Central Ohio Poison Center, Nationwide Children's Hospital, Columbus, OH; The Ohio State University, College of Medicine, Department of Pediatrics, Columbus, OH.
Center for Suicide Prevention & Research, Behavioral Health Services, Nationwide Children's Hospital, Columbus, OH; The Ohio State University, College of Medicine, Department of Psychiatry and Behavioral Health, Columbus OH.
J Pediatr. 2019 Jul;210:201-208. doi: 10.1016/j.jpeds.2019.02.045. Epub 2019 May 1.
To evaluate the incidence and outcomes from intentional suspected-suicide self-poisoning in children and young adults ages 10-24 years old from 2000 to 2018.
Retrospective review of intentional suspected-suicide self-poisoning cases reported to the National Poison Data System from US poison centers from 2000 to 2018 for patients 10-24 years old. For comparison of annual rates, population data by year of age were obtained from the US Census Bureau. We evaluated changes in the annual incidence, the annual rate per 100 000 population, and the medical outcome by patient age and sex.
There were 1 627 825 intentional suspected-suicide self-poisoning cases, of which 1 162 147 (71%) were female. In children 10-15 years old from 2000 to 2010, there was a decrease in number and rate per 100 000 population followed by a significant increase (from 125% to 299%) from 2011 to 2018. In children 10-18 years old, the increase from 2011 to 2018 was driven predominantly by females. In 19-24 years old age groups, there was a temporal delay and reduced increase in slope compared with the younger groups. There were 340 563 moderate outcomes, 45 857 major outcomes, and 1404 deaths. The percentage of cases with a serious outcome, major effect, or death increased over time and with age.
The incidence and rate of suicide attempts using self-poisoning in children less than 19 years old increased significantly after 2011, occurring predominantly in young girls. There has been an increase in the severity of outcomes independent of age or sex.
评估 2000 年至 2018 年期间年龄在 10-24 岁的儿童和青少年因故意疑似自杀性自我中毒的发生率和结果。
回顾性分析 2000 年至 2018 年期间美国中毒中心向国家中毒数据系统报告的年龄在 10-24 岁的故意疑似自杀性自我中毒病例。为了比较年度发生率，我们从美国人口普查局获得了每年的人口数据。我们评估了按患者年龄和性别划分的年度发病率、每 10 万人的年度发生率以及医疗结果的变化。
共有 1627825 例故意疑似自杀性自我中毒病例，其中 1162147 例（71%）为女性。在 2000 年至 2010 年期间年龄在 10-15 岁的儿童中，病例数量和每 10 万人的发生率呈下降趋势，随后从 2011 年至 2018 年显著增加（从 125%增加到 299%）。在 10-18 岁的儿童中，这种增加主要是由女性驱动的。在 19-24 岁年龄组中，与年龄较小的组相比，时间上存在延迟，斜率降低。有 340563 例中度结果，45857 例主要结果和 1404 例死亡。严重后果、主要影响或死亡的病例百分比随着时间的推移和年龄的增长而增加。
2011 年后，19 岁以下儿童使用自我中毒自杀的发生率和发生率显著增加，主要发生在年轻女孩中。无论年龄或性别如何，结果的严重程度都有所增加。
