Suicidal behavior in childhood and adolescence

Objectives: The aim of this study was to identify risk factors and possible predictors of severity of suicidal behavior of children and adolescents. Methods: Seventy-seven patients (15 boys and 62 girls) aged 15.5 1.6 years on average, hospitalized due to a suicidal attempt in the department of pediatric psychiatry, were examined. Structured interviews with patients and their parents were used to clinically assess circumstances of suicidal behavior, relevant risk factors and severity of suicidal behavior. Results: The results indicated that patients with any previous traumatic experience tended to have somatically less severe suicidal attempts (p = 0.050). Intensity of suicidal intent was associated with a history of depression (p = 0.014) and anxiety disorders (p = 0.004), and the current stress from a mental disorder (p = 0.014). Somatic severity of suicidal behavior was significantly associated with intensity of suicidal intent (p = 0.014). A history of any trauma (previous traumatic experience predicted less severe suicidal behavior, p=0.053) and the current stress from sexual problems (p=0.067) were identified as predictors of somatic severity of suicidality. These two predictors showed only a trend level of significance. The only significant predictor of intensity of suicidal intent was the current..

Psychoanalytically oriented psychotherapy in children and adolescents

Psychoanalytická psychoterapie dětí a adolescentů je významnou terapeutickou modalitou, která prošla v oblasti teorie a praxe podobným vývojem jako psychoanalýza. Autoři připomínají původní myšlenky A. Freudové, M. Kleinové a dalších psychoanalytiků, kteří dětskou psychoterapii ovlivnili. Zabývají se také současnými tématy, jako je například otázka indikace dětských pacientů pro psychoanalytickou psychoterapii, aspekty terapeutického procesu, úloha rodičů, problémy protipřenosu terapeuta.Psychoanalytic psychotherapy in children and adolescents is an important therapeutic modality with a similar development as psychoanalysis in the area of theory and practice. Authors mention original ideas of A. Freud, M. Klein and other psychoanalysts who influenced child psychotherapy. They address present topics too, such as the matter of the indication of child patients for psychotherapy, the aspects of the therapeutic proces, the role of parents and the problems of the countertransference of the therapist

Prevence poruch příjmu potravy v adolescenci

Eating disorders represent important problem particularly among adolescent girls. Early onset of eating disorder represents risk factor for somatic, psychological, and social development. The length of the period between the occurrence of symptoms and initiation of therapy has significant impact on the prognosis. Therefore, it is necessary to raise adequate awareness in non-medical circles. There are two types of preventive measures: general and specific. The more general one focuses on the family functioning, and developmental issues. The more specific prevention measures focus on positive relationship to individual’s own body and on diets. De-stigmatization of people suffering from eating disorder who are already in psychiatric and psychological treatment also requires special attention