40

1.

(2)
(3)


40 4 2.7 11.3 10~14
( 10 0.7 )
91 31 4:1
86 (15~24) 4.23

(-4 ,-8 ,-14 ) 10

20
(9:1)(3
1)

92-98%
1/3 20
26% 3.4%

repression()displacement()denial()introjection()

Serotonin

AIDS

Emil Durkhein
egoistic()-Anomic()-
Altruistic()-
Fatalistic()-

27%
24

()
()()

1/3


kalafat(1990)(Feelings)(Action)
(Change)(Threat) FACT
(Feelings):
1
2
3
4
5
6
(Action)
l
2
3
4

(Change)
1
2

3
4
5
6
7

 (Threat)
1
2
3
4

()
()



()

()


( 1/3 20
() 3 )

)()

Previous attempts or gestures,

Suicidal plan, Lethal plan, Availability of firearms and
potentially lethal medication in home,
Plan of given method combined with alcohol use,
Precautions against rescuse,

Evidence of putting affairs in order,

High frequency of ideation,
Desire to join dead loved one,
Suicidal communication, written or oral,
Consideration of suicide as a variable alternatives,
Failure to reestablish rapport with clinician,
Inability to abide by no suicide contract,
Inadequate parent support, supervision, or judgement
Risk factors for Suicide in youth(X<20%, XX=20~70%, XXX>70%)

Factor

Attempters

Completers

Older adolescent

XX

XXX

Female

XXX

Demographic

Male

XXX

Homosexual or sexual minority

Lower socioeconomic status

Psychiatric
Any psychiatric illness

XXX

XXX

Comorbid psychiatric illness

XX

XX

Chronic, severe psychiatric illness

XX

Mood disorder

XX

XX

Conduct disorder, Schizophrenia

Substance abuse

XX

XX

Antisocial or borderline personality disorder

XX

XX

Somatoform disorder or complaints

P/v

Previous psychiatric history

XX

XX

Prior suicidality

XX

XX

P/v

P/v

Psychological
Impulsivity, Aggression, Anger
Hopelessness

P/v

Poor problem-solving skills

P/v

Poor school performance

P/v

P/v

Biological and medical

AIDS

Seizure disorder

Endocrinopathy

Neurological disease

Low CSF 5-HIAA levels

Substance abuse

XX

XX

Perinatal difficulties

P/v

Family
Family psychiatric history

XX

XX

Family suicidality

XX

Family mood disorder

XX

XX

Family substance abuse

P/v

P/v

Parental loss

P/v

XX

Parental divorce, separation

XX

XX

Death of family member or friends

P/v

P/v

High accumulation of life stress

P/v

P/v

Exposure to suicidality

Disturbed family dynamics

XX

XX

Lack of close, supportive relationship

P/v

P/v

Separated from parents

http://www.mlaivs.mlc.edu.tw/center/index.htm