Epidemiological characteristics in suicidal adolescents seen in the Emergency Department
Por:
Margarit Soler A, Martínez-Sánchez L, Martinez-Monseny T, Trenchs-Sainz de la Maza V, Picouto MD, Villar F and Luaces-Cubells C
Publicada:
1 jul 2016
Ahead of Print:
28 ago 2015
Categoría:
Pediatrics, perinatology and child health
Resumen:
Introduction: Suicide attempt in adolescents is a major global health problem. In order to prevent them, the risks factors need to be identified. The present study evaluates the clinical and epidemiological aspects of adolescent patients after attempted suicide, who were seen in an emergency department.
Materials and methods: Description of retrospective study of patients younger than 18 years who visited emergency department unit after a suicide attempt, during the period from 2008 to 2012.
Results: A total of 241 patients were included, of whom 203 were female. The median age of the patients was 15.6 years. Psiquiatric history was present in 65.1% of the patients. The most frequent suicide mechanism was drug overdose (94.2%). Attempted suicide ideation was more common in males and in patients with previous attempts, and were also more related to sequels. Moreover, patients with an overdose were associated with psychiatric history and clinical toxicity.
Conclusions: Patients with any of the following characteristics; male, psychiatric history, a history of previous suicide attempts and/or clinical toxicity at the time of the visit in the emergency center, were more associated suicidal ideation before the attempt. Therefore, they had greater severity and risk repeating the attempt. They require a careful psychiatric evaluation and close monitoring. (C) 2015 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Margarit Soler A:
Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España.
Martínez-Sánchez L:
Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España
Trenchs-Sainz de la Maza V:
Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España
Picouto MD:
Servicio de Psiquiatría, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España
Luaces-Cubells C:
Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España
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