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Adolescent suicide attempts.

F E Crumley

    JAMA
    |June 1, 1979
    PubMed
    Summary

    Adolescent suicide attempts are often linked to underlying psychiatric conditions like depressive and substance abuse disorders. Borderline personality disorder is common, with impulsivity and rage being significant risk factors.

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    Area of Science:

    • Child and Adolescent Psychiatry
    • Psychology
    • Mental Health Research

    Background:

    • Adolescent suicide attempts represent a significant public health concern.
    • Understanding the psychiatric underpinnings of these attempts is crucial for effective intervention.

    Purpose of the Study:

    • To diagnose and characterize the psychiatric conditions of adolescents admitted for treatment after a suicide attempt.
    • To identify common diagnostic patterns and personality traits associated with adolescent suicide attempts.

    Main Methods:

    • Diagnostic assessment of 40 adolescents post-suicide attempt using the American Psychiatric Association's multiaxial classification system.
    • Analysis of clinical psychiatric syndrome and personality/developmental disorder axes.

    Main Results:

    • All patients had pre-existing psychiatric illnesses.
    • Common diagnoses included depressive disorders, substance abuse disorders, and borderline personality disorder.
    • The typical patient profile was a female with polydrug abuse, borderline personality disorder, and major depressive disorder.

    Conclusions:

    • Adolescent suicide attempts frequently stem from complex psychiatric conditions.
    • Physicians must thoroughly investigate underlying pathological conditions in adolescents who attempt suicide.
    • Key personality traits like severe reactions to loss, uncontrolled rage, and impulsivity are associated with suicide attempts.

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