This diploma thesis on the theme: The incidence of suicidal behaviour among drug addicts in the theoretical part deals with the development of the drug scene in the Czech Republic, the EU drugs policy in the Czech Republic, selected studies dealing with drug use, health and social consequences of drug use. Also deals with suicide behaviour, its forms, types, methods and causes of suicidal behaviour, motivation, development of data collection and the treatment of suicidal behaviour. The aim of this work was to find out the most common reasons and ways of suicidal behaviour in addicts individuals in the psychiatric hospital of the Cerveny Dvur (hereinafter referred to as PH CD ). Another objective was to determine whether the clients have undergone a treatment PH CD after the suicide attempt. On the basis of the objectives have been created three research questions. Due to the nature of the investigated problem was as a research method chosen semi- structured interview with clients. Before the research was carried out in PH CD questionnaire survey on suicidal behavior for a team project GA JU No. 103/2013/S "The effect of systematic psychotherapy tailored to the incidence of intentional self-injurious behaviour".. Based on the data from the questionnaire investigation were clients selected for this diploma thesis. Interviews were conducted with eight clients of PH CD.

The present study attempted to identify demographic and psychological variables predictive of adolescent suicidal ideations and attempts. Data from 90 adolescents, who completed an intake form at a university community mental health clinic or were student volunteers, were utilized. Two judges tabulated information regarding age, gender, number of siblings, ethnicity, parental marital status, drug use, depression, suicidal ideation, and previous suicidal attempts. A multiple regression analysis was performed to identify which variables had predictive significance. Depression was the best predictor of both suicidal ideations and attempts. Ethnicity was also predictive; white adolescents were found to be at higher risk for suicide than individuals from other ethnic groups. It is suggested that additional studies be done exploring other predictors of suicide among adolescents.

In South Africa, suicidal behaviour in the younger generations has become rapidly part of a major public health problem. It is a well-known fact that adolescence is a critical period of progression in a teenager’s development which makes them more susceptible and vulnerable to suicide. Statistics have shown that there has been an increase in suicide among adolescents within the last decade (Schlebusch, 2005). The main aim of this research study is to explore the perceptions of adolescents regarding the factors that contribute to adolescent suicide. This study reviews literature concerning various risks factors for adolescent suicidality. It also described major social and psychological theories of suicide and the extent to which these studies support the importance to adolescent suicide. In the literature review theories of Bronfenbrenner’s Ecological Systems Theory, Durkheim’s sociological theory of suicide, Freud’s psychological perspective and Baumeister’s Escape Theory were discussed. A qualitative research design will be used by using visual participatory methodology techniques namely photo voice and reflective writing. A sample of 12 grade 11 learners, male and female, was purposely selected to participate in the research study. The focus of the study is to investigate the risk factors underlying adolescent suicidal behaviour in schools in the Northern Areas of Port Elizabeth, as well as to explore the stressors experienced by adolescents that could contribute to them having a higher suicide risk. Another focus point will be to look at prevention strategies as an antipode for suicidal behaviour. The main findings that emerged from the data analysis include contributing factors namely: socio-economic factors, personal factors, psychological factors and educational and school-related factors. The main prevention strategy themes emerged from findings derived from the data and include: parental involvement, religion, professional help and support groups and confiding in someone that you trust.

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The purpose of this research is to discover the extent to which there is a typology of students’ health risk behaviors and to what extent are those typologies associated with academic achievement using the 2019 national Youth Risk Behavior Survey (YRBS) dataset. This is a secondary data analysis study using a national representative sample (n=11,410) of high school students, grades 9 to 12, in the United States. YRBS is a national school-based, paper-based 99-item survey used to assess 121 health-related behaviors among all high school students in the United States and is biennially conducted by the Centers for Disease Control and Prevention (CDC, 2020). While research efforts on health and academic achievement is vastly growing, there is a limited number of studies that are analyzing multiple health-risk behaviors concurrently as well as exploring their potential impacts on educational outcomes. Furthermore, previous studies have utilized cluster and/ or factor analyses. However, this statistical approach will show how students are clustered into groups and does not provide information such as the probability that a given student is bullied or suicidal. A 3-step Latent Class Analysis (LCA) was conducted to identify and understand the various profiles of students who experienced and/ or were exposed to certain health-risk behaviors. The health-risk behaviors of interest, the latent variables, were school-related violence, physical activity, screen time, and sleep. Using LCA, results show that there are four significantly different typologies, or profiles, of student health-risk behaviors: Level 1 The Most Support Needed (TMSN), Level 2 Suicide Prevention Needed (SPN), Level 3 Coping Mechanism for Bullying Needed (CMBN), Level 4 Least Support Needed (LSN). In tandem, contextual factors such as age, sex, grade level, race and ethnicity were significantly associated with the odds of belonging to some of the groups. This study is connected to longer-term work. Implications of these groupings on school policies, student health outcomes, and building a school-based coordinated health system will be discussed.

