Emergency in child and adolescent psychiatry; It is a situation where the life of the child or someone else is in danger or the risk of the child encountering a very severe, devastating trauma is high. These are;
1.Suicidal ideation or attempt,
2.Harassment (Sexual, physical, emotional),
3.Fear of school,
4.Anorexia Nervosa, Bulimia Nervosa,
5.Psychotic disorder,
6.Parents' divorce or death,
7.Conversion disorder,
8.Other emergencies.
SUICIDE
When the act of ending one's life voluntarily results in death, it is called 'Suicide', and when it does not result in death, it is called 'suicide attempt'.
Suicide is the most urgent situation encountered in child psychiatry. There is a suicide attempt approximately every minute around the world. For every suicide incident that results in death, there are 30 suicide attempts. One in 6,000 people dies by suicide every year. This number is 1-2% of all deaths in the world. In Western countries, suicide is a leading cause of death than traffic accidents. According to World Health Organization data (1995), the annual suicide rate is 16/100,000. The suicide rate in Turkey (1997) was found to be 3.3/100,000
. Suicide attempts are 4 times more common in girls, and death by suicide is 3 times more common in boys.
In both genders, suicide attempts most commonly occur between the ages of 15-24. Boys generally prefer firearms and hanging, while girls prefer chemicals and drugs.
SUICIDE RISK FACTORS
Suicide can occur suddenly and impulsively in childhood, especially in adolescence, without any significant risk factors. However, as a result of scientific research, there are also generally accepted risk factors:
-Depression in the child, behavioral disorders, substance abuse. like spiritual disorder.
-Presence of a physical disease such as cancer or diabetes in the child.
-Previous suicide attempt in the child.
-Presence of a mental disorder such as depression, alcohol/substance addiction in the parents.
- History of suicide attempt in parents.
-Presence of severe family conflicts.
-Parental divorce (risk is 2-3 times higher), parental death.
-Living in a crowded family, low socioeconomic status.
-Recurrent sexual, physical, emotional neglect and/or abuse.
-Natural disasters such as earthquakes and floods.
-School failure, problems with teachers and peers.
-The use of firearms has become widespread.
-Suicide attempts/suicide incidents are reported as headline news with wrong messages in the media.
-Families display wrong attitudes as a result of suicide attempts,…
SIGNS THAT MAKE YOU THINK THAT THERE IS SUICIDE TENDENCY
-General conversations about death in the child or adolescent,
-Continuous thoughts of death or repeated conversations about wishing for death,
-Presence of feelings of insolubility, hopelessness, exhaustion,
/> -Bringing logical and philosophical interpretations to the desire for suicide,
-Openly mentioning the suicide plan,…
REASONS FOR SUICIDE
-The anger of the child or adolescent towards himself and others and the desire to punish.
-An effort to put pressure to fulfill a request.
-The desire to report the helplessness and pain of the child or adolescent.
-To obtain the attention and love of the environment by force; the desire to test the sincerity of the closeness shown,…
WHAT ARE THE FALSE NEWS IN THE MEDIA THAT CAN ENCOURAGE SUICIDE?
– Giving details of suicide methods.
– Emphasizing the incomprehensibility and unbelievability of suicide.
– Reporting romantic motivations. .
– Simplifying suicide.
WHAT COULD BE THE NEWS THAT REDUCES THE ENCENTIVENESS OF SUICIDE NEWS?
– Showing alternative ways other than suicidal behavior.
– Correct information about the reader/audience's suicidal behavior. and providing adequate information.
– Providing information about crisis situations that have not resulted in suicide but have been handled…
WHAT CAN BE DONE TO PREVENT SUICIDE?
- Access to suicide tools can be reduced.
-All health training can be organized for employees.
-The appearance of suicide in the media can be changed.
-The public can be informed about mental diseases and their treatment.
-Training can be provided in schools.
-Telephone helplines can be expanded.
-Regulation plan of economic factors associated with suicidal behavior moments can be created…
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