Poyraz Fındık Onur Tuğçe, Erdoğdu Ayşe Burcu, Fadıloğlu Eray, Rodopman Arman Ayşe
Department of Child and Adolescent Psychiatry, Marmara University, School of Medicine, Pendik Research and Training Hospital, Istanbul, Turkey.
Department of Child and Adolescent Psychiatry, Marmara University, School of Medicine, Istanbul, Turkey.
Child Psychiatry Hum Dev. 2022 Apr;53(2):289-299. doi: 10.1007/s10578-021-01125-6. Epub 2021 Feb 1.
Self-harm presentations to emergency departments (ED) have become a growing concern, yet little is known about self-harm visits in pediatric EDs. This study aimed to investigate the clinical and demographic characteristics of patients who presented to the pediatric ED between 2012 and 2017 with non-suicidal self-harm (NSSH, n = 63, 60.3% female, M = 14.25 years), suicidal ideation (SI, n = 75, 57.3% female, M = 14.83 years), and suicide attempts (SA, n = 461, 82.9% female, M = 15.41 years). Also, predictors of SA were investigated. Of the patients, 79.4% had at least a psychiatric disorder. Depression was the most common diagnosis in the SI and SA groups, and autism spectrum disorder and intellectual disability were the leading diagnoses in the NSSH group. Self-poisoning was the most common method, and older age, female sex, having relational problems, and prior or current psychiatric admissions were the most important predictive factors of SA. NSSH, SI, and SA exhibit different features in early life. EDs provide an important opportunity for initiating developmentally appropriate interventions to reduce future risks.
急诊部门（ED）接收的自残病例日益受到关注，但对于儿科急诊部门的自残就诊情况却知之甚少。本研究旨在调查2012年至2017年间因非自杀性自残（NSSH，n = 63，女性占60.3%，平均年龄M = 14.25岁）、自杀意念（SI，n = 75，女性占57.3%，平均年龄M = 14.83岁）和自杀未遂（SA，n = 461，女性占82.9%，平均年龄M = 15.41岁）前往儿科急诊就诊的患者的临床和人口统计学特征。此外，还对自杀未遂的预测因素进行了调查。在这些患者中，79.4%至少患有一种精神疾病。抑郁症是自杀意念组和自杀未遂组最常见的诊断，而自闭症谱系障碍和智力障碍是非自杀性自残组的主要诊断。自我中毒是最常见的方式，年龄较大、女性、存在人际关系问题以及既往或当前有精神科住院史是自杀未遂最重要的预测因素。非自杀性自残、自杀意念和自杀未遂在早期生活中表现出不同特征。急诊部门为开展适合不同发育阶段的干预措施以降低未来风险提供了重要契机。
