Psychological autopsy of seventy high school suicides: Combined qualitative/quantitative approach
| Autor: | David Tzuriel, J. John Mann, Ran Barzilay, Gil Zalsman, Y. Siman Tov, M. Sherf, Gal Shoval, N. Tiech Fire |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Substance-Related Disorders Population Poison control Suicide Attempted Suicide prevention 03 medical and health sciences 0302 clinical medicine Risk Factors Injury prevention medicine Humans Israel Students Psychiatry education Qualitative Research education.field_of_study Schools Children's Global Assessment Scale medicine.disease 030227 psychiatry Substance abuse Suicide Psychiatry and Mental health Mood Adolescent Behavior Female Autopsy Psychology 030217 neurology & neurosurgery Psychopathology |
| Zdroj: | European Psychiatry. 38:8-14 |
| ISSN: | 1778-3585 0924-9338 |
| DOI: | 10.1016/j.eurpsy.2016.05.005 |
| Popis: | ObjectiveSuicide is the leading cause of death among Israeli youths but data on causes are scarce. This study used psychological autopsies of 70 Israeli school students who committed suicide during 2004–2011, attempting to determine the causes.MethodsFour narratives of the self were identified (qualitative analysis) and compared (quantitative analysis): (1) regressive: functioning and mood deteriorated continuously (45%); (2) tragic: doing well until rapid decline around suicidal crisis (20%); (3) unstable: peaks and crises throughout life (20%); and (4) stable: long lasting state of adverse living circumstances (15%). Functioning, mental disorders, stressful life events and substance abuse were examined.ResultsA representative profile of the suicide-completer emerged. Suicidality in the tragic narrative involved shorter crisis, fewer risk factors and less psychopathology than the other narratives, also better general functioning and better school performance. Though decrease in functioning was evident in all groups, in the tragic group it tended to be disregarded.ConclusionThis study presents an in-depth analysis of a unique suicide population of high school students. A combined methodology of qualitative and quantitative analyses reveals a distinct subpopulation of suicidal adolescents with little or no overt psychopathology that poses a challenge to suicide prevention strategies. |
| Databáze: | OpenAIRE |
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