Suicidal behavior in patients with mental disorders in youth

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OBJECTIVE

To study suicidal behavior in young adult patients with different mental disorders.

MATERIAL AND METHODS

Two hundred and fifty patients (190 men and 60 women) who committed suicide attempts in youth age over the years 2009-2019 were studied.

RESULTS

The most common psychological and social characteristics of young adults who attempt suicide, which set prerequisites and define the very mechanisms of suicidal behaviors, are determined. The following psychopathological types of suicidal attempts in this group of patients are identified: 1) Impulsive (30.1%); 2) Demonstrative (20.2%); 3) Overvalued (19.8%); 4) Depersonalization-related (14.9%); 5) Psychotic (10.1%); 6) Self-torturing (4.8%). The types of suicidal attempts correlate with nosologic forms. This finding is important in terms of differential diagnosis and working out therapeutic and socio-rehabilitation strategies.

CONCLUSION

The dynamic study of the patients showed that the suicidal risk persists throughout the entire period of youth, including after medical intervention. Therefore, long-term and systemic individual pharmaco- and psychotherapy is required.

Keywords:

young adults

youth

suicide

mental disorders

Authors:

Kaleda V.G.

Mental Health Research Centre

SPIN RSCI: 9035-3290
Scopus AuthorID: 56765570100
ResearcherID: K-5466-2013
ORCID: 0000-0002-1209-1443

Beburishvili A.A.

Mental Health Research Center

Krylova E.S.

Mental Health Research Center

ORCID: 0000-0002-6644-5454

Kuleshov A.A.

Mental Health Research Center

ORCID: 0000-0002-2288-202X

Received:

16.07.2020

Accepted:

10.09.2020

List of references:

