Suicide attempts or suicides in one family member increase the risk of such behaviors among other family members by several times. These forms of family relations, called transaction patterns, tend to reappear in many generations of the same family however, this process is complex. These feelings and convictions are so strong that they are reinforced in family schemes. Destructive behaviors require that family members face their fear, guilt, anger, helplessness, and often a lack of competences or social ostracism. Moreover, it is important to remember that destructive behaviors of one family member have an impact on the family as a whole. However, the question of what ultimately prompts teenage females to extreme self-destruction or aggression is still little explored. Results of their research indicate that a “readiness for destruction” can be observed among the girls from both groups indicating even a single act of this kind. On the other hand, people who make suicidal choices manifest hostility and tension similar to those observed among people using violence against others. It is associated with social sanctions which, as a consequence, lead to a number of personal costs (e.g., isolation, loss of freedom). Sitnik-Warchulska and Izydorczyk suggest that all violent behaviors have a certain self- destructive dimension. The repetitive and permanent character of suicidal and violent behaviors points toward on the need to treat them as separate nosological units. This may indicate the occurrence of a general destructive syndrome (a generalized tendency for destruction) among adolescents. It is worth mentioning that the risk factors described in the case of extreme self-destructive and aggressive behaviors are similar. Warm relationships based on responsive and open communication, as well as caring for each other’s needs, are among the most important protective factors of adolescent suicidal and/or violent behaviors. The following risk factors are regarded as predictors of suicidal behaviors and/or violent behaviors in children and adolescents: Experiences of loss or violence, sexual abuse, diseases in family members, low socioeconomic status, conflicts between family members, dysfunctional relationship between parents, too restrictive or rejection-based nurturing styles, and destructive family projections. Therapeutic effectiveness seems to depend on an adequate recognition of factors that might increase the risk of extreme destructive behaviors the family context seems to be the most important of those risk factors. Physical aggression is most prevalent not only in boys, but also among young girls. Self-injuries and suicidal thoughts occur more often and persist for a longer period of time in girls. The increase in destructive behavior is particularly observed among young girls. Inchley et al., 2016 reported that 4–52% of 15-year-olds used different types of violence against other people at least 2–3 times in the preceding months. Over 8% of American high school students admitted to attempting suicide in the preceding year, and up to 30% of Polish teenagers declare that they have had suicidal plans. Extreme aggression, such as interpersonal violence, is the third most common cause of death in people aged 10–29 years. Suicide is the second most common cause of death among people aged 12–25 years. In recent years, the prevalence of extreme self-destructive (suicidal) and extreme aggressive (violent) behaviors has increased among children and adolescents. Interventions designed to reduce risk of destructive behaviors among adolescents need to take account of the specific family patterns. Alcohol abuse by significant family members, especially by male family members, and a lesser role of hidden projections, were the most significant predictors of violent behaviors. Emotional distance and hidden projections (related to diseases) were the most significant predictors of suicidal behaviors in the studied adolescent girls. The data was analyzed by polynomial logistic regression, analysis of variance, and discriminant analysis. The Genograms were used to assess the family structure, relationships between family members, and family projections. The study involved 140 participants, aged 13–17, including 40 girls after suicide attempts, 40 girls using violence, and 60 girls without destructive behavior at all. The aim of this study was to identify the family patterns that should draw therapeutic attention due to their importance for suicidal or violent behaviors in adolescent girls. Therapeutic effectiveness seems to depend on an adequate recognition of factors that might increase the risk of extreme destructive behaviors. An increase in extreme self-destructive and aggressive behaviors in adolescents has been observed in recent years.
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