Skip to main content
Übersichten

Parasuizide bei Kindern und Jugendlichen

Published Online:https://doi.org/10.1026/0942-5403.13.1.5

Zusammenfassung. In dieser Übersichtsarbeit werden spezifische Aspekte parasuizidalen Verhaltens bei Kindern und Jugendlichen dargestellt. Bedeutsame Risikofaktoren sind psychische Störungen der Minderjährigen sowie ein niedriges Funktionsniveau ihrer Familien, aber auch diverse andere personbezogene und psychosoziale Variablen sind überzufällig häufig mit Parasuiziden assoziiert. Eine kleine Untergruppe der Kinder und Jugendlichen zeigt wiederholt auftretendes parasuizidales Verhalten. Diagnostische und therapeutische Implikationen der dargestellten wissenschaftlichen Befunde werden erörtet.


Parasuicide in children and adolescents

Abstract. This review focuses on specific aspects of parasuicidal behavior in children and adolescents. Significant risk factors are psychiatric disorders in the child or adolescent as well as a low level of functioning in the family. However, there are also a considerable number of other individual and psychosocial variables that are statistically associated with parasuicide. A small subgroup of children and adolescents repeatedly show parasuicidal behavior. Implications of the scientific evidence presented for diagnosis and therapy are discussed.

Literatur

  • Beautrais, A. L. , Joyce, P. R. , Mulder, R. T. (1996). Risk factors for serious suicide attempts among youths aged 13 through 24 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1174– 1182 First citation in articleCrossrefGoogle Scholar

  • Beck, A. T. , Weissman, A. , Lester, D. , Trexler, L. (1976). Classification of suicidal behaviors. II. Dimensions of suicidal intent. Archives of General Psychiatry, 33, 835– 837 First citation in articleCrossrefGoogle Scholar

  • Boergers, J. , Spirito, A. , Donaldson, D. (1998). Reasons for adolescent suicide attempts: Associations with psychological functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1287– 1293 First citation in articleCrossrefGoogle Scholar

  • Braun-Scharm, H. (1996). Suicidality and personality disorders in adolescence. Crisis, 17, 64– 68 First citation in articleLinkGoogle Scholar

  • Brent, D. A. (2001). Assessment and treatment of the youthful suicidal patient. Annals of the New York Academy of Sciences, 932, 106– 128 First citation in articleCrossrefGoogle Scholar

  • Brent, D. A. , Baugher, M. , Bridge, J. , Chen, T. , Chiappetta, L. (1999). Age- and sex-related risk factors for adolescent suicide. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1497– 1505 First citation in articleCrossrefGoogle Scholar

  • Brent, D. A. , Johnson, B. , Bartle, S. , Bridge, J. , Rather, C. , Matta, J. , Connolly, J. , Constantine, D. (1993). Personality disorder, tendency to impulsive violence, and suicidal behavior in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 69– 75 First citation in articleCrossrefGoogle Scholar

  • Breton, J. J. , Tousignant, M. , Bergeron, L. , Berthiaume, C. (2002). Informant-specific correlates of suicidal behavior in a community survey of 12- to 14-year-olds. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 723– 730 First citation in articleCrossrefGoogle Scholar

  • Brown, J. , Cohen, P. , Johnson, J. G. , Smailes, E. M. (1999). Childhood abuse and neglect: Specifity of effects on adolescent and young adult depression and suicidality. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1490– 1496 First citation in articleCrossrefGoogle Scholar

  • Chitsabesan, P. , Harrington, R. , Harrington, V. , Tomenson, B. (2003). Predicting repeat self-harm in children. European Child and Adolescent Psychiatry, 12, 23– 29 First citation in articleCrossrefGoogle Scholar

  • Dhossche, D. , Ferdinand, R. , Ende, J. v.d. , Hofstra, M. B. , Verhulst, F. (2002). Diagnostic outcome of adolescent self-reported suicidal ideation at 8-year follow-up. Journal of Affective Disorders, 72, 273– 279 First citation in articleCrossrefGoogle Scholar

  • Dorer, C. , Feehan, C. , Vostanis, P. , Winkley, L. (1999). The overdose process - adolescents' experience of taking an overdose and their contact with services. Journal of Adolescence, 22, 413– 417 First citation in articleCrossrefGoogle Scholar

