Suicide attempts in a emergency hospital

Alves, Verônica de Medeiros; Silva, Amanda Mirlla Santos da; Magalhães, Ana Paula Nogueira de; Andrade, Tiago Gomes de; Faro, Ana Cristina Mancussi e; Nardi, Antônio Egídio

doi:10.1590/0004-282x20130212

Cited by 8 publications

(14 citation statements)

References 19 publications

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“…We underline the inversion of predominant gender with increasing age, that is, females were more prevalent in the age group over 12 years in this study. As intentional poisoning among adolescents is more frequent in females, 16 these findings raise the suspicion that some cases have been wrongly classified as accidental in this age group. The fact that benzodiazepines were disproportionately involved in this age group corroborates this suspicion (5% of victims aged up to 12 years and 13% of those over this age).…”

Section: Discussionmentioning

confidence: 99%

Accidental Poisoning in Children and Adolescents Admitted to a Referral Toxicology Department of a Brazilian Emergency Hospital

Vilaça

Volpe

Ladeira

2020

Rev. paul. pediatr.

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Objective: To describe the profile of children and adolescents admitted for exogenous unintentional poisoning in the emergency room and analyze factors associated with subsequent in-hospital admissions. Methods: This is a cross-sectional study based on hospital records of all subjects up to 19 years-old admitted in 2013 at a specialized toxicology service on a major public emergency hospital due to unintentional intoxication (as reported). Accidents with poisonous animals and insects were excluded. Percentages and frequencies were calculated for the qualitative variables, and measures of central tendency and dispersion for the continuous quantitative variables. Multivariate analysis was performed using binary logistic regression to identify variables associated with subsequent in-hospital admissions. Results: In 2013, 353 cases were reported. Poisonings were more frequent in children 0-4 years-old (72.5%) and in boys (55%). The vast majority was of dwellers of the Metropolitan Region of Belo Horizonte (83%), and 90% of the accidental poisonings occurred at home. 82.7% of the poisonings occurred by oral ingestion, especially of medicinal (36.5%) and cleaning products (29.4% of all poisonings). Only 12.2% of the cases resulted in hospitalization, and only one resulted in death. Residing outside Belo Horizonte (OR=5.20 [95%CI 2.37-11.44]) and poisoning by two or more products (OR=4.29 [95%CI 1.33-13.82]) were considered risk factors for hospitalization. Conclusions: Accidental poisonings occurred most frequently by ingestion of household medications and cleaning products, especially among children under 4 years-old. Preventive strategies should be primarily directed for this prevalent profile.

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Section: Discussionmentioning

confidence: 99%

Accidental Poisoning in Children and Adolescents Admitted to a Referral Toxicology Department of a Brazilian Emergency Hospital

Vilaça

Volpe

Ladeira

2020

Rev. paul. pediatr.

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“…Worldwide, and in the Middle East, psych-related ED visits and suicide attempts continue to grow [ 14 – 16 , 20 , 21 , 23 ]. Studies have shown that 1 in 4 Lebanese will suffer from mental illness in their lifetime [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Characteristics of patients presenting post-suicide attempt to an Academic Medical Center Emergency Department in Lebanon

et al. 2018

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BackgroundEmergency Department (ED) visits for suicide attempts have been described worldwide; however, the populations studied were predominantly Western European, North American, or East Asian. This study aims to describe the epidemiology of ED patients presenting post-suicide attempt to an academic medical center in Lebanon and to report on factors that affect ED disposition.MethodsA retrospective cohort study was conducted between 2009 and 2015. Patients of any age group were included if they had presented to the ED after a suicide attempt. Patients with unintentional self-harm were excluded. Descriptive analysis was performed on the demographics and characteristics of suicide attempts of the study population. A bivariate analysis to compare the two groups (hospitalized or discharged) was conducted using Student’s t test and Pearson Chi-square where appropriate. A multivariate analysis was then conducted to determine the predictors of hospital admission.ResultsOne hundred and eight patients were included in the final analysis. Most patients were females (71.4%) and between 22 and 49 years of age. A considerable number of patients were unemployed (43%), unmarried (61.1%), and living with family (86.9%). Most suicide attempts were performed at home (93.5%) and on a weekday (71.3%). The most common mechanisms of injury were overdose with prescription medications (61.3%), overdose with over-the-counter drugs (27.9%), and self-inflicted lacerations (10.1%). The classes of medication most commonly abused were benzodiazepines (39.3%) followed by acetaminophen (27.3%). A large portion of our patients were admitted (70.3%), with the majority going to the psychiatric ward (71.1%). Of note, a quarter (27.5%) of our patients left the ED against medical advice, with 23.5% of admitted patients leaving the hospital before completion of treatment. The main predictors of admission were found to be overdose on prescription medications OR 9.25 (2.12–40.42 CI95%).ConclusionsThe characteristics of our suicide attempters mirror those of international and regional suicide attempters. Further work is required to quantify the effect of voluntary refusal of hospital treatment, the repercussions of family, and financial barriers to healthcare and suicide as a whole in our society.Electronic supplementary materialThe online version of this article (10.1186/s12991-018-0191-5) contains supplementary material, which is available to authorized users.

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“…In 2010, in Alagoas, 26% of young people (10-19 years old) were hospitalized for attempted suicide at a state hospital of reference 11 . These data are worrying and alarming, especially because of the reporting constraint.…”

Section: Introductionmentioning

confidence: 99%