World Health Organization. National suicide prevention strategies: progress, examples and indicators [Internet]. Geneva; 2018. Accessed Sep 28, 2020. https://www.who.int/mental_health/suicide-prevention/national_strategies_2019/en/
Kennebeck S, Bonin L. Suicidal behavior in children and adolescents: epidemiology and risk factors [Internet]. UpToDate; 2020. Accessed Sep 24, 2020. https://www.uptodate.com/contents/suicidal-behavior-in-children-and-adolescents-epidemiology-and-risk-factors
Donath C, Bergmann MC, Kliem S, et al. Epidemiology of suicidal ideation, suicide attempts, and direct self-injurious behavior in adolescents with a migration background: A representative study. BMC Pediatrics. 2019;19(1):1-15. https://doi.org/10.1186/s12887-019-1404-z
Rufino KA, Patriquin MA. Child and adolescent suicide: contributing risk factors and new evidence-based interventions. Children’s Health Care. 2019;48(4):345-350. https://doi.org/10.1080/02739615.2019.1666009
Olfson M, Blanco C, Wall M, et al. National Trends in Suicide Attempts Among Adults in the United States. JAMA Psychiatry. 2017;74(11):1095-1103. https://doi.org/10.1001/jamapsychiatry.2017.2582
Ansell EB, Wright AGC, Markowitz JC, et al. Personality disorder risk factors for suicide attempts over 10 years of follow-up. Personal Disord. 2015;6(2):161-167. https://doi.org/10.1037/per0000089
Chan MKY, Bhatti H, Meader N, et al. Predicting suicide following self-harm: Systematic review of risk factors and risk scales. Br J Psychiatry. 2016;209(4): 277-283. https://doi.org/10.1192/bjp.bp.115.170050
Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47(3-4):372-394. https://doi.org/10.1111/j.1469-7610.2006.01615.x
Cash SJ, Bridge JA. Epidemiology of youth suicide and suicidal behavior. Curr Opin Pediatr. 2009;21(5):613-619. https://doi.org/10.1097/MOP.0b013e32833063e1
Brådvik L. Suicide Risk and Mental Disorders. Int J Environ Res Public Health. 2018;15(9):2028. https://doi.org/10.3390/ijerph15092028
Gvion Y, Levi-Belz Y. Serious suicide attempts: Systematic review of psychological risk factors. Front sychiatry. 2018;9:1-17. https://doi.org/10.3389/fpsyt.2018.00056
Lan WH, Bai YM, Hsu JW, et al. Comorbidity of ADHD and suicide attempts among adolescents and young adults with bipolar disorder: A nationwide longitudinal study. J Affect Disord. 2015;176:171-175. https://doi.org/10.1016/j.jad.2015.02.007
Peixoto FSN, Sousa DF, Luz DCRP, et al. Bipolarity and suicidal ideation in children and adolescents: A systematic review with meta-analysis. Ann Gen Psychiatry. 2017;16:22. https://doi.org/10.1186/s12991-017-0143-5
Dome P, Rihmer Z, Gonda X. Suicide risk in bipolar disorder: A brief review. Medicina (Lithuania). 2019;55(8):403. https://doi.org/10.3390/medicina55080403
Birmaher B. Longitudinal course of pediatric bipolar disorder. Am J Psychiatry. 2007;164(4):537-538. https://doi.org/10.1176/appi.ajp.164.4.537
Bilsen J. Suicide and Youth: Risk Factors. Front Psychiatry. 2018;9:548. https://doi.org/10.3389/fpsyt.2018.00540
Pompili M, Rihmer Z, Akiskal HS, et al. Temperament and personality dimensions in suicidal and nonsuicidal psychiatric inpatients. Psychopathology. 2008;41(5):313-321. https://doi.org/10.1159/000146069
Paris J. Suicidality in borderline personality disorder. Medicina (Lithuania). 2019;55(6):223. https://doi.org/10.3390/medicina55060223
Winsper C, Hall J, Strauss VY, Wolke D. Aetiological pathways to Borderline Personality Disorder symptoms in early adolescence: childhood dysregulated behaviour, maladaptive parenting and bully victimisation. Borderline Personal Disord Emot Dysregul. 2017;4:10. https://doi.org/10.1186/s40479-017-0060-x
Hawton K, Zahl D, Weatherall R. Suicide following deliberate self-harm: Long-term follow-up of patients who presented to a general hospital. Br J Psychiatry. 2003;182(6):537-542. https://doi.org/10.1192/bjp.182.6.537
Lincoln SH, Norkett E, Graber K, et al. Suicidal behaviors in children and adolescents with psychotic disorders. Schizophrenia Research. 2017;179:13-16. https://doi.org/10.1016/j.schres.2016.09.020
Jang JH, Lee YJ, Cho SJ, et al. Psychotic-like experiences and their relationship to suicidal ideation in adolescents. Psychiatry Research. 2014;215(3):641-645. https://doi.org/10.1016/j.psychres.2013.12.046
DeVylder JE, Ryan TC, Cwik M, et al. Screening for suicide risk among youths with a psychotic disorder in a pediatric emergency department. Psychiatric Services. 2019;71(2):205-208. https://doi.org/10.1176/appi.ps.201900290
Crumlish N, Whitty P, Kamali M, et al. Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder. Acta Psychiatr Scand. 2005;112(6):449-455. https://doi.org/10.1111/j.1600-0447.2005.00620.x
Satghare P, Abdin E, Shahwan S, et al. Subjective quality of life and its associations among first episode psychosis patients in Singapore. Int J Environ Res Public Health. 2020;17(1):260. https://doi.org/10.3390/ijerph17010260
Shafti SS. Suicide and suicide attempts among psychiatric patients: A contrast between adults and adolescents. MOJ Clin Med Case Rep. 2020;10(1):25-29. https://doi.org/10.15406/mojcr.2020.10.00336
Pelizza L, Pellegrini C, Quattrone E, et al. Suicidal Ideation in Patients Experiencing a First-episode Psychosis: Findings from the 2-Year Follow-up of the «Parma Early Psychosis» Program. Suicide Life Threat Behav. 2020;50(4):838-855. https://doi.org/10.1111/sltb.12625
Harkavy-Friedman JM, Restlfo K, Malaspina D, et al. Suicidal behavior in schizophrenia: Characteristics of individuals who had and had not attempted suicide. Am Psychiatry. 1999;156(8):1276-1278. https://doi.org/10.1176/ajp.156.8.1276
Lentz V, Robinson J, Bolton JM. Childhood adversity, mental disorder comorbidity, and suicidal behavior in schizotypal personality disorder. J Nerv Ment Dis. 2010;198(11):795-801. https://doi.org/10.1097/NMD.0b013e3181f9804c
Teraishi T, Hori H, Sasayama D, et al. Relationship between lifetime suicide attempts and schizotypal traits in patients with schizophrenia. PLoS One. 2014;9(9):e107739. https://doi.org/10.1371/journal.pone.0107739
Kaleda VG, Omelcehnko MA, Rumyantsev AO. Psychotic risk in a young age. Psychiatry and Psychopharmacotherapy. 2017;(2):27-33. (In Russ.).
Pelizza L, Raballo A, Semrov E, et al. Identification of young people at «Ultra-High Risk» (UHR) of developing psychosis: Validation of the «Checklist per la valutazionedell’ Esordio Psicotico» for use in primary care setting. J Psychopathol. 2016;22(3):172-179.
Taylor PJ, Hutton P, Wood L. Are people at risk of psychosis also at risk of suicide and self-harm? A systematic review and meta-analysis. Psychol Med. 2015;45(5):911-926. https://doi.org/10.1017/S0033291714002074
Taylor GJ, Ryan D, Bagby RM. Toward the development of a new self-report alexithymia scale. Psychother Psychosom. 1985;44(4):191-199. https://doi.org/10.1159/000287912
Beck AT, Schuyler D, Herman I. Development of suicidal intent scales. In: Beck AT, Resnik HLP, Lettieri DJ, eds. The prediction of suicide. Bowie, MD: Charles Press; 1974. p. 45-56.

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