Document Type : Original Article
Authors
1
Department of Clinical Toxicology, Isfahan Clinical Toxicology Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
2
Department of Clinical Toxicology, School of Medicine, Isfahan Clinical Toxicology Research Center, Khorshid Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
3
Department of Clinical Toxicology, Isfahan Clinical Toxicology Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4
Department of Clinical Toxicology, School of Medicine, Isfahan Clinical Toxicology Research Center, Khorshid Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
5
Associate Professor, Department of Clinical Toxicology, School of Medicine, Isfahan Clinical Toxicology Research Center, Khorshid Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract
Background: The study aimed to investigate the impact of child abuse and substance desire on adolescent suicide.
Methods: This cross-sectional analytical description was conducted on all adolescents aged 12 to 19 who attempted suicide in 2018 in Khorshid Hospital, Isfahan, Iran. A checklist of the patient's demographic, toxicological information, and two standard questionnaires including substance desire (family, personal, social) and child abuse questionnaire (emotional abuse, physical abuse, and neglect abuse) were gathered. Data were analyzed using SPSS software, version 15. Comparisons between the two groups were performed by T-Test, Chi-square tests, regression analysis, and crude model analysis.
Results: 196 teenagers were collected with mean ± standard deviation of age 16.48 ± 1.6 years. 155 individuals (79.1%) were female (female to male ratio = 3.78). There was a significant relationship between gender and alcohol consumption with the personal aspect and also between the history of psychiatric diseases and alcohol consumption with the physical aspect (P value<0.005). The previous history of suicide was the only variable that was significant in all aspects of both substance desire and child abuse questionnaires. lack of history neglect abuse aspect (OR, [95% confidence interval (CI)]; P value) (1.2 [1.07–1.41]; 0.009) and sex (male/female) (0.12 [0.039–0.37]; 0.000) and lack of psychiatric history (0.23 [0.10–0.52]; 0.000) and lack of alcohol consumption (0.33 [0.15–0.71]; 0.005) were protective roles for suicide history.
Conclusion: A public health strategy for suicide prevention includes prevention strategies for reducing risk factors such as alcohol consumption and neglect abuse risk.
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