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[12岁以下儿童的自杀未遂情况]

[Suicide attempts in children under 12 years of age].

作者信息

Stordeur C, Acquaviva E, Galdon L, Mercier J-C, Titomanlio L, Delorme R

机构信息

Service de psychiatrie de l'enfant et de l'adolescent, centre hospitalo-universitaire Robert-Debré, Assistance publique-Hôpitaux de Paris (AP-HP), 48, boulevard Sérurier, 75935 Paris cedex 19, France.

Service de psychiatrie de l'enfant et de l'adolescent, centre hospitalo-universitaire Robert-Debré, Assistance publique-Hôpitaux de Paris (AP-HP), 48, boulevard Sérurier, 75935 Paris cedex 19, France.

出版信息

Arch Pediatr. 2015 Mar;22(3):255-9. doi: 10.1016/j.arcped.2014.12.004. Epub 2015 Feb 2.

Abstract

Suicide attempts (SA) in children are often considered rare and poorly studied. The aim of this study was to explore the clinical characteristics of SA in children under 12 years of age. A retrospective assessment was conducted in 30 consecutive SAs reported in children under 12 years of age admitted to the emergency department at the Robert-Debré University Hospital (Paris, France) from 2007 to 2010 and the Regional University Hospital (Besançon, France) from 2000 to 2008. All suicide attempters were directly assessed at the somatic and psychiatric level. Patients were 8-11 years old (mean, 10.2±0.8). The sex ratio was 0.9 boys for 1 girl. The leading SA methods were poisoning by medication (53.3%), hanging or strangulation (23.3%), jumping from a height (16.7%), poisoning by chemicals (3.3%), and lesions inflicted by sharp objects (3.3%). In addition, SAs were characterized by high lethality (43.7%) contrasting with their low to moderate suicidal intentionality (43.8% and 56.2%, respectively). In conclusion, we reported that SA in children differs from those of adolescents by their greater lethality related to the methods used, but contrasting with the low intentionality mentioned by these patients.

摘要

儿童自杀未遂情况通常被认为较为罕见且研究不足。本研究旨在探讨12岁以下儿童自杀未遂的临床特征。对2007年至2010年在法国巴黎罗伯特 - 德布雷大学医院急诊科收治的以及2000年至2008年在法国贝桑松地区大学医院收治的30例连续12岁以下儿童自杀未遂病例进行了回顾性评估。所有自杀未遂者均在躯体和精神层面接受了直接评估。患者年龄为8至11岁(平均10.2±0.8岁)。男女比例为男孩与女孩之比为0.9。主要的自杀未遂方式为药物中毒(53.3%)、上吊或勒颈(23.3%)、高处跳下(16.7%)、化学品中毒(3.3%)以及锐器致伤(3.3%)。此外,自杀未遂具有高致死率(43.7%),与其低至中度的自杀意图形成对比(分别为43.8%和56.2%)。总之,我们报告称儿童自杀未遂与青少年自杀未遂不同,前者因所采用的方式而具有更高的致死率,但与这些患者所提及的低自杀意图形成对比。

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