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BACKGROUND: Cyberbullying, has concerned professionals due to increased use of media over time and as predicted, this type of bullying is fairly common among adolescents. We aimed to define the prevalence of cyberbullying and cyber victimization, examine relationships between problematic smartphone (SP) use (PSU), psychiatric symptoms and emotion regulation difficulties in a clinical adolescent sample. Also, we aimed to predict risk factors of being an E-Victim and E-Bully. METHODS: One hundred and fifty adolescents have recruited the study. Demographic Information Form, Problematic Mobile Phone Usage Scale, Brief Symptom Inventory, Difficulties in Emotion Regulation Scale, E-Victimization-E-Bullying Scale were filled out by adolescents. RESULTS: Our results indicated that the prevalence of cybervictimization and cyberbullying were 62.6% and 53.3%, respectively. BEVEB (Both E-Victim and E-Bully) group adolescents were older than NVB (Non-Victim/Bully) groups. Access internet via own SP, PSU, problems in strategies and impulse control and were significantly higher and \"lack of awareness\" scores were significantly lower in BEVEB group than others. In addition, when compared with OEV (only E-Victims) group, BEVEB group had also higher hostility scores. Logistic regression analysis revealed that high scores of \"lack of awareness\" and higher E-bullying scores increase the risk of being an E-Victim; and higher scores of hostility and E-victimization and lower scores of \"lack of awareness\" (in other words being more aware of feelings) increase the risk of being an E-bully. CONCLUSIONS: According to analyses, contrary to our expectations, PSU was important but not an independent predictor of being an E-Victim/E-Bully. Our results also demonstrated an interesting finding: lack of awareness is a risk factor for being an E-victim. We interpreted this result as could not be aware of feelings increase the victimization risk. On the other hand, E-Bullies have higher hostility and victimization while having lower \"lack of awareness\" scores. It could be speculated that, re-victimization and being aware of hostility feelings could increase the cyberbullying among adolescents. In addition being an E-Bully could be a consequence of being an E-victim and increasing hostility and awareness over time. These results should be re-examined in larger clinical samples.

A burgeoning body of evidence suggests a higher prevalence of nonsuicidal self-injury (NSSI) behaviors among adolescents. This study aimed to examine the comorbid internalizing symptoms and suicidal behaviors, along with associations between dissociative experiences and suicide risk in adolescents attending a psychiatric outpatient unit in Ankara, Türkiye. The study included 81 adolescents aged 12–18 years, who engaged in NSSI and sought treatment at a psychiatric outpatient clinic. Psychiatric evaluations were conducted through semi-structured clinical interviews. NSSI behaviors were assessed using the Inventory of Statements About Self-Injury, and suicide risk was measured using the Suicide Probability Scale. Additionally, internalizing symptoms and dissociative experiences were evaluated using the Revised Children’s Anxiety and Depression Scale-Child Version and the Adolescent Dissociative Experiences Scale, respectively. Moderate to high correlations were found among suicide risk, dissociation, NSSI severity, anxiety and internalizing scores. Mediation analysis revealed that NSSI significantly mediated the relationship between dissociation and suicide risk. These findings indicate that assessing both dissociation and NSSI could provide valuable insights into comprehending and addressing adolescent suicide, thereby facilitating the development of targeted interventions to mitigate the effects of dissociative experiences.

