National Centre for Suicide Research and Prevention, Institute of Clinical medicine, University of Oslo, Sognsvannsveien 21, N-0372, Oslo, Norway.
Department of Epidemiology, Shandong University School of Public Health and Shandong University Center for Suicide Prevention Research, Jinan, China.
BMC Psychiatry. 2018 Jun 18;18(1):200. doi: 10.1186/s12888-018-1778-8.
Adolescents treated for self-poisoning with medication have a high prevalence of mental health problems and constitute a high-risk population for self-harm repetition. However, little is known about whether this population is also prone to injuries of other forms.
Data were extracted from the Norwegian Patient Registry to include all incidents of treated injuries in adolescents aged 10-19 years who were treated for self-poisoning with medication during 2008-2011. This longitudinal approach allowed for the inclusion of injuries of various forms both before and after the index poisoning with medication. Gender differences and associations of injuries with recorded deliberate self-harm or psychiatric comorbidity at index poisoning were analysed. Forms of injury and psychiatric illnesses were coded according to the ICD-10 system.
1497 adolescents treated for self-poisoning with medication were identified from the source database, including 1144 (76.4%) girls and 353 (23.6%) boys. For these 1497 adolescents a total of 2545 injury incidents were recorded in addition to the index poisoning incidents, consisting of 778 injury incidents taking place before the index poisoning and 1767 incidents taking place subsequently. Altogether 830 subjects (55.4%) had an injury treated either before or after the index poisoning. Injuries to the hand and wrist as well as injuries to the head, neck and throat were predominant in males. Females were more likely to repeat poisoning with medication, particularly those with psychiatric disorders.
Adolescents treated for poisoning with medication represent a high-risk population prone to both prior and subsequent injuries of other forms, and should be assessed for suicidal intent and psychiatric illness.
接受药物自我中毒治疗的青少年普遍存在心理健康问题，是重复自我伤害的高危人群。然而，对于该人群是否也容易受到其他形式的伤害，知之甚少。
从挪威患者登记处提取数据，包括 2008 年至 2011 年期间因药物自我中毒接受治疗的 10-19 岁青少年所有治疗性伤害事件。这种纵向方法允许在索引药物中毒之前和之后纳入各种形式的伤害。分析了性别差异以及与记录的故意自我伤害或索引中毒时的精神共病相关的伤害。伤害形式和精神疾病根据 ICD-10 系统进行编码。
从源数据库中确定了 1497 名因药物自我中毒接受治疗的青少年，其中 1144 名（76.4%）为女孩，353 名（23.6%）为男孩。对于这 1497 名青少年，除了索引中毒事件外，还记录了总共 2545 起伤害事件，其中 778 起发生在索引中毒之前，1767 起发生在其后。共有 830 名（55.4%）患者在索引中毒前后接受了治疗的伤害。手部和腕部受伤以及头部、颈部和喉咙受伤在男性中更为常见。女性更有可能重复药物中毒，特别是那些有精神障碍的女性。
接受药物中毒治疗的青少年是一个高风险人群，容易受到之前和之后其他形式的伤害，应评估自杀意图和精神疾病。
