StatusThe thesis was presented on the 23 March, 2005
Approved by NCAA on the 21 April, 2005
Abstract– 0.19 Mb / in romanian
This work represents a complex study of suicidal phenomenon among children and teenagers less than 18 years with the purpose to estimate the forensic and social peculiarities. The study was directed on a zonal (Chisinau city and its suburb) multilateral and longitudinal research of 1379 suicidal attempts and 148 suicidal deaths among children and teenagers. A simultaneous comparative analysis with 6706 cases of deaths due to suicidal actions from all territory of Republic of Moldova, inclusively 326 suicides among children, was effectuated. The statisticoepidemiologic, analytic, anamnestic, catamnestic, morpho-clinic, forensic and other methods of research were applied.
The obtained data attested that the frequency of suicide in Republic of Moldova had made up 14,5-18,20/0000, which had varied in different territorial areas. The self-destructive actions among children and teenagers represented 4,9% from all suicidal deaths in the last 10 years and average frequency was 2,90/0000. In investigated zone the suicide constituted 10,2% from children’s death. The dynamics of realized suicide attested an expansion of frequency from 4,70/0000 (1980-1989) to 7,00/0000 (1990-1999). More frequent suicidal methods were: mechanical asphyxias (39,2%), acute intoxications (25,7%) and falls from height (24,3%), but their frequency depended on access to them, sex and age etc.
Suicidal attempts composed 70,2-77,2% from all patients less than 18 years, which had been hospitalized in the toxicological department of the clinical hospital of Chisinau city “Sfânta Treime”. The self-intoxications were produced preponderantly with medicaments (95,8%). A high incidence of repeated suicide attempts was established representing 11,2%.
Realized suicide had a higher rate among rural population (17,80/0000) than urban ones (14,90/0000). Males realized suicides 5 times frequently than females, but attempted suicide six times less. The highest self-destruction risk was noted at 16-18 years old.
Both realized suicide and suicidal attempts among children and teenagers were more frequently in the period of 1992-1993 years, in the summer months, at the beginning of the week, between 15-24 hours.
The etiolopathogenetical factors were identical in both batches of research and represented: familial, interpersonal, schooling and working conflicts, acute reactive states, preexistent diseases and infirmities, libertine behavior etc.
It was established, that the Republic of Moldova didn’t have an organized suicidological assistance, the specialized centers and services with unique programs of research of suicide which would reflect the epidemiology, the motivations and risk factors for elaboration of effective prevention measures.
By dint of obtained data a set of practical recommendations were elaborated and proposed
for facilitation of evidence, diagnosis and prevention of suicide.