  • Fergusson, D. M. , Horwood, L. J. , Beautrais, A. L. (1999). Is sexual orientation related to mental health problems and suicidality in young people?. Archives of General Psychiatry, 56, 876– 880 First citation in articleCrossrefGoogle Scholar

  • Fergusson, D. M. , Woodward, L. J. , Horwood, L. J. (2000). Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood. Psychological Medicine, 30, 23– 29 First citation in articleCrossrefGoogle Scholar

  • Garber, J. , Little, S. , Hilsman, R. , Weaver, K. (1998). Family predictors of suicidal symptoms in young adolescents. Journal of Adolescence, 21, 445– 457 First citation in articleCrossrefGoogle Scholar

  • Goldston, D. B. , Daniel, S. S. , Reboussin, B. A. , Reboussin, D. M. , Frazier, P. H. , Harris, A. E. (2001). Cognitive risk factors and suicide attempts among formerly hospitalized adolescents: A prospective naturalistic study. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 91– 99 First citation in articleCrossrefGoogle Scholar

  • Goldston, D.B. , Daniel, S.S. , Reboussin, D. M. , Reboussin, B. A. , Frazier, P. H. , Kelley, A. E. (1999). Suicide attempts among formerly hospitalized adolescents: A prospective naturalistic study of risk during the first 5 years after discharge. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 660– 671 First citation in articleCrossrefGoogle Scholar

  • Gould, M. S. , King, R. , Greenwald, S. , Fisher, P. , Schwab-Stone, M. , Kramer, R. , Flisher, A. J. , Goodman, S. , Canino, G. , Shaffer, D. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 915– 923 First citation in articleCrossrefGoogle Scholar

  • Grøholt, B. , Ekeberg, Ø. , Wichstrøm, L. , Haldorsen, T. (1997). Youth suicide in Norway, 1990-1992: A comparison between children and adolescents completing suicide and age- and gender-matched controls. Suicide and Life-Threatening Behavior, 27, 250– 263 First citation in articleGoogle Scholar

  • Grøholt, B. , Ekeberg, Ø. , Wichstrøm, L. , Haldorsen, T. (2000). Young suicide attempters: A comparison between a clinical and an epidemiological sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 868– 875 First citation in articleCrossrefGoogle Scholar

  • Hawton, K. , Arensman, E. , Wasserman, D. , Hultén, A. , Bille-Brahe, U. , Bjerke, T. , Crepet, P. , Deisenhammer, E. , Kerkhof, A. , De Leo, D. , Michel, K. , Ostamo, A. , Philippe, A. , Querejeta, I. , Salander-Renberg, E. , Schmidtke, A. , Temesváry, B. (1998). Relation between attempted suicide and suicide rates among young people in Europe. Journal of Epidemiology and Community Health, 52, 191– 194 First citation in articleCrossrefGoogle Scholar

  • Hawton, K. , Fagg, J. , Platt, S. , Hawkins, M. (1993). Factors associated with suicide after parasuicide in young people. British Medical Journal, 306, 1641– 1644 First citation in articleCrossrefGoogle Scholar

  • Hawton, K. , Kingsbury, S. , Steinhardt, K. , James, A. , Fagg, J. (1999). Repetition of deliberate self-harm by adolescents: The role of psychological factors. Journal of Adolescence, 22, 369– 378 First citation in articleCrossrefGoogle Scholar

  • Hawton, K. , O'Grady, J. , Osborn, M. , Cole, D. (1982). Adolescents who take overdoses: Their characteristics, problems and contact with helping agencies. British Journal of Psychiatry, 140, 118– 123 First citation in articleCrossrefGoogle Scholar

  • Hawton, K. , Rodham, K. , Evans, E. , Weatherall, R. (2002). Deliberate self harm in adolescents: Self report survey in schools in England. British Medical Journal, 325, 1207– 1211 First citation in articleCrossrefGoogle Scholar

  • Hollis, C. (1996). Depression, family environment, and adolescent suicidal behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 622– 630 First citation in articleCrossrefGoogle Scholar

  • Hultén, A. , Jiang, G. X. , Wasserman, D. , Hawton, K. , Hjelmeland, H. , De Leo, D. , Ostamo, A. , Salander-Renberg, E. , Schmidtke, A. (2001). Repetition of attempted suicide among teenagers in Europe: Frequency, timing and risk factors. European Child and Adolescent Psychiatry, 10, 161– 169 First citation in articleCrossrefGoogle Scholar