Amaç: Bu çalışmada ülkemizde çocuk psikiyatrisi alanında görev yapmakta olan hekimlerin çocuklar için özel gereksinim değerlendirmesine ilişkin yönetmelik (ÇÖZGER) sonrası uygulamada özel gereksinimi değerlendirme sürecinde karşılaştıkları zorlukların tespit edilmesi amaçlanmıştır. Gereç ve Yöntem: Türkiye Çocuk ve Genç Psikiyatrisi Derneği üyesi tüm çocuk ve ergen ruh sağlığı ve hastalıkları uzman hekimlerine ve öğretim üyelerine, Eylül-Ekim 2020 tarihleri arasında e-posta aracılığı ile ulaşılmıştır. Çalışmaya katılmaya gönüllü olanlara hekime ait uzmanlık alanı konusundaki değişkenler ile ÇÖZGER yönetmeliği sonrasında sağlık kurulu hastalarını değerlendirme, tanılama, heyete yönlendirme ve rapor düzenleme süreçlerine ilişkin kapalı ve açık uçlu sorulardan oluşan öz bildirime dayalı anket uygulanmıştır. Bulgular: Katılımcıların (n=156) ortalama yaşı 33,8 (±4,1) olup %67,3’ü kadındır. Sağlık kurulu uygulamalarına yönelik verilerde; kurula yönlendirmelerin çoğunlukla çocuk ve ergen psikiyatristi tarafından yapıldığı, bazı psikiyatrik tanıların rehberlik araştırma merkezi (RAM) tarafından eğitsel olarak onaylanamadığı, bu durumun hekimin tanısal kararını etkileyebildiği, katılımcıların neredeyse yarısının ÇÖZGER sonrası sağlık kurulu hastalarını değerlendirirken bilişsel gelişim, dil konuşma ve iletişim ve çocuk ve ergen psikiyatrisi olmak üzere en az bir alanda zorlandığı, özellikle farklı disiplinlerle sınır ihlaliyle ilişkili sorunlar yaşadığı, çalıştıkları hastanede tanımlı bir ÇÖZGER yetkili hekiminin olmadığı gösterilmiştir. Çalışmamızda hekimlerin öz bildirimine dayalı olarak ÇÖZGER sonrası farklı merkezlerde aynı tanıya sahip hastaların özel gereksinim alanı ve düzeyi bakımından farklılıklar gösterebildiği, özellikle otizm spektrum bozukluğu ve zihinsel yetersizlikte rapordaki özel gereksinim düzeyinin çocuğun gerçek düzeyi ile bağdaşmayabildiği saptanmıştır. Sonuç: Sağlık kurulu raporlarının hasta açısından mağduriyet, hekim açısından yasal sorun oluşturmaksızın düzenlenebilmesi için, ÇÖZGER yönetmeliğinde hekimlerin karşılaştıkları zorluklarla ilgili çözüme yönelik rasyonel düzenlenmelerin yapılması ve sonrasında yönetmeliğe yönelik ilgili hekimlerin, hastane yöneticilerinin ve RAM çalışanlarının eğitilmesi gerekmektedir.

Background: Fear of missing out (FoMO) is a kind of anxiety that arises from FoMO on rewarding online social experiences that others might be having. Recent studies demonstrated that there is a strong relationship between FoMO and problematic smartphone use (PSU). In this study, we aimed to address the relationship between age, gender, psychiatric symptoms, PSU, and FoMO among a clinical-based adolescent sample. Methods: In total, 197 adolescents (136 boys, 12-18 years) who applied to psychiatry clinics were recruited in the study. Path analysis with observed variables was used to investigate the relationships of PSU and FoMO with each other and with psychiatric symptoms (somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, phobic anxiety, paranoid ideation, and psychoticism), age, and gender. Results: Path analysis showed that age (B1 = 2.35, P < 0.001), somatization (B1 = 1.19, P < 0.001), hostility (B1 = 0.92, P = 0.001), and paranoid ideation (B1 = 0.93, P = 0.005) have significant positive effect on PSU, when interpersonal sensitivity has a significant negative effect (B1 = -1.47, P < 0.001). For FoMO, male gender (B0 = 0.35, P < 0.001), anxiety (B1 = 1.37, P < 0.001), and PSU have positive effects, whereas age (B1 = -1.60, P < 0.001), depression (B1 = -0.58, P = 0.004), and hostility (B1 = -0.49, P = 0.001) have a negative effect. Conclusions: Our study demonstrated that although PSU and FoMO are closely related to each other in previous studies, they have different associations with age, gender, and psychiatric symptoms among a clinical-based adolescent sample. The positive effects of PSU, anxiety on FoMO are predictable; however, the negative effect of age, hostility, and depression on FoMO was interesting. These relationships could be related to social exclusion-hostility and impulsivity-male gender/younger age associations in adolescence. In addition, we did not find a significant effect of FoMO on PSU, this could be related to the social and non-social use of smartphones, and should be reevaluated in clinical samples in the future.

Abstract Objective: WhatsApp (WA) is the most popular instant message application all over the world. Although communication has become easier and enjoyable with the help of this application, the overuse, and addiction of WA has become an important problem among adolescents. WhatsApp addiction is a part of problematic smartphone use (PSU). When we examined previous studies, we found that the samples were generally composed of young adults, but studies on adolescents who are at high risk for problematic Whatsapp use (PWU) were insufficient, and almost no studies were conducted in the clinical adolescent sample. In this study, we aimed to increase our knowledge about problematic Whatsapp use (PWU) and possible risk factors including fear of missing out (FoMO), PSU, and psychiatric symptoms among adolescents who applied to outpatient psychiatry clinics. Method: 197 adolescents (136 boys, 61 girls, age: 12-18 years) recruited the study. Problematic Mobile Phone Usage Scale (PMPUS), Bergen Whatsapp Addiction Scale, Brief Symptom Inventory, and Fear of Missing Out (FoMO) Scale were used. Results: We grouped the sample as PWU (Problematic WhatsApp use) and Normal Use group due to Bergen WA Addiction scale. PWU group's adolescents were significantly older than others (p=0.03), and had higher scores in all subscales of Brief Symptom Inventory (BSI), FoMO and PMPUS (for all scale scores p