Selective prevention of suicidal behavior in minors in the Republic of Sakha (Yakutia)

The article discusses the conditions and forms of selective prevention of suicidal behavior in minors living in the Republic of Sakha (Yakutia). Recently, theWHO approved a new classification for the prevention of mental disorders. There are 3 types of prevention in this classification: universal, focused on the initial prevention of mental disorders, and aimed at the entire population. This form corresponds to the previous concept of primary prevention. The next type is selective prevention aimed at risk groups (previously not separately allocated). Indicative prevention corresponds to the previous concept of tertiary prevention. Selective prevention from this classification was first applied by us in relation to the prevention of suicidal behavior. This selective prevention is aimed at adolescents who are at increased risk of suicide in biological, psychological, or socio-economic terms. The article presents a profile of a modern minor suicidal person in the North: a boy from among the representatives of the indigenous population with anxious and suspicious character traits, most often coming from an incomplete family. The content of selective prevention is revealed: it is a psychological correction of the emotional and personal sphere of children and adolescents to reduce anxiety, increase self-confidence, correct self-esteem and the level of claims. For psychological correction, it is recommended to use such behavioral therapy methods as game psychotherapy, assertiveness training, life skills training, and male mentoring.

1. https://news.un.org/ru/story/2020/09/1385502 (In Russ).

2. Suicide prevention: a global imperative. Geneva: World Health Organization; 2014. (In Russ) https://www.who.int/mental_health/suicideprevention/world_report/2014/ru.

3. The Russian database on fertility and mortality. Center for Demographic Research of the Russian School of Economics, Moscow (Russia). http://demogr.nes.ru/index.php/ru/demogr_indicat/data (Link is active as of May 12, 2021) (In Russ).

4. Lyubov E.B.. Zotov P.B.. Nosova E.S. Nauchnaya dokazatelnost i ekonomicheskoye obosnovaniye preduprezhdeniya suitsidov / E. B. Lyubov // Suitsidologiya. – 2019 – T. 12 – № 2 (35): 23-31.

5. Mann J.J., Apter A., Bertolote J., et al. Suicide prevention strategies: a systematic review. JAMA. 2005; 294 (16): 2064-2074.

6. Semenova N.B. Planirovanie bezopasnosti s podrostkami, sovershivshimi suicidal`nuyu popy`tku / N.B. Semenova // Suicidologiya. – 2021. – T. 12. – № 1 (42). – S. 64-72.

7. Polozhij B. S. Sovremenny`e podxody` k preventivnoj psixologii / B.S. Polozhij // Suicidologiya – 2021. – T. 12. – № 1(42). – S. 73-79. doi.org/10.32878/suiciderus.21-12-01(42)-73-79

8. Semenova N.B. Sovremenny`e strategii profilaktiki suicida u korenny`x narodov: obzor zarubezhnoj literatury` / N.B. Semenova // Suicidologiya. – 2017. – T. 8. – № 2 (27).

9. Kral M.J., et al. Tunngajuq: stress and resilience among Inuit youth in Nunavut, Canada // Transcult. Psychiatry. 2014. Vol. 51 (5). P. 673–692. DOI:10.1177/1363461514533001

10. Wexler L., et al. Promoting positive youth development and highlighting reasons for living in Northwest Alaska through digital storytelling // Health Promot. Pract. 2013. Vol. 14 (4). P. 617–623. DOI:10.1177/1524839912462390.

11. Vixristyuk O.V. Sovremenny`e programmy` profilaktiki suicidal`nogo povedeniya podrostkov i molodezhi / O.V. Vixristyuk // Social`ny`e nauki i detstvo. – 2020. – T.1 – № 1 – S. 47–57.

12. Profilaktika suitsidalnogo riska u detey i podrostkov / Metodicheskiye rekomendatsii dlya obrazovatelnykh organizatsiy. Ministerstvo obrazovaniya i nauki Respubliki Sakha (Yakutiya). – Novosibirsk: A-SIB, 2017. – 74 s.

13. Naumenko O.N., Bortnikova Yu.A. Bor`ba religiozny`x missionerov s suicidami korenny`x narodov Severa v XVII – v nachale XX vv. (na materialax Yamala i Yugry`) / O.N. Naumenko // Suicidologiya. 2021. T. 12. – № 2 (43). – S. 3-22. doi.org/10.32878/suiciderus.21-12-02(43)-3-22.

14. Sarzhanova A.S.. Egenisova A.K. Detskiye strakhi i puti ikh preodoleniya / A.S. Sarzhanova // Sovremennyye naukoyemkiye tekhnologii. – Moscow, 2013. – № 7. – S. 155-157.