članak: 1 od 1  
Vojnosanitetski pregled
2010, vol. 67, br. 7, str. 548-557
jezik rada: srpski
originalan članak
doi:10.2298/VSP1007548D

Faktori rizika od samoubistva kod vojnika Vojske Srbije
Vojnomedicinska akademija

Sažetak

Uvod/Cilj. Poznavanje faktora rizika od samoubistva daje mogućnost preduzimanja odgovarajućih preventivnih mera u okviru Programa prevencije suicida uvedenog 2003. godine u Vojsci Srbije (VS). Cilj rada bio je identifikacija najznačajnijih faktora rizika od samoubistva vojnika VS u periodu od 1998. do 2007. godine. Metode. Istraživanje je sprovedeno na osnovu podataka dobijenih psihološkom autopsijom suicida. Kontrolnu grupu činili su adaptirani vojnici VS ujednačeni sa suicidantima po sociodemografskim karakteristikama. U radu je korištena deskriptivna statistika dok je značajnost razlika između grupa utvrđena t-testom i Pearsonovim χ2-testom. Rezultati. Samoubistvo je izvršilo 35 vojnika prosečne starosti 21,76 ± 1,76 godina. Pri tom, 2/3 suicida izvršeno je u kasarni, 1/3 van kasarne. Više od polovine vojnika izvršilo je samoubistvo nakon završene vojničke obuke. Suicidanti su poticali iz nekompletne, disfunkcionalne porodice (p < 0,05). Pre dolaska na odsluženje vojnog roka karakterisali su ih niža socijabilnost (p < 0,001) i sociopatski obrasci ponašanja (p < 0,05). Tokom služenja vojnog roka ređe su konzumirali alkohol (p < 0,05), ispoljavali separacione probleme (p < 0,05) i manje bili nagrađivani (p < 0,001) u odnosu na adaptirane vojnike kontrolne grupe. Vojnika koji je izvršio samoubistvo najčešće su karakterisale crte emocionalne i socijalne nezrelosti. Najčešći motivi samoubistva bili su: iscrpljenost adaptacionih kapaciteta za služenje vojnog roka, akutne psihičke smetnje, prekid emotivne veze, strah od osude okoline, aktuelni porodični problemi, a kod petine suicida motivi su ostali neprepoznati. Zaključak. Faktori rizika od samoubistva kod vojnika nalaze se prvenstveno u strukturi ličnosti (emocionalno i socijalno nezrela ličnost) i njenom odnosu sa faktorima porodične i vojne sredine koji u sadejstvu sa aktuelnim životnim događajem imaju za posledicu izvršenje samoubistva. Program prevencije samoubistva vojnika VS treba da bude usmeren na prevenciju višestrukih faktora rizika od samoubistva.