  • Kelly, T. M. , Cornelius, J. R. , Lynch, K. G. (2002). Psychiatric and substance use disorders as risk factors for attempted suicide among adolescents: A case control study. Suicide and Life-Threatening Behavior, 32, 301– 312 First citation in articleCrossrefGoogle Scholar

  • Kerfoot, M. , Dyer, E. , Harrington, V. , Woodham, A. , Harrington, R. (1996). Correlates and short-term course of self-poisoning in adolescents. British Journal of Psychiatry, 168, 38– 42 First citation in articleCrossrefGoogle Scholar

  • King, R. A. , Schwab-Stone, M. , Flisher, A. J. , Greenwald, S. , Kramer, R. A. , Goodman, S. H. , Lahey, B. B. , Shaffer, D. , Gould, M. S. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 837– 846 First citation in articleCrossrefGoogle Scholar

  • Kingsbury, S. , Hawton, K. , Steinhardt, K. , James, A. (1999). Do adolescents who take overdoses have specific psychological characteristics? A comparative study with psychiatric and community controls. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1125– 1131 First citation in articleCrossrefGoogle Scholar

  • Kotila, L. , Lonnqvist, J. (1987). Adolescents who make suicide attempts repeatedly. Acta Psychiatrica Scandinavica, 76, 386– 393 First citation in articleCrossrefGoogle Scholar

  • Kuperman, S. , Black, D. W. , Burns, T. L. (1988). Excess suicide among formerly hospitalized child psychiatry patients. Journal of Clinical Psychiatry, 49, 88– 93 First citation in articleGoogle Scholar

  • Lewinsohn, P. M. , Klein, D. N. , Seeley, J. R. (1995). Bipolar disorders in a community sample of older adolescents: prevalence, phenomenology, comorbidity, and course. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 454– 463 First citation in articleCrossrefGoogle Scholar

  • Lewinsohn, P. M. , Rohde, P. , Seeley, J. R. (1994). Psychosocial risk factors for future adolescent suicide attempts. Journal of Consulting and Clinical Psychology, 62, 297– 305 First citation in articleCrossrefGoogle Scholar

  • Lewinsohn, P. M. , Rohde, P. , Seeley, J. R. (1995). Adolescent psychopathology: III. The clinical consequences of comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 510– 519 First citation in articleCrossrefGoogle Scholar

  • Lewinsohn, P. M. , Rohde, P. , Seeley, J. R. (1996). Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications. Clinical Psychology: Science and Practice, 3, 25– 46 First citation in articleCrossrefGoogle Scholar

  • Mazza, J. J. (2000). The relationship between posttraumatic stress symptomatology and suicidal behavior in school-based adolescents. Suicide and Life-Threatening Behavior, 30, 91– 103 First citation in articleGoogle Scholar

  • McLaughlin, J. A. , Miller, P. , Warwick, H. (1996). Deliberate self-harm in adolescents: Hopelessness, depression, problems and problem-solving. Journal of Adolescence, 19, 523– 532 First citation in articleCrossrefGoogle Scholar

  • Nasser, E. H. , Overholser, J. C. (1999). Assessing varying degrees of lethality in depressed adolescent suicide attempters. Acta Psychiatrica Scandinavica, 99, 423– 431 First citation in articleCrossrefGoogle Scholar

  • Negron, R. , Piacentini, J. , Graae, F. , Davies, M. , Shaffer, D. (1997). Microanalysis of adolescent suicide attempters and ideators during the acute suicidal episode. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1512– 1519 First citation in articleGoogle Scholar

  • Nock, M. K. , Kazdin, A. E. (2002). Examination of affective, cognitive, and behavioral factors and suicide-related outcomes in children and young adolescents. Journal of Clinical Child and Adolescent Psychology, 31, 48– 58 First citation in articleCrossrefGoogle Scholar

  • Ohring, R. , Apter, A. , Ratzoni, G. , Weizman, R. , Tyano, S. , Plutchik, R. (1996). State and trait anxiety in adolescent suicide attempters. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 154– 157 First citation in articleCrossrefGoogle Scholar

