Mental Disorders in Adolescent Suicide

MAURI J. MARTTUNEN

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Suicide and Self-Harm Studies Grief, Bereavement, and Mental Health Homicide, Infanticide, and Child Abuse

Abstract

The prevalence of mental disorders (DSM-III-R Axes I and II) among adolescent suicide victims (n = 53) was investigated in a nationwide psychological autopsy study in Finland. The data were collected comprehensively through interviews of the victims' relatives and attending health care personnel and from official records. Following independent assessment by two psychiatrists, the DSM-III-R diagnoses were assigned in consensus meetings. A large majority of the victims (94%) suffered from a mental disorder. The most prevalent disorders were depressive disorders (51%) and alcohol abuse or dependence (26%). The prevalence of adjustment disorders (21%) was higher than in most studies from other countries. Personality disorder was diagnosed in 32% of the cases. Comorbidity was found in 51% of the victims. The results indicate a strong relatedness between adolescent suicide and the presence of depression, antisocial behavior, and alcohol abuse.

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References

1977The Measurement of Observer Agreement for Categorical Data 1974A Hundred Cases of Suicide: Clinical Aspects 1988Risk Factors for Adolescent Suicide 1988Preventing Teenage Suicide: A Critical Review 1960A study of suicide in the seattle area 1986San Diego Suicide Study 1985Psychological autopsy of completed suicide in children and adolescents 1974SUICIDE IN CHILDHOOD AND EARLY ADOLESCENCE

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1995Risk Factors for Adolescent Suicide and Suicidal Behavior: Mental and Substance Abuse Disorders, Family Environmental Factors, and Life Stress 2011Aggression, Impulsivity, and Suicide Behavior: A Review of the Literature 2001Gender Differences in Suicide Attempts From Adolescence to Young Adulthood 1996Risk Factors for Serious Suicide Attempts among Youths Aged 13 through 24 Years 2001Psychological autopsy studies – a review 1994Suicide and mental disorders: a case-control study of young men

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