By Alan Carr

It goals to supply the practitioner with an outline of melancholy, an evidence of things that give a contribution to temper issues and suggestions on their review and therapy in early life. furthermore, it goals to supply a framework for the evaluate and administration of youth that experience threatened or tried suicide.

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Where the family is well organized and supportive of the youngster and where there are low levels of stress and a high level of social support for the family as a whole, these may be considered as protective factors. Demographic factors Male adolescents are at greater risk for completed suicide, while female adolescents are at greatest risk of parasuicide. Males tend to use more lethal methods (guns and hanging) whereas females use less lethal methods (cutting or self-poisoning). Membership of social class 5 (unskilled workers with low incomes and educational levels) is a risk factor for completed suicide and repeated parasuicide, while membership of social class 1 (professional and higher managerial employees) is a risk factor for completed suicide only.

A mean parasuicide event rate of 195/ 100,000 per year was found in a World Health Organization 12-centre study covering much of Europe, and repetition of parasuicide was found to be common (Platt, 1992). Risk and protective factors for suicide Assessment of suicide risk is necessary: ➢ ➢ ➢ when youngsters have attempted suicide recently; when youngsters threaten self-harm; where there are signs of severe depression. Suicide risk assessment involves assessing the degree to which a range of risk and protective factors are present in a particular case and making a judgement about the probability that a suicide attempt will be made.

Before and after the exercises check with the youngster how relaxed he or she feels on a 10-point scale, where 1 reflects complete relaxation and 10 reflects extreme anxiety. Most adolescents will report that, even on their first trial, they achieve some tension reduction. This should be praised and interpreted to the youngster and the parents as an indication that the adolescent has the aptitude for developing and refining his/her relaxation skills. The parents may then be invited to instruct the youngster in completing the exercises daily and to praise the adolescent for completing the exercises.

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