Characteristics and Trends of Suicide Attempt or Non-suicidal Self-injury in Children and Adolescents Visiting Emergency Department

Kim, Harin; Ryu, Jeong Min; Kim, Hyo Won

doi:10.3346/jkms.2020.35.e276

Cited by 21 publications

(23 citation statements)

References 66 publications

(71 reference statements)

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“…Using the KNHDIIS, a national disease statistic, this study analyzed characteristics related to self-harm and suicide attempts in 30046 patients by sex and age, applying weights for the 980 adolescents aged 10-24 years who were hospitalized The emergency room is an important treatment environment for children and adolescents who attempt self-harm and suicide [8,16]. Recently, in Korea and worldwide, the number of visits to the emergency room for self-harm has increased [16]. In particular, it is known that women and older adolescents visit emergency rooms more frequently [4,16], which is consistent with the results of this study.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The emergency room is an important treatment environment for children and adolescents who attempt self-harm and suicide [ 8 , 16 ]. Recently, in Korea and worldwide, the number of visits to the emergency room for self-harm has increased [ 16 ]. In particular, it is known that women and older adolescents visit emergency rooms more frequently [ 4 , 16 ], which is consistent with the results of this study.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Characteristics of Adolescents Hospitalized Through Emergency Room for Intentional Self-Harm or Suicide Attempts

Yoon

Lee

Son

et al. 2022

J Korean Acad Child Adolesc Psychiatry

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Self-harm is an action that intentionally injures oneself and is divided into self-injury with suicidal intention (suicide attempt) and non-suicidal self-injury, which does not involve suicidal intention [1]. Patients who self-harm are 56.8 times more likely to die by suicide than the general population [2], and patients with non-suicidal self-injury are three times more likely to attempt suicide in the future [3]. This suggests that all self-harm behaviors should be considered a risk factors for suicide, regardless of suicidal intention [2].According to the '2021 White Paper on Suicide Prevention,' suicide is the leading cause of death among teenagers and 20s in Korea, and in 2019, the suicide rate of 10-24-year-old in Korea was 1.8 times higher than the average of OECD member countries [4]. Male adolescents are more successful in suicide than female adolescents, whereas female adolescents are more likely to have suicidal ideation or plans [5]. However, the male-female ratio of youth suicide rates in Korea decreased from 1.2 times in 2018 to 1.0 times in 2019 [2,4]. Meanwhile, worldwide, the suicide rate among those aged 15-19 years is higher than that of those aged 10-14 years, and the suicide rate rapidly increases with age in the late teens [6]. Such suicide-related characteristics according to sex and age should be considered when planning suicide prevention strategies for adolescents.In 2019, of the suicidal methods taken among adolescents aged 10-25 years who died by suicide in Korea, jumping accounts for 38.5%, hanging for 37.4%, and gas poisoning for 14% [4]. It has been reported that the suicide rate among Korean adolescents increases as they use lethal methods of suicide [7],

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical Characteristics of Adolescents Hospitalized Through Emergency Room for Intentional Self-Harm or Suicide Attempts

Yoon

Lee

Son

et al. 2022

J Korean Acad Child Adolesc Psychiatry

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“… 70 Temperament is inherited and is usually thought to last a lifetime, but it can also be a marker reflecting the severity of depression, as with high harm avoidance, low self-directedness and cooperativeness. 72 Since severe depression is a risk factor for suicide-related behavior, 73 74 75 the previously reported association between suicide-related behaviors and harm avoidance, self-directedness, and cooperativeness may be attributed to the confounding effect. Self-transcendence may be the TCI dimension that strongly suggests the risk of suicide after the effect of psychiatric symptoms, including mood episodes, is excluded.…”

Section: Discussionmentioning

confidence: 99%

Self-Transcendence Mediates the Relationship between Early Trauma and Fatal Methods of Suicide Attempts

et al. 2021

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Background Early trauma is known to be a risk factor of suicide-related behavior. On the other hand, people who attempt suicide using a fatal method are reported to be more likely to complete suicide. In this study, we assumed that early trauma affects an individual's temperament and character and thereby increases the risk of a fatal method of suicide attempts. Methods We analyzed 92 people with a history of previous suicide attempts. We compared the Temperament and Character Inventory-Revised scores between the groups with and without early trauma, and between the groups with and without a history of suicide attempt using fatal methods through an analysis of covariance with age, sex, and presence of a psychiatric history as covariates. A mediation analysis was conducted of the relationship between early trauma and fatal methods of suicide attempt with self-transcendence as a mediator. Results Higher self-transcendence was reported in the fatal group (27.71 ± 13.78 vs. 20.97 ± 12.27, P = 0.010) and the early trauma group (28.05 ± 14.30 vs. 19.43 ± 10.73, P = 0.001), respectively. The mediation model showed that self-transcendence mediates the relationship between early trauma and fatal methods of suicide attempt. The 95% confidence intervals for the direct and indirect effect were (−0.559, 1.390) and (0.026, 0.947), respectively. Conclusion Self-transcendence may mediate the relationship between early trauma and fatal methods of suicide attempt. Self-transcendence may be associated with unhealthy defenses and suicidal behavior for self-punishment and may constitute a marker of higher suicide risk.

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“…Studies have shown that NSSI, suicide, and suicidal behaviors are closely correlated because they are often seen together (11,12,15,46), each increases the risk of the occurrence of the other (47), and due to common genetic (46), phenomenologic features (48) with common risk factors (12). Some researchers have reported that NSSI may be an antecedent of suicide attempts (12), which has led to discussion of a view that the 2 clinical conditions represent the two ends of the same spectrum (11,12,49,50).…”

Section: Discussionmentioning

confidence: 99%

Characteristics and predictive factors of non-suicidal self-injury in patients with schizophrenia spectrum disorders

Alniak¹

2021

Dusunen Adam

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Characteristics and Trends of Suicide Attempt or Non-suicidal Self-injury in Children and Adolescents Visiting Emergency Department

Cited by 21 publications

References 66 publications

Clinical Characteristics of Adolescents Hospitalized Through Emergency Room for Intentional Self-Harm or Suicide Attempts

Clinical Characteristics of Adolescents Hospitalized Through Emergency Room for Intentional Self-Harm or Suicide Attempts

Self-Transcendence Mediates the Relationship between Early Trauma and Fatal Methods of Suicide Attempts

Characteristics and predictive factors of non-suicidal self-injury in patients with schizophrenia spectrum disorders

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