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中毒自杀未遂:来自一家繁忙急诊科的经验

Suicide Attempts by Poisoning: An Experience From a High-Volume Emergency Department.

作者信息

Alrasheed Faisal K, Alowairdhi Yazeed A, Alkharashi Yasser M, Alomar Abdulrahman O, Alqirnas Muhannad Q, Alhussaini Nawaf A, Albassam Abdulrahman, Almosa Abdulaziz S, Alkhars Ahmed Z, Alhelail Mohammed

机构信息

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

Pediatrics, College of Medicine, King Faisal University, Al-Ahsa, SAU.

出版信息

Cureus. 2022 Mar 20;14(3):e23330. doi: 10.7759/cureus.23330. eCollection 2022 Mar.

Abstract

Background There has been a tremendous increase in self-poisoning behavior worldwide, with different trends depending on cultural and geographic aspects. Objectives Our study aims to assess the trends, outcomes, and predictors in patients of suicide attempts by poisoning at King Abdulaziz Medical City (KAMC) ED. Materials and methods A retrospective cohort study took place at KAMC. Frequencies and percentages were used to display categorical variables. Minimum, maximum, mean, and SD were used to display continuous variables. Chi-squared test and independent t-test were utilized to test for factors associated with suicidal intention. Results A total of 130 cases were identified. The participants were mostly females (73.8%, n = 96). Most of the participants were pediatric patients (57.7%, n = 75). The most consumed agents were acetaminophen in 59 (45.83%) and non-steroidal anti-inflammatory drugs (NSAIDs) in 22 (16.92%). The ICU admission rate was 8.5% (n = 11). The management for both populations was unspecific, involving observation, supportive measures, and symptomatic treatment. BMI ( < 0.001), gender ( < 0.001), age (= 0.012), and a history of neuropsychiatric disorders ( < 0.001) were associated factors. Conclusion It is crucial that the trends and risk factors of self-poisoning suicide attempts are identified to provide support to those in need. Several variables of interest were noted since the two most observed agents share several key features, such as accessibility and availability. However, contradicting literature reports warrant further investigation to confirm or negate the evidence.

摘要

背景

全球范围内自我中毒行为急剧增加,其趋势因文化和地理因素而异。目的:我们的研究旨在评估阿卜杜勒阿齐兹国王医疗城(KAMC)急诊科中毒自杀未遂患者的趋势、结局和预测因素。材料与方法:在KAMC进行了一项回顾性队列研究。使用频率和百分比来展示分类变量。使用最小值、最大值、均值和标准差来展示连续变量。采用卡方检验和独立t检验来检验与自杀意图相关的因素。结果:共识别出130例病例。参与者大多为女性(73.8%,n = 96)。大多数参与者为儿科患者(57.7%,n = 75)。最常服用的药物是对乙酰氨基酚,有59例(45.83%),非甾体抗炎药(NSAIDs)有22例(16.92%)。重症监护病房(ICU)收治率为8.5%(n = 11)。对这两类人群的处理无特异性,包括观察、支持措施和对症治疗。体重指数(BMI)(<0.001)、性别(<0.001)、年龄(=0.012)和神经精神疾病史(<0.001)是相关因素。结论:识别自我中毒自杀未遂的趋势和危险因素对于为有需要的人提供支持至关重要。由于观察到的两种最常见药物具有几个关键特征,如易获取性和可得性,因此注意到了几个有趣的变量。然而,相互矛盾的文献报告需要进一步调查以证实或否定这些证据。

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本文引用的文献

1
Gender Characteristics in Methods of Chinese Rural Young Suicides.中国农村青年自杀方式中的性别特征
Int J Ment Health Addict. 2021 Apr;19(2):438-446. doi: 10.1007/s11469-019-00078-1. Epub 2019 Apr 17.
2
Suicide methods in South Asia over two decades (2001-2020).南亚地区二十多年(2001-2020 年)的自杀方法。
Int J Soc Psychiatry. 2021 Nov;67(7):920-934. doi: 10.1177/00207640211015700. Epub 2021 May 24.
3
How to make adjustments of underreporting of suicide by place, gender, and age in China?如何调整中国自杀报告的地点、性别和年龄漏报问题?
Soc Psychiatry Psychiatr Epidemiol. 2020 Sep;55(9):1133-1143. doi: 10.1007/s00127-020-01856-2. Epub 2020 Mar 27.
6
Smoking and Suicide: A Meta-Analysis.吸烟与自杀:一项荟萃分析。
PLoS One. 2016 Jul 8;11(7):e0156348. doi: 10.1371/journal.pone.0156348. eCollection 2016.
8
Suicide and suicidal behaviour.自杀及自杀行为。
Lancet. 2016 Mar 19;387(10024):1227-39. doi: 10.1016/S0140-6736(15)00234-2. Epub 2015 Sep 15.

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