Characteristics and outcomes of self inflicted pediatric injuries: the role of method of suicide attempt.

Li, G.; DiScala, Carla; Nordenholz, Kristen E.; Sterling, Samantha; Baker, Sarah

doi:10.1136/ip.3.2.115

Cited by 35 publications

(22 citation statements)

References 13 publications

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“…A substantial body of literature derived from both clinical series [3][4][5] and autopsy data [6][7][8][9][10][11][12][13], including a multinational examination of suicide trends in 15 European Countries [13], continues to show that males are at increased risk for mortality from childhood and adolescent selfinflicted injuries. Males have a 4-fold increased risk of death [13].…”

Section: Discussionmentioning

confidence: 99%

“…One possible explanation for this is that males use more lethal methods in their attempt than females. Li et al [3] used the National Pediatric Trauma Registry to identify patients aged 5 to 14 years who sustained an SII. Males comprised 75% of cases of GSW and 82% of hanging which were the most lethal mechanism of SII.…”

Section: Discussionmentioning

confidence: 99%

“…Previous series, using emergency department [3][4][5] and autopsy data [6][7][8][9][10][11][12][13], have shown that male patients are at a higher risk for mortality when compared with female patients. However, recent reports have demonstrated an increasing lethality among young female patients, in particular by means of hanging [14].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sex-related differences in childhood and adolescent self-inflicted injuries: a National Trauma Databank review

Branco

Inaba

Barmparas

et al. 2010

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sex-related differences in childhood and adolescent self-inflicted injuries: a National Trauma Databank review

Branco

Inaba

Barmparas

et al. 2010

Journal of Pediatric Surgery

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“…Assessing family environment in the ED to gauge parental abilities may also limit means access and encourage monitoring. [55][56] Behavioral lethality has received much attention in general treatment literature, 4,9,[19][20] disposition literature, [57][58] and by the American Psychiatric Association (APA). 59 Lethality assessment during ED history taking has been recommended, 59 and scales have been suggested as adjunctive rather than as a rigid replacement to standard history taking, 20 given the uniqueness to each child and adolescent's risk factors and experiences.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Newton

Hamm

Bethell

et al. 2010

Annals of Emergency Medicine

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Study Objective-We evaluated the effectiveness of interventions for pediatric patients with suicide-related emergency department (ED) visits.Methods-We searched of MEDLINE, EMBASE, the Cochrane Library, other electronic databases, references, and key journals/conference proceedings. We included experimental or quasi-experimental studies that evaluated psychosocial interventions for pediatric suicide-related ED visits. Inclusion screening, study selection, and methodological quality were assessed by two CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript independent reviewers. One reviewer extracted the data and a second checked for completeness and accuracy. Consensus was reached by conference; disagreements were adjudicated by a third reviewer. We calculated odds ratios (OR), relative risks (RR), or mean differences (MD) for each study's primary outcome with 95% confidence intervals (CI). Meta-analysis was deferred due to clinical heterogeneity in intervention, patient population, and outcome.Results-We included 7 RCTs and 3 quasi-experimental studies grouping and reviewing them according to intervention delivery: ED-based delivery (n=1), post-discharge delivery (n=6), and ED transition interventions (n=3). An ED-based discharge planning intervention increased the number of attended post-ED treatment sessions (MD=2.6; 95%CI:0.05,5.15). Of the 6 studies of post-discharge delivery interventions, one found increased adherence with service referral in patients who received community nurse home visits compared to simple placement referral at discharge (RR=1.28; 95%CI:1.06,1.56). The 3 ED transition intervention studies reported: (1) reduced risk of subsequent suicide following brief ED intervention and post-discharge contact (RR=0.10; 95%CI:0.03,0.41), (2) reduced suicide-related hospitalizations when ED visits were followed up with interim, psychiatric care (RR=0.41; 95%CI:0.28,0.60), and (3) increased likelihood of treatment completion when psychiatric evaluation in the ED was followed by attendance of outpatient sessions with a parent (OR=2.78; 95%CI:1.20,6.67).Conclusion-Transition interventions appear most promising for reducing suicide-related outcomes and improving post-ED treatment adherence. Use of similar interventions and outcome measures in future studies would enhance the ability to derive strong recommendations from the clinical evidence in this area.

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“…16 In one such study, case-fatality rates varied by SRB methods and were highest among firearms (50%) and hanging (32%), compared with jumping (5%) and with boys being over represented in both firearms (75%) and hanging (81.6%), than jumping (28.6%). 17 As SRB methods differ in severity and by sex, monitoring SRB methods over time by sex is relevant for evaluating exposure impacts, including preventive interventions. As such, we describe the clinical acuity of SRB methods by sex and test whether trends in SRB methods 4 were statistically significant linear ones: in girls, opposing trends in selfpoisoning and cut (or) pierce methods (before and after …”

Section: 13mentioning

confidence: 99%

Time Trends in Medically Serious Suicide-Related Behaviours in Boys and Girls

Rhodes

Skinner

2014

Can J Psychiatry

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Objective: To determine whether emergency department (ED) presentations for suiciderelated behaviours (SRBs) in boys and girls were identified as more clinically acute in the ED in the period after the regulatory warnings against prescribing antidepressants and during the global economic recession, and to characterize the medical severity of SRBs among boys and girls to aid surveillance activities. Results:In both boys and girls, high acuity events were 50% greater after FY 2004 than before, regardless of subsequent admission, and most common among boys and girls who self-poisoned. In girls, opposing linear trends before and after FY 2004 were observed in the proportion of self-poisonings and cut (or) pierce SRB methods. Throughout the study period, there was a linear decline in the proportion of boys presenting to the ED with other methods. Conclusions:The previously reported increase in hospital admissions after the warnings and during the recession is unlikely artifactual. An equivalent increase in high acuity events was also evident among those not subsequently admitted. The reasons for varying responses in boys and girls by SRB method warrant further study. W W W Tendances temporelles de comportements médicalement sérieux liés au suicide chez les garçons et les fillesObjectif : Déterminer si les présentations au service d'urgence (SU) pour des comportements liés au suicide (CLS) chez les garçons et les filles ont été identifiées comme étant plus cliniquement aiguës au SU dans la période qui a suivi les avertissements réglementaires contre la prescription d'antidépresseurs et durant la récession économique mondiale, et caractériser la gravité médicale des CLS chez les garçons et les filles pour aider les activités de surveillance.

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Characteristics and outcomes of self inflicted pediatric injuries: the role of method of suicide attempt.

Cited by 35 publications

References 13 publications

Sex-related differences in childhood and adolescent self-inflicted injuries: a National Trauma Databank review

Sex-related differences in childhood and adolescent self-inflicted injuries: a National Trauma Databank review

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Time Trends in Medically Serious Suicide-Related Behaviours in Boys and Girls

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