一例8岁儿童自杀未遂及自杀行为

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摘要

在大多数国家,自杀是十大死亡原因之一,对年轻人来说,自杀是第二大常见原因。但在儿童中,自杀是罕见的,并与严重的个人和社会问题有关。Pfeiffer对儿童自杀行为的一个有用定义是“任何意图严重伤害自己或导致死亡的自毁行为(1986)”。一个孩子死于自杀的想法挑战了我们对孩子如何在自己的家庭和社会中成长和发展的理想。它还提出了对儿童对死亡的理解以及他们有自杀意图的能力的考虑。精神障碍与青少年自杀之间的关系现在已经确立。情绪障碍、药物滥用、行为障碍和先前的自杀企图与青少年自杀密切相关。与家庭逆境、育儿方式和育儿方式、最近的社会文化转变以及其他引发问题有关的因素也会导致自杀风险。有效预防儿童和青少年自杀的主要目标是减少自杀的危险因素。认识和有效治疗精神障碍,如抑郁症、行为障碍、对立违抗性障碍,对于预防儿童和青少年自杀至关重要。在青年抑郁症的治疗中,心理社会治疗已被证明是有用和有效的。在这里,我们描述了一个08岁男孩的故事,他表现出不安、冲动、多次威胁和一集父母拒绝看电视后的自杀未遂。
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A Case Report: Attempted Suicide and Suicidal Behavior in an 8 Years Old Child
In most of the countries suicide is one of the ten leading causes of death and for young people it is the second most common cause. But in children suicide is rare and associated with severe personal and social problems. A useful definition of suicidal behavior in children developed by Pfeiffer is “Any self-destructive behavior that has intent to seriously damage oneself or cause death (1986)”. The thought of a child dying by suicide challenges the ideals we hold about how our children grow and develop at their own home and society. It also raises considerations about children’s understandings of death and their capacity to have the intent to suicide. The relationship between psychiatric disorders and adolescent suicide is now well established. Mood disorders, substance abuse, conduct disorder and prior suicide attempts are strongly related with youth and child suicides. Factors related to family adversity, style of parenting and child rearing, recent socio-cultural transition and other precipitating problems also contribute to the risk of suicide. The main target of effective prevention of child and youth suicide is to reduce suicide risk factors. Recognition and effective treatment of psychiatric disorders, e.g. depression, conduct disorder, oppositional defiant disorders are essential in preventing child and adolescent suicides. In the treatment of youth depression, psychosocial treatments have proved to be useful and efficacious. Here we have described about the case of a 08 year old boy, presenting with restlessness, impulsiveness, multiple threats and one episode of attempted suicide following refusal to watch TV by parents.
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