Paediatric suicidal burns: A growing concern

Segu, Smitha S; Tataria, Rachana

doi:10.1016/j.burns.2015.12.012

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Especially concerning is the large proportion of adolescent users self-reporting suicidal ideation in the user comments of these apps. With the rising pediatric suicide rate [ 22 ], adolescents need more protective interventions against potential harms. All the best intentions of app creators to fill in the resource gaps before first mental health visits or between visits, the desire to give patients independence and privacy, and the goodwill to offer cheaper alternatives to clinical appointments might not be enough to keep a good balance on benefits and risks when implementing mental health apps.…”

Section: Discussionmentioning

confidence: 99%

The Association Between App-Administered Depression Assessments and Suicidal Ideation in User Comments: Retrospective Observational Study

DeForte¹,

Huang²,

Bourgeois³

et al. 2020

JMIR Mhealth Uhealth

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Background Many people use apps to help understand and manage their depression symptoms. App-administered questionnaires for the symptoms of depression, such as the Patient Health Questionnaire-9, are easy to score and implement in an app, but may not be accompanied by essential resources and access needed to provide proper support and avoid potential harm. Objective Our primary goal was to evaluate the differences in risks and helpfulness associated with using an app to self-diagnose depression, comparing assessment-only apps with multifeatured apps. We also investigated whether, what, and how additional app features may mitigate potential risks. Methods In this retrospective observational study, we identified apps in the Google Play store that provided a depression assessment as a feature and had at least five user comments. We separated apps into two categories based on those having only a depression assessment versus those that offered additional supportive features. We conducted theoretical thematic analyses over the user reviews, with thematic coding indicating the helpfulness of the app, the presence of suicidal ideation, and how and why the apps were used. We compared the results across the two categories of apps and analyzed the differences using chi-square statistical tests. Results We evaluated 6 apps; 3 provided only a depression assessment (assessment only), and 3 provided features in addition to self-assessment (multifeatured). User comments for assessment-only apps indicated significantly more suicidal ideation or self-harm (n=31, 9.4%) compared to comments for multifeatured apps (n=48, 2.3%; X21=43.88, P<.001). Users of multifeatured apps were over three times more likely than assessment-only app users to comment in favor of the app’s helpfulness, likely due to features like mood tracking, journaling, and informational resources (n=56, 17% vs n=1223, 59% respectively; X21=200.36, P<.001). The number of users under the age of 18 years was significantly higher among assessment-only app users (n=40, 12%) than multifeatured app users (n=9, 0.04%; X21=189.09, P<.001). Conclusions Apps that diagnose depression by self-assessment without context or other supportive features are more likely to be used by those under 18 years of age and more likely to be associated with increased user distress and potential harm. Depression self-assessments in apps should be implemented with caution and accompanied by evidence-based capabilities that establish proper context, increase self-empowerment, and encourage users to seek clinical diagnostics and outside help.

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Section: Discussionmentioning

confidence: 99%

The Association Between App-Administered Depression Assessments and Suicidal Ideation in User Comments: Retrospective Observational Study

DeForte¹,

Huang²,

Bourgeois³

et al. 2020

JMIR Mhealth Uhealth

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“…82 Although the physical treatment of burns caused by self-harm or abuse does not differ from that of accidental burns, these patients require additional psychological and social support. 83 TREATMENT AND NONTREATMENT DISCUSSION: TRIAGE Major trauma often is immediately life-threatening and requires early and significant intervention. In most cases, patients with major trauma have a concussion or other serious head trauma and thus are not conscious of their situation.…”

Section: Self-harm and (Child) Abusementioning

confidence: 99%

“…Although the physical treatment of burns caused by self-harm or abuse does not differ from that of accidental burns, these patients require additional psychological and social support 83 …”

Section: Self-harm and (Child) Abusementioning

confidence: 99%

An Introduction to Burn Care: The Sequel

Hermans

2024

Adv Skin Wound Care

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Care of burns, particularly those that are deep and/or extensive, requires a very specific approach from a multidisciplinary team of different types of experts. In contrast to many chronic lesions, large burns are also immediately life-threatening and have significant systemic effects that require specialized treatment as well. This article provides a high-level overview of burn care with an emphasis on these burn-specific issues and treatment. GENERAL PURPOSE To review burn care, with an emphasis on burn-specific issues and treatment. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant will: 1. Select the appropriate treatment guidelines for patients who have burn injuries. 2. Identify common complications of major burns. 3. Choose the recommended pharmacologic approaches to burn care.

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