Incidence, risk and resilience for suicide attempts among children and youth born in 19831989 and li

1
Incidence, risk and resilience for suicide
attempts among children and youth born in
1983-1989 and living in Denmark in 2007 By MSc.
Erik ChristiansenKlinik for selvmordstruedeOUH,
Odense, Denmark
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
2
IncidenceThe Danish national incidence rate for
suicide attempts for children and youth is
unknown and only a few estimates have been
madeEstimates made by Centre for suicide
research, Denmark. Estimates are based on
admissions to somatic and psychiatric hospital in
the county of Fyen
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
3
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
4
IncidenceEstimate is based on all admissions to
somatic and psychiatric hospital doing 1990-2007.
Only admissions registered as suicide attempts
were used.
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
5
RiskEstimates of risk factors were based on the
3,465 début suicide attempters. 21 boys and 79
girls. Age distribution from 10 to 24 years.
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
6
Risk20 controls were matched to every case by
age and gender. 72,765 individuals were
analysedA wide range of risk factors were
estimated. Socio-demographic, hospitalization to
mental and somatic department, level of
education, occupation, income, ect. for the
children and the parents.Many of the well-known
risk factors (characteristics) are also
significant risk factors in this studyFocus on
two risk factors Children's hospitalization to
psychiatric department and loss of parent/parents
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
7
RiskHospitalization to psychiatric department
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
8
RiskHospitalization to psychiatric
departmentIt is a significant risk factor for
suicide attempt to be hospitalized to psychiatric
department.They are hospitalized because they
are - in high risk for suicide - suffer from
mental illness - perhaps suffering from mental
illness - abuse of substances -
affectsHospitalization is an prediction for
high suicide attempts risk
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
9
RiskAdmitted and discharged from psychiatric
department
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
10
RiskAdmitted and discharged from psychiatric
department
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
11
RiskHospitalization to psychiatric
departmentThe risk is very high within the
first days/weeks after hospitalized or discharged
from psychiatric departmentConclusionA need
for co-operation between the social and the
health sector
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
12
RiskNumbers of hospitalization to psychiatric
department
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
13
RiskNumbers of hospitalization to psychiatric
departmentThe risk for suicide attempts is
higher for children and young ones who have had
many admissionsto psychiatric department
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
14
RiskDiagnoses
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
15
RiskDiagnosesIndividuals with substance abuse,
disorder of adult personality and mood disorder
are at highest risk.
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
16
RiskFathers level of income as a moderator on
risk
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
17
RiskFathers level of income as a moderator on
riskIndividuals who have been hospitalized and
the level of the fathers income are at a medium
or high level are in lower risk compared to
individuals where the fathers income is low. The
same results were found when analyzing fathers
level of education. The higher level of education
the lower risk.Medium or high income are a
moderator on risk but do not eliminate the entity
risk.ConclusionChildren and youth from
families with medium or high income are less in
risk for suicide attempts, despite high risk
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
18
RiskIt is a significant risk factor to loss ones
mother
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
19
RiskLoss of motherThe risk is significant after
3 months. It has a peak in the period 3-6 months
after mothers death
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
20
RiskLoss of motherThe cause of death
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
21
RiskLoss of motherFathers level of income as a
moderator on risk
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
22
RiskLoss of motherFathers level on income is a
moderator on risk on suicide attempts after loss
of motherMedium and high level of income is
eliminating the risk. Same results with fathers
level of education as moderatorConclusionOnly
children and youth from low income/ low level of
education families are at risk after loss of
mother.
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark
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RiskConclusions Traumatic events like
hospitalization on psychiatric department or loss
of mother do not affect all children and youth
equallySome family characteristics like fathers
level of education or income are significant
moderators on risk. The characteristics are
correlated with the child's suicidal behaviorIn
order to understand the complexity of risk
factors more research in protective factors
(resilience) is neededThank you for your
attention !
MSc. Erik Christiansen, Klinik for
Selvmordstruede, Det børne- og ungdomspsykiatriske
hus, OUH, Odense, Denmark