Adolescent suicide: characterizing the need and identifying the predictive factors for preventive consultation or hospitalization in a rural community setting
| Autor: | Paul Russell, M. K. C. Nair, Satya Raj Shankar, Vinod Shanmukham Subramaniam, Suma Nazeema, Priya Mammen, Neethu Chembagam |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Rural Population Suicide Prevention medicine.medical_specialty Adolescent India Poison control Anxiety behavioral disciplines and activities Suicide prevention Young Adult Sex Factors Injury prevention Confidence Intervals Odds Ratio Humans Medicine Prospective Studies Child Psychiatry Referral and Consultation Depression (differential diagnoses) Psychiatric Status Rating Scales Depression business.industry Age Factors Public Health Environmental and Occupational Health Beck Depression Inventory Hospitalization Suicide Socioeconomic Factors Multivariate Analysis Pediatrics Perinatology and Child Health Needs assessment Preventive action Female medicine.symptom business Needs Assessment Clinical psychology |
| Zdroj: | International Journal of Adolescent Medicine and Health. 25:81-86 |
| ISSN: | 2191-0278 0334-0139 |
| DOI: | 10.1515/ijamh-2013-0011 |
| Popis: | Background: Studies from India consistently document the highest suicide rates in the world, and the majority of completed suicides had been within adolescents. Objective: To characterize the need and identify the predictive factors for preventive consultation or hospitalization for adolescent suicide in a community setting. Subjects: We prospectively collected data from 500 adolescents in a rural South Indian community with independent, trained raters. Methods: The need for suicide prevention was measured with the SAD PERSONS scale, socio-economic status with the Modified Kuppusamy Scale, depression and anxiety disorders with the Beck Depression Inventory and the Screen for Child Anxiety Related Emotional Disorders, respectively. The relationship between predictors and the need for preventive action was analyzed with univariate and multivariate regression analyses and a predictive model was built. Results: Of those investigated, 2% and 0.6% required emergency consultation and hospitalization, respectively. Males needed more preventive action (p=0.04). Age (OR=3.40, p=0.07), gender (OR=3.13, p=0.05), presence of anxiety (OR=16.35, p=0.001), or depressive (OR=42.59, p=0.001) disorder independently predicted a need for protective action and, together, contributed to a parsimonious predictive model. Conclusions: The majority of adolescents in the community do not require preventive steps to address suicide risk. These predictors could identify the high-risk adolescents for suicide prevention and reduce the burden of care in the community. |
| Databáze: | OpenAIRE |
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