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      Cultural Concepts and Themes of Suicidal Attempt Among Iranian Adolescents

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          Abstract

          Background:

          Suicide attempts are more common among adolescents than other age groups. Although suicide is considered a worldwide problem, but the related factors, to suicidal behavior are different in various cultures.

          Objectives:

          The purpose of this study is to identify themes that explain suicide attempt process among adolescents in Iran.

          Patients and Methods:

          This is a qualitative study carried out based on grounded theory. Key informants were 16 adolescents referred to two hospitals in Shiraz after suicide attempts. Also, 4 family members, a nurse, a psychologist, and a psychiatrist participated in this study. Sampling started with purposive sampling method and continued with theoretical sampling. Data were collected using semi-structured in-depth interviews. Data analysis was carried out using Strauss and Corbin approach and constant comparative method until the point of data saturation.

          Results:

          Five main categories, including personal factors and life experiences; family factors, social and educational factors, psychological-emotional problems, and stress control strategies were extracted from the data. The central concept in the data was to escape the painful psychological condition, which was in connection with other concepts describing the process of suicide attempts in adolescents.

          Conclusions:

          This study identified 5 categories of concepts as main themes that can be used to explain suicidal attempt process among Iranian adolescents.

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          Most cited references41

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          Cultural considerations in adolescent suicide prevention and psychosocial treatment.

          Ethnic groups differ in rates of suicidal behaviors among youths, the context within which suicidal behavior occurs (e.g., different precipitants, vulnerability and protective factors, and reactions to suicidal behaviors), and patterns of help-seeking. In this article, the authors discuss the cultural context of suicidal behavior among African American, American Indian and Alaska Native, Asian American and Pacific Islander, and Latino adolescents, and the implications of these contexts for suicide prevention and treatment. Several cross-cutting issues are discussed, including acculturative stress and protective factors within cultures; the roles of religion and spirituality and the family in culturally sensitive interventions; different manifestations and interpretations of distress in different cultures; and the impact of stigma and cultural distrust on help-seeking. The needs for culturally sensitive and community- based interventions are discussed, along with future opportunities for research in intervention development and evaluation. PsycINFO Database Record (c) 2008 APA, all rights reserved.
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            The long-term consequences of parental alcohol abuse: a cohort study of children in Denmark.

            The aim of this study is to consider whether parents' abuse of alcohol has an impact on children during their formative years. The research is based on data from 84,765 children born in Denmark in 1966. These children and their parents were followed between 1979 and 1993. Information was analyzed from government registers covering health, education, family separation, suicidal behavior, criminality, and unemployment, using a discrete time Cox-regression model. Results showed that the parents' alcohol abuse may frame the childhood with parental violence, very high occurrence of family separations, and often foster care. The parental abuse of alcohol may influence several long-term consequences for their 15- to 27-year-old children such as increased mortality, self-destructive behaviors (e.g. attempted suicide or drug addiction). Hospitalization due to violence, an increased risk of teenage pregnancy and unemployment were also seen more frequently among cases where the parents were alcohol abusers. Mothers' alcohol abuse seemed to be associated with higher occurrences of all the mentioned disadvantages.
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              Suicidality and correlates among rural adolescents of China.

              Despite high rates of suicide in rural youths of China, little is known about the epidemiological characteristics of suicidal behaviors among this group of population. This study examined the prevalence and correlates of suicidality among Chinese adolescents. An epidemiological survey was conducted in a sample of 1,362 adolescents from 5 high schools in a prefecture of Shandong, China. We obtained data using a structured questionnaire asking about suicidal behaviors, life stress, locus of control, depression, aggression, and individual and family characteristics. Data were analyzed using logistic regression models. Overall, 19% of the sample reported having suicidal ideation, and 7% reported having made a suicide attempt during the past 6 months. The prevalence rates of suicidal behaviors significantly increased over age. Female adolescents were more likely to report suicidal ideation than males, and older females (ages 16-18) were more likely to report suicide attempts than older males. Multivariate logistic regression models showed that female gender, older age, boarding in school, life stress, depression, and external locus of control were significantly associated with increased risk for suicidal ideation, while older age, life stress, external locus of control, poor academic performance, depression, and aggression were related to suicide attempts. Suicidal behaviors are common problems in rural adolescents of China. Female adolescents are particularly prone to report suicidal ideation and suicide attempts as they age. Multiple psychosocial factors are associated with suicidal behaviors, and psychopathology and life stress may play major roles in suicidal behaviors among rural adolescents of China.
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                Author and article information

                Journal
                Int J High Risk Behav Addict
                Int J High Risk Behav Addict
                10.5812/ijhrba
                Kowsar
                International Journal of High Risk Behaviors & Addiction
                Kowsar
                2251-8711
                2251-872X
                10 March 2015
                March 2015
                : 4
                : 1
                : e22589
                Affiliations
                [1 ]Department of Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IR Iran
                [2 ]Department of Mental Health and Psychiatric Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IR Iran
                [3 ]Research Centre for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran
                Author notes
                [* ]Corresponding author: Farkhondeh Sharif, Department of Mental Health and Psychiatric Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel: +98-7136474250, E-mail: fsharif@ 123456sums.ac.ir
                Article
                10.5812/ijhrba.22589
                4393560
                25883919
                78cecde2-a269-4596-987b-fdf8b9693637
                Copyright © 2015, Zahedan University of Medical Sciences.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

                History
                : 06 August 2014
                : 01 November 2014
                : 08 November 2014
                Categories
                Research Article

                adolescent,grounded theory,qualitative research,suicide attempt

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