Emergency in child and adolescent psychiatry; It is a situation where the life of the child or someone else is in danger, or the child is at high risk of experiencing a very severe, very destructive trauma. These;
1. Suicidal idea or attempt,
2. Harassment (Sexual, physical, emotional),
3. Fear of school,
4. Anorexia Nervosa, Bulumiya Neurosa,
5.Psychotic disorder,
6.Parent’s divorce or death,
7.Conversion disorder,
8.Other emergencies.
SUICIDE
The term ‘suicide’ is used when the act of ending one’s life voluntarily results in death, and ‘suicide attempt’ when it does not result in death.
Suicide is the most urgent situation encountered in child psychiatry. There is a suicide attempt every minute around the world. For every suicide that results in death, there are 30 suicide attempts. One out of 6,000 people die by suicide each 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 the World Health Organization data (1995), the annual suicide rate is 16/100,000. The suicide rate in Turkey (1997): 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 sexes, suicide attempts occur most frequently between the ages of 15-24. Boys usually prefer firearms and hanging, girls prefer chemicals and drugs.
RISK FACTORS FOR SUICIDE
Suicide can occur suddenly, impulsively, in childhood, especially in adolescence, without significant risk factors. However, there are generally accepted risk factors as a result of scientific researches:
-Depression in children, behavioral disorders, substance addiction. such as spiritual. to be found.
-The presence of a physical disease such as cancer or diabetes in the child.
-Previous suicide attempt in the child.
– Parental mental disorders such as depression, alcohol/substance addiction.
– Having a history of suicide attempt in parents.
-Existence of severe family conflicts.
-Parental divorce (risk 2-3 times higher), parental death.
-Living in a large family, low socioeconomic level.
-Repeated sexual, physical, emotional neglect and/or abuse.
-Natural disasters such as earthquakes and floods.
-School failure, problems with teachers and peers.
-The widespread use of firearms.
– Giving false messages about suicide attempts/suicide events as headline news in the media.
-Family’s displaying wrong attitudes as a result of suicide attempts,…
SIGNS TO THINK OF SUICIDE TENDENCY
-General conversations about death in children or adolescents,
-Continuous thoughts of death or desire for death
-The presence of feelings of insolubility, hopelessness, burnout,
-Making logical and philosophical interpretations of suicidal desire,
-Explicit mention of suicide plan,…
REASONS FOR SUICIDE
-The anger and desire to punish the child or adolescent towards himself and others.
-The effort to pressure a request to be fulfilled.
-The child or adolescent’s desire to report their helplessness and pain.
-Forcing the attention and love of the environment; the desire to test the sincerity of the intimacy shown,…
WHAT ARE THE FALSE NEWS IN THE MEDIA THAT CAN PROMOTE SUICIDE?
–Detailing suicide methods.
– Emphasizing the inexplicability and incredibleness of suicide.
–Reporting romantic motivations.
– Simplifying suicide.
WHAT CAN BE THE NEWS THAT REDUCES THE TEMPORARY OF SUICIDE NEWS?
– Showing alternative ways other than suicidal behavior.
– Informing the reader/audience audience about suicidal behavior accurately and adequately.
– Giving information about coped crisis situations that did not result in suicide…
WHAT CAN BE DONE TO PREVENT SUICIDE?
– Access to suicide vehicles can be reduced.
-Trainings can be organized for all healthcare professionals.
-The appearance of suicide in the media can be changed.
-Informing the public about mental illnesses and their treatment can be provided.
-Education can be given in schools.
-Telephone helplines can be expanded.
-Organization plans of economic factors related to suicidal behavior can be created.
