Paediatric suicide in the USA: analysis of the National Child Death Case Reporting System

Trigylidas, Theodore E.; Reynolds, Eliza M; Teshome, Getachew; Dykstra, Heather; Lichenstein, Richard

doi:10.1136/injuryprev-2015-041796

Cited by 19 publications

(13 citation statements)

References 22 publications

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“…Common factors associated with self‐harm among children are exposure to self‐harm by friends or family members, psychosocial issues, substance abuse, and self‐blaming coping strategies, 6,22,23,29 along with experience of mental health conditions, such as depression 22,23 . These self‐harm hospitalisations represent just the tip of the iceberg in terms of the full burden of self‐harm behaviour as many children who self‐harm do not seek treatment from hospital services 7 .…”

Section: Discussionmentioning

confidence: 99%

Intentional self‐harm and assault hospitalisations and treatment cost of children in Australia over a 10‐year period

Mitchell

Seah

Ting

et al. 2018

Australian and New Zealand Journal of Public Health

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Objective: To examine the magnitude, 10-year temporal trends and treatment cost of intentional injury hospitalisations of children aged ≤16 years in Australia.Method: A retrospective examination of linked hospitalisation and mortality data for children aged ≤16 years during 1 July 2001 to 30 June 2012 with self-harm or assault injuries. Negative binomial regression examined temporal trends.Results: There were 18,223 self-harm and 13,877 assault hospitalisations, with a treatment cost of $64 million and $60.6 million, respectively. The self-harm hospitalisation rate was 59.8 per 100,000 population (95%CI 58.96-60.71) with no annual decrease. The assault hospitalisation rate was 29.9 per 100,000 population (95%CI 29.39-30.39) with a 4.2% annual decrease (95%CI -6.14--2.31, p<0.0001). Poisoning was the most common method of self-harm. Other maltreatment syndromes were common for children ≤5 years of age. Assault by bodily force was common for children aged 6-16 years. Conclusions:Health professionals can play a key role in identifying and preventing the recurrence of intentional injury. Psychosocial care and access to support services are essential for self-harmers. Parental education interventions to reduce assaults of children and training in conflict de-escalation to reduce child peer-assaults are recommended.Implications for public health: Australia needs a whole-of-government and community approach to prevent intentional injury.

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Section: Discussionmentioning

confidence: 99%

Intentional self‐harm and assault hospitalisations and treatment cost of children in Australia over a 10‐year period

Mitchell

Seah

Ting

et al. 2018

Australian and New Zealand Journal of Public Health

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“…Although these studies have documented violence as the most common firearm injury mechanism among children, self‐inflicted and unintentional injuries also occur. Few studies have examined pediatric firearm deaths from self‐inflicted and unintentional firearm shootings, leaving our understanding of the risk factors, service utilization, and clinical outcomes of children injured by these different mechanisms lacking. If the risk factor profile and clinical outcomes of firearm injuries differed by intent, prevention and intervention efforts could tailor their approach to focus on specific injury mechanisms, improving efficiency and effectiveness.…”

mentioning

confidence: 99%

Predictors and Outcomes of Pediatric Firearm Injuries Treated in the Emergency Department: Differences by Mechanism of Intent

Monuteaux

Mannix

Fleegler

et al. 2016

Academic Emergency Medicine

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Objective: Firearm injuries among children are a major clinical and public health concern and one of the leading causes of pediatric fatalities. Our objective was to investigate differences in predictors and clinical outcomes between self-inflicted, violent, and unintentional pediatric firearm injuries for patients who present to pediatric emergency departments (EDs). Methods:We conducted a retrospective study of patients 0 to 21 years old treated in 37 pediatric academic EDs from 2004 to 2014. Patients were classified into the injury intent categories of self-inflicted, violent, and unintentional firearm injury using the International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) diagnoses and external causes of injury codes. Multivariable multinomial regression models compared groups.Results: We identified 9,628 firearm injuries from 2004 to 2014: 109 (1%) self-inflicted, 2,394 (25%) violent, and 7,125 (74%) unintentional. Male sex, increasing age, nonwhite race, public insurance, residing in an urban zip code, and lower zip code-level median household income were all independently associated with violent firearm injuries, relative to self-inflicted and unintentional injuries. Self-inflicted injuries were at the highest risk for hospital admission, death, intensive care unit services, surgical services, and increased length of stay, followed by violent injuries with intermediate risk and unintentional injuries at the lowest risk Conclusions: Self-inflicted, violent, and unintentional firearm injuries in children had distinct demographic risk factors and clinical and utilization outcomes. Targeted prevention and intervention efforts should be developed to reduce the incidence and severity of these injuries.ACADEMIC EMERGENCY MEDICINE 2016;23:790-795

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“…Esto coincide con un estudio realizado entre adolescentes estadounidenses desde el 2004 al 2012, que en este grupo informó un 73.6% de suicidios en la población masculina. [18] El comportamiento suicida entre adolescentes es un problema de salud mental que resulta cada vez más común en varios países, incluyendo Cuba. [18][19][20] Hay informes nacionales que muestran que una seria disfunción familiar, la ruptura de relaciones íntimas, la historia de intentos de suicidio, el uso de alcohol y drogas, la falta de esperanza, la depresión u otros desórdenes mentales aumentan el riesgo de suicidio.…”

Section: Artículo Originalunclassified

“…[18] El comportamiento suicida entre adolescentes es un problema de salud mental que resulta cada vez más común en varios países, incluyendo Cuba. [18][19][20] Hay informes nacionales que muestran que una seria disfunción familiar, la ruptura de relaciones íntimas, la historia de intentos de suicidio, el uso de alcohol y drogas, la falta de esperanza, la depresión u otros desórdenes mentales aumentan el riesgo de suicidio. [19,21] Según el Informe Anual de Estadísticas, las personas en edades entre 15 y 19 años representaban el 27% de la población cubana en edades por debajo de los 20 años en el 2015,[22] pero el 88% de los suicidios estaban en el grupo etario de menores de 20 en el período del 2011 al 2014.…”

Section: Artículo Originalunclassified

Epidemiology of Suicide in Cuba, 1987-2014

2016

MEDICC Review

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Paediatric suicide in the USA: analysis of the National Child Death Case Reporting System

Abstract: Most suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide.

Cited by 19 publications

References 22 publications

Intentional self‐harm and assault hospitalisations and treatment cost of children in Australia over a 10‐year period

Intentional self‐harm and assault hospitalisations and treatment cost of children in Australia over a 10‐year period

Predictors and Outcomes of Pediatric Firearm Injuries Treated in the Emergency Department: Differences by Mechanism of Intent

Epidemiology of Suicide in Cuba, 1987-2014

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