This page was translated automatically from Turkish. Read the original

Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

When self-harm speaks for the family: a systemic perspective on adolescent suicide attempts

When self-harm speaks for the family: a systemic perspective on adolescent suicide attempts

An adolescent suicide attempt should be understood not only as individual psychopathology but also as a relational signal from a family unable to contain its own distress, and assessment should include a systemic formulation.

The talk argues that although adolescent suicide attempts are often framed as individual psychopathology, the behavior is embedded in the family’s relational structure, making a systemic perspective essential to both understanding and treatment. The argument is developed through a composite inpatient case involving a suicide attempt by overdose, recurrent cutting, social anxiety, and school refusal, with symptoms interpreted as relational signals. Four systemic processes are discussed: parentification and the breakdown of generational boundaries when a parent uses the adolescent as a confidant; triangulation into marital conflict; an unstable parental subsystem arising from role overload and parental passivity; and the intergenerational transmission of early adverse experiences. The adolescent’s position as the eldest sibling and prematurely acquired autonomy are considered factors that intensify suicidal distress. A systemic formulation reframes the suicide attempt as a relational signal rather than a purely intrapsychic event and directs intervention toward restoring generational boundaries, stabilizing the parental subsystem, and interrupting intergenerational patterns; the clinical perspective also broadens to include caregivers whose own histories shape the adolescent’s risk environment. The talk concludes that family therapy, alongside individual psychiatric care and pharmacotherapy when indicated, offers a more comprehensive response, and that systemic assessment should become a routine component of evaluating adolescent suicidality.

Tüm WCP 2026 özetleri