Pediatric emergency medicine trisk 4176 4176
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TABLE 126.9
POTENTIAL SOURCES OF ADOLESCENT SUICIDE ATTEMPTS
Developmental stress—identity crisis
Dependence/independence
Accepting disappointments/limitations
Planning for future
Body changes and self-image
Physical growth
Onset of puberty
Awareness of sexuality/need to look attractive
Peer pressures
Friendships and competition with peers of same gender
Dating, romantic involvements, dealing with sexuality
Rejection by special person or peer group
School pressures
Academic competition
Personal need to succeed
Meeting parental expectations
Family pressures
Parent–child expectations/problems
Parental impairment (medical, psychiatric, drug or alcohol)
Parental conflict or divorce
Financial/job-related crises
Societal influences
Mobility and social isolation
Romanticizing of violence and suicide
Lack of confidence in secure future
Adolescent depression
Physiologic vulnerability
Situational stresses
Sexual orientation and/or gender identity