  • O'Sullivan, M. , Fitzgerald, M. (1998). Suicidal ideation and acts of self-harm among Dublin school children. Journal of Adolescence, 21, 427– 433 First citation in articleCrossrefGoogle Scholar

  • Patton, G. C. , Harris, R. , Carlin, J. B. , Hibbert, M. E. , Coffey, C. , Schwartz, M. , Bowes, G. (1997). Adolescent suicidal behaviours: A population-based study of risk. Psychological Medicine, 27, 715– 724 First citation in articleCrossrefGoogle Scholar

  • Platt, S. , Bille-Brahe, U. , Kerkhof, A. , Schmidtke, A. , Bjerke, T. , Crepet, P. , De Leo, D. , Haring, C. , Lonnqvist, J. , Michel, K. , Philippe, A. , Pommereau, X. , Querejeta, L. , Salander-Renberg, E. , Temesváry, B. , Wasserman, D. , Sampaio Faria, J. (1992). Parasuicide in Europe: The WHO/EURO Multicentre Study on Parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatrica Scandinavica, 85, 97– 104 First citation in articleCrossrefGoogle Scholar

  • Remafedi, G. , Farrow, J. A. , Deisher, R. W. (1991). Risk factors for attempted suicide in gay and bisexual youth. Pediatrics, 87, 869– 875 First citation in articleCrossrefGoogle Scholar

  • Rotheram-Borus, M. J. , Trautman, P. D. (1988). Hopelessness, depression, and suicidal intent among adolescent suicide attempters. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 700– 704 First citation in articleCrossrefGoogle Scholar

  • Rotheram-Borus, M. J. , Trautman, P. D. , Dopkins, S. C. , Shrout, P. E. (1990). Cognitive style and pleasant activities among female adolescent suicide attempters. Journal of Consulting and Clinical Psychology, 58, 554– 561 First citation in articleCrossrefGoogle Scholar

  • Rubenstein, J. L. , Halton, A. , Kasten, L. , Rubin, C. , Stechler, G. (1998). Suicidal behavior in adolescents: Stress and protection in different family contexts. American Journal of Orthopsychiatry, 68, 274– 284 First citation in articleCrossrefGoogle Scholar

  • Rubenstein, J. L. , Heeren, T. , Housman, D. , Rubin, C. , Stechler, G. (1989). Suicidal behavior in “normal” adolescents: Risk and protective factors. American Journal of Orthopsychiatry, 59, 59– 71 First citation in articleCrossrefGoogle Scholar

  • Sellar, C. , Hawton, K. , Goldacre, M. J. (1990). Self-poisoning in adolescents: Hospital admissions and deaths in the Oxford region 1980-85. British Journal of Psychiatry, 156, 866– 870 First citation in articleCrossrefGoogle Scholar

  • Simon, O. R. , Swann, A. C. , Powell, K. E. , Potter, L. B. , Kresnow, M. J. , O'Carroll, P. W. (2001). Characteristics of impulsive suicide attempts and attempters. Suicide and Life-Threatening Behavior, 32 (1 Suppl.), 49– 59 First citation in articleCrossrefGoogle Scholar

  • Tulloch, A. L. , Blizzard, L. , Pinkus, Z. (1997). Adolescent-parent communication in self-harm. Journal of Adolescent Health, 21, 267– 275 First citation in articleCrossrefGoogle Scholar

  • Vajda, J. , Steinbeck, K. (2000). Factors associated with repeat suicide attempts among adolescents. Australian and New Zealand Journal of Psychiatry, 34, 437– 445 First citation in articleCrossrefGoogle Scholar

  • Wannan, G. , Fombonne, E. (1998). Gender differences in rates and correlates of suicidal behaviour amongst child psychiatric outpatients. Journal of Adolescence, 21, 371– 381 First citation in articleCrossrefGoogle Scholar

  • Weltgesundheitsorganisation (2000). Internationale Klassifikation psychischer Störungen: ICD-10, Kapitel V (F), klinisch-diagnostische Leitlinien. Bern: Huber First citation in articleGoogle Scholar

  • Wunderlich, U. , Bronisch, T. , Wittchen, H. U. (1998). Comorbidity patterns in adolescents and young adults with suicide attempts. European Archives of Psychiatry and Clinical Neurosciences, 248, 87– 95 First citation in articleCrossrefGoogle Scholar