Pealkiri: 

The relationship between perceived poor family communication and suicidal ideation among adolescents in Estonia

Autorid: Samm A
Väljaandja/tellija: Tartu Ülikool: Sotsioloogia ja sotsiaalpoliitika instituut
Märksõnad: suitsiidid, noored, lapsed, õpilased, poisid, tüdrukud, vaimne tervis, riskikäitumine
Välja antud: 2012
Tüüp: Doktoritöö
Failid:
Nimi SuurusFormaat
Samm2012.pdf867.44 kBAdobe PDF
Alamvaldkonnad:Vaimne tervis
Riskikäitumine
Kirjeldus: LIST OF ORIGINAL STUDIES ....................................................................... 7
AUTHOR'S CONTRIBUTION ......................................................................... 9
ACKNOWLEDGEMENTS ........................................................................... 10
1. INTRODUCTION ..................................................................................... 11
1.1. The aim and the context of the study ..................................................... 11
2. THEORETICAL FRAMEWORK ................................................................ 14
2.1. Definitional issues: suicide and suicidal ideation ..................................... 14
2.2. Suicidal behavior of adolescents in the social context .............................. 15
2.2.1. Social structure and change ............................................................... 15
2.2.2. Socio-cultural setting: the family and peers .......................................... 18
2.3. Theoretical explanations of suicidal behavior ............................................ 20
2.3.1. Suicidal behavior as communication .................................................... 20
2.3.2. Individual factors of suicidal behavior of adolescents:
gender and age ........................................................................................... 21
2.3.3. Clinical preconditions of suicidal behavior
in adolescents ............................................................................................ 23
2.4. Family contextual factors of suicidal behavior
in adolescents ............................................................................................ 25
2.4.1. Risk factors ....................................................................................... 25
2.4.2. Protective factors ............................................................................... 26
2.4.3. Psyche is social: young person between
health and illness ........................................................................................ 27
3. METHODOLOGICAL FRAMEWORK OF THE STUDY ................................ 30
3.1. Understanding suicidal behaviour in adolescents from
a systemic perspective ................................................................................ 30
3.1.1. Why a systemic perspective? ............................................................. 30
3.1.2. The family in the system theory framework ........................................... 32
3.1.3. Understanding suicidal behaviour in an adolescent¿s
family from a systemic perspective ............................................................... 34
3.2. Research methods and data................................................................... 35
3.2.1. Instruments ....................................................................................... 35
3.2.2. Subjects and data collecting procedure ................................................ 36
3.2.3. Data analysis ..................................................................................... 37
4. FINDINGS ............................................................................................... 38
4.1. Gender specific symptoms of depression ................................................ 38
4.2. Sucidal ideation and depressive feelings among Estonian
adolescents ................................................................................................ 39
4.3. Suicidal ideation and depressive feelings in relation
with family contextual factors ....................................................................... 40
4.4. Suicidal ideation in relation to risk behaviour
among adolescents ..................................................................................... 41
5. DISCUSSION .......................................................................................... 43
5.1. Girls are more prone to suicidal ideation than boys .................................. 43
5.2. Risk behaviour - a precondition and consequence
of suicidal ideation ....................................................................................... 45
5.3. Social integration in the family protects against suicidal
ideation ...................................................................................................... 47
5.4. Psyche is social: the family communication and support
is the key ................................................................................................... 50
6. CONCLUSION ........................................................................................ 52
REFERENCES ........................................................................................... 54
SUMMARY IN ESTONIAN ........................................................................... 60
PUBLICATIONS .......................................................................................... 65
CURRICULUM VITAE ................................................................................ 117