Psychosocial conditions and suicidal behavior in pregnant teenagers
| Autor: | Neury José Botega, Sabrina Stefanello, Carlos Filinto da Silva Cais, Gisleine Vaz Scavacini de Freitas |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Adolescent Substance-Related Disorders Student Dropouts Poison control Suicide Attempted Suicide prevention Life Change Events Social support Pregnancy Recurrence Residence Characteristics Risk Factors Surveys and Questionnaires Prevalence Developmental and Educational Psychology Humans Medicine Psychiatry Psychiatric Status Rating Scales Suicide attempt business.industry Age Factors Social Support General Medicine Odds ratio Suicide Psychiatry and Mental health Logistic Models Sexual abuse Case-Control Studies Pregnancy in Adolescence Pediatrics Perinatology and Child Health Female business Psychosocial Brazil Student dropout |
| Zdroj: | European Child & Adolescent Psychiatry. 17:336-342 |
| ISSN: | 1435-165X 1018-8827 |
| DOI: | 10.1007/s00787-007-0668-2 |
| Popis: | To compare the psychosocial profile and suicidal behavior of 110 pregnant teenagers (PT) with 110 non-pregnant teenagers (NPT). Subjects were matched by age and residential district. The research instruments used were a structured clinical interview and a self-reporting questionnaire based on psychometric scales whose answers were subjected to univariate and multivariate logistic regression. Prevalence in the PT and the NPT groups were found to be as follows: attempted suicide (20.0 vs. 6.3%); depression (26.3 vs. 13.6%); anxiety (43.6 vs. 28.0%). Univariate analysis revealed the following significant associations with pregnancy: relocation in the previous 3 years (odds ratio (OR) = 6); years of schooling ≤7 (OR = 3.4); repeating a year in school (OR = 2.4); dropping out of school (OR = 5.2); death of a parent during childhood (OR = 2.9); use of alcohol/drugs in the family (OR = 2.5); previous attempted suicide (OR = 3.6); suicide by a relative (OR = 2.1); threats of physical/sexual abuse (OR = 3.5); depression (OR = 2.2); low level of social support (OR = 4.2); traumatic events (OR = 5.1) and psychosocial difficulties (OR = 4.4); prior use of tobacco and marijuana (OR = 4.0 and 4.8 respectively); weekly intake of alcohol over the previous 12 months (OR = 4.2). Multivariate analysis identified the following associations: relocation (OR = 6.4); prior use of tobacco (OR = 2.9); dropping out of school for a period in excess of 6 months (OR = 2.3); suicide by a social acquaintance (OR = 2.5). The PT case group exhibited a psychosocial profile whose characteristics clearly differentiate this group from the NPT control group. Preventive mental health care is needed to help PT because their behavioral pattern exposes them to high risk for suicide. |
| Databáze: | OpenAIRE |
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