Characterization of suicidal behavior among children in a depressive episode: case series study

Child suicidal behavior is related to specific childhood variations, constituting risk factors, including predisposing factors, internal factors, and environmental factors. To characterize suicidal behavior among children aged 5 to 12 years diagnosed with a depressive episode. Fifteen participants,...

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Bibliographic Details
Published in:	Trends in psychiatry and psychotherapy Vol. 41; no. 4; pp. 394 - 400
Main Authors:	de Souza, Ana Luiza Pereira, Segolin, Beatriz Werkhaizer, Pessanha, Paula Bedim, Abreu, Tânia Queiroz de Araújo, Mino, Yasmin Emi Enemu, de Freitas, Filipe Augusto Cursino, Botti, Nadja Cristiane Lappann
Format:	Journal Article
Language:	English
Published:	Brazil Associação de Psiquiatria do Rio Grande do Sul - Trends in Psychiatry and Psychotherapy 01-10-2019 Associação de Psiquiatria do Rio Grande do Sul
Subjects:	Abuse Aggression child Child & adolescent mental health Children depressive disorder Environmental factors Families & family life PSYCHIATRY Risk factors Self destructive behavior Self-injury Sexuality Suicidal behavior Suicide Suicides & suicide attempts depressive disorder transtorno depressivo Suicide Suicídio criança child
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Summary:	Child suicidal behavior is related to specific childhood variations, constituting risk factors, including predisposing factors, internal factors, and environmental factors. To characterize suicidal behavior among children aged 5 to 12 years diagnosed with a depressive episode. Fifteen participants, aged 5 to 12, were assessed at a child and adolescent mental health center in Belo Horizonte, state of Minas Gerais, Brazil. All participants had a history of suicide attempt and were in a depressive episode at the time of assessment. Vulnerabilities related to the children themselves were self-harm, aggression, loss of an important family figure, sexual abuse, sexuality disorders, use of alcohol or other drugs, and ill-treatment. Factors of family structure and dynamics found were psychiatric illness in family members, family conflict or violence, abandonment or rejection, history of suicidal behavior in family, parents users of alcohol and other drugs, and separated parents. Factors related to school were bullying, school difficulties/delays, high school performance, bad behavior, physical aggression, school dropout, and aggressiveness. The main methods used in suicide attempts were injury by sharp or blunt objects and intentional self-poisoning. Psychiatric comorbidities and a previous history of disturbances in the family and at school are important factors to consider with relation to suicidal behavior by children with depressive episodes.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2237-6089 2238-0019 2238-0019
DOI:	10.1590/2237-6089-2018-0111