97 years. (55%) 44 were 17 -18years old, (43.75%) 35 were 15-16 yearsold, and (16.25%) 13 were 13-14 years old

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Summary

Introduction

Suicide is the leading cause of death among adolescents worldwide and in India. The various personal,social, and psychological risk factors are associated with suicidal behavior in adolescents. Studies have shown a strong association between adverse childhood experiences – such as physical and drug and sexual abuse, parental education and neglect, bullying – and suicidal behaviors during adolescence and adulthood [1] Psychological factors such as depression, low self-esteem, hopelessness, and weak social relationships are well-established correlates of suicidal behaviors among adolescents[2]. Previous studies done in India have found female gender, not attending school or college, independent decision making , premarital sex, physical or sexual abuse, even psychological distress were some of the factors associated for suicidal attempts inadolescents. Considering the severity of issue current study was planned to study the Psychological, personal and social factors affecting suicidal behavior in adolescents admitted in paediatric ward and PICU of Dr BRAM Hospital Raipur, Chhattisgarh, India

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