Depression and suicide are significant public health concerns for college-age young adults. Meaning-based characteristics, such as forgiveness, a voluntary coping process involving offering, feeling, or seeking a change from negative to positive cognitions, behaviors, and affect toward a transgressor, may buffer such poor mental health outcomes. Utilizing mediation analyses, we examined cross-sectional associations between forgiveness, depression, and suicidal behavior in a diverse student sample reporting mild to severe depressive symptoms. The effect of self-forgiveness on suicidal behavior was fully mediated by depression; self-forgiveness was associated with depression and, in turn, with suicidal behavior. Forgiveness of others was directly associated with suicidal behavior. Prospective research is needed, yet self and other-forgiveness may be appropriate targets for promotion in suicide prevention efforts.

Problem-solving deficits and poor health–related quality of life are associated with suicide risk; yet, little is known about the interrelations between these variables. In 220 primary care patients, we examined the potential mediating role of physical and mental health–related quality of life on the relation between social problem–solving ability and suicidal behavior. Participants completed the Suicidal Behaviors Questionnaire-Revised, Social Problem Solving Inventory-Revised, and Short-Form 36 Health Survey. Utilizing bootstrapped mediation, our hypotheses were partially supported; mediating effects were found for mental health–related quality of life on the relation between social problem-solving and suicidal behavior. Physical health–related quality of life was not a significant mediator. Greater social problem–solving ability is associated with better mental health–related quality of life and, in turn, to less suicidal behavior. Interventions promoting social problem–solving ability may increase quality of life and reduce suicide risk in primary care patients.

This thesis attempts to explicate the manifestation of suicidal behavior in latency age children based on developmental object relations theory. It asserts that the susceptibility to suicidal behavior becomes part of the child's developing ego organization during the first three years of life as the result of deviant or distorted emotional development. These disturbances interfere with the normal internalizing processes of the separation individuation phases, including the development of psychological mechanisms. To accomplish the purpose of the study, the thesis generally classifies object relations theory within the parameters of developmental psychopathology and specifically classifies it as a component of contemporary psychodynamic theory. Then follows an exposition of the separation individuation process and attendant development of psychological mechanisms in normal and disturbed development. This section concludes by identifying the normally developing child around thirty-six months of age as possessing the capacity to unite disparate self and object images into a single, whole person for appropriate self comfort, self-image formation, and self-esteem regulation through having received primarily gratifying interactions with caregivers. The child with disturbed development lacks this capacity because of the internalization of primarily negative object-images through primarily negative interactions with caregivers. The child lacks trust in itself and in others, tends to perceive itself and others as all-good or all-bad, and experiences hostility and depression. A definition of latency and a description of this developmental stage follows. Cognitive development marked by secondary thought processes and reliance upon dynamic psychological mechanisms--ego defenses--to sustain a behavioral and emotional equilibrium, rather than a diminution of drives, permit latency to become established. As part of the structure of latency, fantasy serves a defensive and adaptive function by providing an outlet for drive expression and for mastery of situations intrapsychically. Children with disturbances in ego organization have a less established structure of latency than do normal children, that is, they rely to a greater extent on psychological mechanisms characteristic of the separation-individuation phases. A review of empirical and clinical research of suicidal children encompasses family environment; loss, depression, and hopelessness; cognitive functioning; and defense mechanisms. Suicidal children live in stressful, chaotic families with confused role relationships. Findings regarding the relationships among loss, depression, and hopelessness appear mixed although integrally related. Suicidal children conceive of impersonal death as final while construing personal death as reversible as a defensive maneuver. Suicidal fantasies constitute the precursors to suicidal planning and actions. Suicidal children show impaired ability to devise active coping strategies. They seem to rely excessively on ego defenses considered developmentally appropriate in early stages of development, such as introjection. A synthesis of theoretical formulations and research findings sets forth the developmental sequence culminating in suicidal behavior. The model depicts a child's developing ego organization predisposed to depression, hostility, and low self-esteem caused by the internalization of a predominance of negative self- and object-images. It portrays susceptibility to suicidal behavior through the incapacity to exercise self-protection under stressful situations because of a reliance upon maladaptive ego defenses. Fantasies to relieve psychic pain as part of latency defenses transform into fantasies of suicide; these presage and allow for planning and, given the failure of ego defenses, suicidal behavior results.

Indiana University-Purdue University Indianapolis (IUPUI) / Background: Emile Durkheim (1897/1985) theorized that sociological variables (e.g., social, political, economic) are more helpful for understanding suicide than individual or psychological explanations. This study extends the previous sociological work on suicide by testing a theoretical model that includes economic, political, and social variables. The purpose of this study was the development and testing of a predictive model of firearm suicide among the general population and among older adults in the US.

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