Ključne reči

Reference

Allen, J.P., Cross, G., Swanner, J. (2005) Suicide in the Army: A review of current information. Military medicine, 170(7): 580-4
Balci, Y., Canogullari, G., Ulupinar, E. (2007) Characterization of the gunshot suicides. Journal of forensic and legal medicine, 14(4): 203-8
Bodner, E., Ben-Artzi, E., Kaplan, Z. (2006) Soldiers who kill themselves: The contribution of dispositional and situational factors. Archives of suicide research, 10(1): 29-43
Bonner, R. (2000) Moving suicide risk assessment into the next millennium: Lessons from our past. u: Lester D. (ur.) Suicide prevention: Resources for the millennium, Philadelphia: Bruner, str. 83-102
Byrne, S., Morgan, S., Fitzpatrick, C., Boylan, C., Crowley, S., Gahan, H. (2008) Deliberate self-harm in children and adolescents: a qualitative study exploring the needs of parents and carers. Clinical Child Psychology and Psychiatry, 13(4): 493
Dedić, G., Milinković-Fajgelj, O., Kolundzić, D., Živić, B. (2003) Suicid prevention in military settings. Beograd: Vojnoizdavački zavod
Dedić, G.J., Panić, M. (2007) Suicide prevention program in the Army of Serbia and Montenegro. Miitary Medicine, 172(5): 551-555
Deisenhammer, E.A., Kemmler, G., Parson, P. (2003) Association of meteorological factors with suicide. Acta psychiatrica Scandinavica, 108(6): 455-9
Desjeux, G., Labarère, J., Galoisy-Guibal, L., Ecochard, R. (2004) Suicide in the French armed forces. European journal of epidemiology, 19(9): 823-9
Eaton, K.M., Messer, S.C., Garvey, W.A.L., Hoge, C.W. (2006) Strengthening the validity of population-based suicide rate comparisons: An illustration using U:S: military and civilian data. Suicide & life-threatening behavior, 36(2): 182-91
Florkowski, A., Gruszezynski, W., Wawrzyniak, Z. (2001) Evaluation of psychopathological factors and origins of suicides committed by soldiers, 1989-1998. Mil Med, 166(1), str. 44-7
Gabbard, G.O. (1994) Psychodynamic Psychiatry in Clinical Practice: The DSM. Washington, DC: American Psychiatric Press
Gould, M.S., Greenberg, T., Velting, D.M., Shaffer, D. (2003) Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42(4): 386-405
Herring, M., Kaslow, N.J. (2002) Depression and attachment in families: A child-focused perspective. Family process, 41(3): 494-518
Kerr, D.C.R., Owen, L.D., Pears, K.C., Capaldi, D.M. (2008) Prevalence of suicidal ideation among boys and men assessed annually from ages 9 to 29 years. Suicide & life-threatening behavior, 38(4): 390-402
Kuehn, B. (2009) Soldier suicide rates continue to rise: military, scientists work to stem the tide. JAMA, 301(11): 1111
Levin, A. (2007) Dramatic increase found in soldier. Suicides Psychiatr News, 42(18): 9
Mahon, M.J., Tobin, J.P., Cusack, D.A., Kelleher, C., Malone, K.M. (2005) Suicide among regular-duty military personnel: A retrospective case-control study of occupation-specific risk factors for workplace suicide. Am J Psychiatry, 162(9): 1688-96
Mandić-Gajić, G. (2005) Sekundarna depresija kod alkoholičara - klinički značaj. Vojnosanitetski pregled, vol. 62, br. 9, str. 671-677
Mann, J.J., Apter, A., Bertolote, J., i dr. (2005) Suicide prevention strategies: A systematic review. JAMA, 294(16): 2064-74
Nikolić-Balkoski, G., Pavlicević, V., Jasović-Gasić, M., Leposavić, L., Milovanović, S., Lasković, N. (2006) Suicide in the capital of Serbia and Montenegro in the period 1997-2004: Sex differences. Psychiatr Danub, 18(1-2): 48-54
Pfeffer, C.R., Normandin, L., Kakuma, T. (1998) Suicidal children grow up: Relations between family psychopathology and adolescents' lifetime suicidal behavior. Journal of nervous and mental disease, 186(5): 269-75
Pusztai, A., Bugán, A. (2005) Analysis of suicide notes form persons committing completed suicides. Psychiatria Hungarica, 20(4): 271-80
Qin, P., Agerbo, E., Mortensen, P.B. (2003) Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: A national register-based study of all suicides in Denmark, 1981-1997. American Journal of Psychiatry, 160, 765-772
Schnell, M. (2005) Suicidal crises in children and adolescents. Prax Kinderpsych Kinderpsychiatr, 54(6), str. 457-72
Scoville, S.L., Gubata, M.E., Potter, R.N., White, M.J., Pearse, L.A. (2007) Deaths attributed to suicide among enlisted U. S. Armed forces recruits, 1980-2004. Mil Med, 172(10), str. 1024-31
Shah, A. (2009) The relationship between population growth and elderly suicide rates: A cross-national study. International psychogeriatrics / IPA, 21(2): 379-83
Stevenson-Hinde, J. (2007) Attachment theory and John Bowlby: some reflections. Attachment & Human Development, 9(4): 337
Toro, K., Dunay, G., Bartholy, J., Pongracz, R., Kis, Z., Keller, E. (2009) Relationship between suicidal cases and meteorological conditions. J Forensic Leg Med, 16(5), str. 277-9
Wienforth, J. (1985) Suicidal behavior and transmission of death experiences in the family. Zeitschrift für Psychosomatische Medizin und Psychoanalyse, 31(4): 365-79