Čes-slov Pediat 2022, 77(3):137-142 | DOI: 10.55095/CSPediatrie2022/016
Suicidality in children and adolescents - risk factors and the impact of the COVID-19 pandemicComprehensive Report
- Klinika detskej psychiatrie Lekárskej fakulty Univerzity Komenského a Národného ústavu detských chorôb, Bratislava
Suicidal behaviour in children and adolescents is a serious issue with growing prevalence. Death as a result of a completed suicide is one of the most common causes of death in young people ages 15 to 19. There are some known risk factors associated with activation of a suicidal process. These can be divided into three categories - biological, psychological and social risk factors. Depressive diso rder in an important predictor of suicidal behaviour in children and adolescents, as well as personal history of previous suicide attempts, self-injurious behaviour, family conflicts, and traumatic experiences. Biological risk factors are also a subject of ongoing research, including the dysregulation of kynurenine pathway of tryptophan metabolism and the dysregulation of hypothalamic-pituitary-adrenal axis. Suicidal behaviour in children and adolescents has also been influenced by the COVID-19 pandemic, which in a special way affected people worldwide. Researchers from the USA report a significant increase in emergency department visits of children and adolescents after
Keywords: suicidality, suicidal behaviour, suicide, self-harm, pedopsychiatry, risk factors, children, adolescents
Published: June 1, 2022 Show citation
References
- Carballo JJ, Llorente C, Kehrmann L, et al. Psychosocial risk factors for suicidality in children and adolescents. Eur Child Adolesc Psychiatry 2020; 29(6): 759-776. doi: 10.1007/s00787-018-01270-9
Go to original source...
Go to PubMed...
- Kocourková J, Koutek J. Spektrum autodestruktivního chování v adolescenci. Čes-slov Pediat 2020; 75(8): 490-494.
- Bračič M, Roškar S, Zager Kocjan G, Jeriček Klanšček H. The prevalence and predictors of suicidal ideation among Slovene adolescents. Community Ment Health J 2019; 55(7): 1210-1217. doi: 10.1007/s10597-019-00398-5
Go to original source...
Go to PubMed...
- Lockwood J, Daley D, Townsend E, Sayal K. Impulsivity and self-harm in adolescence: A systematic review. Eur Child Adolesc Psychiatry 2017; 26(4): 387-402. doi: 10.1007/s00787-016-0915-5
Go to original source...
Go to PubMed...
- Harmer B, Lee S, Duong TvH, Saadabadi A. Suicidal ideation. Dostupné na: http://www.ncbi.nlm.nih.gov/books/NBK565877/Burstein B, Agostino H, Greenfield B. Suicidal attempts and ideation among children and adolescents in US emergency departments, 2007-2015. JAMA Pediatr 2019; 173(6): 598-600. doi: 10.1001/jamapediatrics.2019.0464
Go to original source...
Go to PubMed...
- Stewart JG, Shields GS, Esposito EC, et al. Life stress and suicide in adolescents. J Abnorm Child Psychol 2019; 47(10): 1707-1722. doi: 10.1007/s10802-019-00534-5
Go to original source...
Go to PubMed...
- Trebatická J, Šuba J. Možnosti farmakoterapie depresívnej poruchy u detí a adolescentov. Čes-slov Pediat 2019; 74(4): 211-215.
- Ati NAL, Paraswati MD, Windarwati HD. What are the risk factors and protective factors of suicidal behavior in adolescents? A systematic review. J Child Adolesc Psychiatr Nurs 2021; 34(1): 7-18. doi: 10.1111/jcap.12295
Go to original source...
Go to PubMed...
- Bilsen J. Suicide and youth: risk factors. Front Psychiatry 2018; 9: 540. doi: 10.3389/fpsyt.2018.00540
Go to original source...
Go to PubMed...
- Jørgensen MS, Storebø OJ, Poulsen S, Simonsen E. Burden and treatment satisfaction among caregivers of adolescents with borderline personality disorder. Fam Process 2021; 60(3): 772-787. doi: 10.1111/famp.12593
Go to original source...
Go to PubMed...
- Posner K, Brown GK, Stanley B, et al. The Columbia-Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry 2011; 168(12): 1266-1277. doi: 10.1176/appi.ajp.2011.10111704
Go to original source...
Go to PubMed...
- Lauw MSM, Abraham AM, Loh CBL. Deliberate self-harm among adolescent psychiatric outpatients in Singapore: Prevalence, nature
- Hawton K, Hill NTM, Gould M, et al. Clustering of suicides in children and adolescents. Lancet Child Adolesc Health 2020; 4(1): 58-67. doi: 10.1016/S2352-4642(19)30335-9
Go to original source...
Go to PubMed...
- Bruffaerts R, Demyttenaere K, Borges G, et al. Childhood adversities as risk factors for onset and persistence of suicidal behaviour. Br J Psychiatry 2010; 197(1): 20-27. doi: 10.1192/bjp.bp.109.074716
Go to original source...
Go to PubMed...
- Kocourková J, Koutek J. Specifika posttraumatické stresové poruchy v dětství a dospívání. Čes-slov Pediat 2019; 74(4): 216-219.
- Bryleva EY, Brundin L. Kynurenine pathway metabolites and suicidality. Neuropharmacology 2017; 112: 324-330. doi: 10.1016/j.neuropharm.2016.01.034
Go to original source...
Go to PubMed...
- Bradley KAL, Case JAC, Khan O, et al. The role of the kynurenine pathway in suicidality in adolescent major depressive disorder. Psychiatry Res 2015; 227(0): 206-212. doi: 10.1016/j.psychres.2015.03.031
Go to original source...
Go to PubMed...
- Eisenlohr-Moul TA, Miller AB, Giletta, M, et al. HPA axis response and psychosocial stress as interactive predictors of suicidal ideation and behavior in adolescent females: a multilevel diathesis-stress framework. Neuropharmacology 2018; 43: 2564-2571. doi: 10.1038/s41386-018-0206-6
Go to original source...
Go to PubMed...
- Asarnow JR, Chung B. COVID-19: lessons learned for suicide prevention. J Child Psychol Psychiatry 2021; 62(8): 919-921. doi: 10.1111/jcpp.13489
Go to original source...
Go to PubMed...
- Národné centrum zdravotníckych informácií. Samovraždy a samovražedné pokusy v Slovenskej republike 2020. Dostupné na: https://www.nczisk.sk/Aktuality/Pages/Samovrazdy-a-samovrazedne-pokusy-v-Slovenskej-republike-2020.aspx
- Národné centrum zdravotníckych informácií. Samovraždy a samovražedné pokusy v Slovenskej republike 2019. Dostupné na: http://www.nczisk.sk/Aktuality/Pages/Samovrazdy-a-samovrazedne-pokusy-v-Slovenskej-republike-2019.aspx
- Yard E, Radhakrishnan L, Ballesteros MF, et al. Emergency department visits for suspected suicide attempts among persons aged 12-25 years before and during the COVID-19 pandemic - United States, January 2019-May 2021. Morb Mortal Wkly Rep 2021; 70(24): 888-894. doi: 10.15585/mmwr.mm7024e1
Go to original source...
Go to PubMed...
- Gracia R, Pamias M, Mortier P, et al. Is the COVID-19 pandemic a risk factor for suicide attempts in adolescent girls? J Affect Disord 2021; 292: 139-141. doi: 10.1016/j.jad.2021.05.044
Go to original source...
Go to PubMed...
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