Ulseth Elisabeth Tallaksen, Freuchen Anne, Köpp Unni Mette Stamnes
Tidsskr Nor Laegeforen. 2019 Sep 23;139(13). doi: 10.4045/tidsskr.17.1116. Print 2019 Sep 24.
Self-inflicted poisoning is common in adolescents and is a risk factor for suicide. The aim of this study was to survey the circumstances surrounding hospitalisations due to acute poisoning in patients aged up to 18 years.
All hospitalisations in the Departments of Paediatric and Adolescent Medicine, Sørlandet Hospital Trust (Arendal and Kristiansand) due to acute poisoning in the period 1 August 2014-31 July 2015 were prospectively recorded with the aid of a form completed during the admission.
There were 88 hospitalisations distributed among 68 adolescents (mean age 15.5 years, SD 1.5) and 13 children (mean age 2.8 years, SD 2.8). The poisoning was categorised as self-harm behaviour in 32 (47 %) of the adolescents, and as substance misuse-related in 35 (52 %). In total, 37 (54 %) of the adolescents had been or were under treatment at the Department of Child and Adolescent Psychiatry. Fifteen (22 %) of the adolescents were deemed to be suicidal. Thirty (94 %) of the adolescents who reported self-harm as the intention behind their poisoning were offered further follow-up at the Department of Child and Adolescent Psychiatry, along with 7 (20 %) of the group with substance misuse-related poisoning.
Adolescents who reported self-harm as their intention were usually offered further follow-up, whereas adolescents with substance misuse-related poisoning were rarely offered follow-up.
自我中毒在青少年中很常见，是自杀的一个风险因素。本研究的目的是调查18岁及以下患者因急性中毒住院的相关情况。
2014年8月1日至2015年7月31日期间，在南挪威医院信托基金（阿伦达尔和克里斯蒂安桑）的儿科和青少年医学科，所有因急性中毒住院的患者均通过入院时填写的表格进行前瞻性记录。
共有88例住院病例，分布在68名青少年（平均年龄15.5岁，标准差1.5）和13名儿童（平均年龄2.8岁，标准差2.8）中。32名（47%）青少年的中毒被归类为自残行为，35名（52%）与药物滥用有关。总共有37名（54%）青少年曾在儿童和青少年精神病科接受治疗或正在接受治疗。15名（22%）青少年被认为有自杀倾向。30名（94%）报告中毒意图为自残的青少年在儿童和青少年精神病科得到了进一步随访，7名（20%）与药物滥用相关中毒的青少年也得到了随访。
报告意图为自残的青少年通常会得到进一步随访，而与药物滥用相关中毒的青少年很少得到随访。
