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Evaluation of Predictors of Suicidal Re-Attempt in Pediatric Patients in the Emergency Department

作     者:Ali Kemal Erenler Turker Yardan Fuat Kulaksiz Cem Kocak 

作者机构:Department of Emergency MedicineHitit University Corum Training and Research HospitalCorumTurkey Department of Emergency MedicineFaculty of MedicineOndokuzmayis UniversitySamsunTurkey Department of StatisticsHitit University Corum Training and Research HospitalCorumTurkey 

出 版 物:《Open Journal of Pediatrics》 (儿科学期刊(英文))

年 卷 期:2017年第7卷第4期

页      面:309-319页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Suicide Pediatric Patients Emergency Department 

摘      要:Background: Suicidal attempt in children is a serious public health problem. A proper identification of features of suicide-related behavior may help physicians to develop an accurate approach. The aim of this study was to clarify the characteristics of children with poisoning due to suicidal attempt and to determine the risk factors of suicidal re-attempt in the Emergency Department (ED) via a simple questionnaire. Methods: We collected medical data of patients under 18 years who were admitted to our ED with intoxication due to suicidal attempt, retrospectively. General characteristics of patients were evaluated. Patients were divided into 2 groups as 1) High risk: patients with repetitive suicide attempt;2) Low risk: patients with first time suicidal attempt. Results: A total of 57 patients were included in this study. The mean age was 15.91 ± 0.97. Majority of the patients were female (73.7%). Analgesics were the most frequent abused drugs with a ratio of 51.1%. It is determined that the most important variables affecting the risk of suicidal re-attempt are “idea about the suicide and “purpose. It was determined that patients with an idea of repetitive suicide (I will try again) and whose purpose was to die (I wish I have died) were in the most risky group with a history of previous suicidal attempt. Conclusion: This study suggests that answers of the pediatric patients to some question have a potential to predict the high risk patients. The risk of suicidal re-attempt may be predicted by the answers given to these questions: 1) What is your idea about suicide? 2) What was your purpose?

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