Multicenter study of adolescent suicide attempts by poisoning: social, epidemiological, and clinical characteristics.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Algarrada Vico Lorena, Martínez-Sánchez Lidia, Baena Olomí Irene, Benito Caldés Consuelo, Rodríguez Varela Ana, López-Corominas Victoria, Gaitero Tristán Jara, Mangione Cardarella Liliana, Peñalba Cítores Ana, Muñoz Bernal Jose Ángel, Azkunaga Santibáñez Beatriz, Humayor Yáñez Francisco Javier, Rodríguez Mesa María Dolores, Clerigué Arrieta Nuria, Benito Pastor Helvia, Miguel Lavisier Begoña De, Pociello Almiñana Neus, Pizà Oliveras Anna, Gómez Garrido Pablo, Núñez Rebollo Teresa, Vázquez López Paula, Grupo de Trabajo de Intoxicaciones de la Sociedad Española de Urgencias de Pediatría
Аннотация
METHODS: Prospective multicenter cohort study. We included patients under the age of 18 years who were brought to 20 Spanish pediatric EDs after attempting suicide between January 2021 and June 2022. Case histories were reviewed and the patients were interviewed. A Poisoning Severity Score of 2 or more was classified as moderate-severe.
RESULTS: A total of 592 episodes were studied; 541 of the patients (91.4%) were girls. The median (P25-P75) age was 14.6 years (13.6-15.7 years). A psychiatric diagnosis had been made in 417 (70.4%), 334 (56.4%) had attempted suicide previously, and 409 (69.1%) had been victims of bullying. Medications were ingested by 584 (98.6%). The most often used were benzodiazepines (used by 222; 37.5%) and paracetamol (by 187; 31.6%). Fifty-three poisonings were classified as moderate-severe. A mental health evaluation was carried out in 585 cases (98.8%). Odds ratios (ORs) indicated that higher risk of moderate-severe poisoning was associated with having an adjustment disorder (OR, 3.2; P25-P75, 1.1-9.0; P = .027), using opioids (OR, 6.4; P25-P75, 1.2-35.4; P = .032), and taking of antidiabetic drugs (OR, 27.6; P25-P75, 1.2-634.9; P = .038). Being a victim of bullying (OR, 0.4; P25-P75, 0.2-0.8; P = .013] and using nonsteroidal anti-inflammatory drugs (OR, 0.3; P25-P75, 0.1-0.8; P = .020) decreased risk.
CONCLUSIONS: Pediatric ED visits for suicide attempts by poisoning occur mainly in adolescent girls, and a majority have a medical history of a psychiatric diagnosis, prior suicide attempts, or self-harm behaviors. They have also often experienced bullying. Characteristics that distinguish patients with moderate-severe poisoning are the presence of an adjustment disorder and the use of opioids and antidiabetic drugs, which confer risk for greater severity.