Apicella Massimo, Serra Giulia, Trasolini Monia, Andracchio Elisa, Chieppa Fabrizia, Averna Roberto, Iannoni Maria Elena, Infranzi Antonio, Moro Marianna, Guidetti Clotilde, Maglio Gino, Raucci Umberto, Reale Antonino, Vicari Stefano
Child Neuropsychiatry Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
Department of Emergency, Acceptance and General Pediatrics, Bambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
Front Psychiatry. 2023 Jun 30;14:1135218. doi: 10.3389/fpsyt.2023.1135218. eCollection 2023.
Suicidal attempts (SAs) in youth have been increasing during the last decades.
We studied consultations, SA, and suicidal ideation (SI) in a pediatric emergency department (ED).
From 1 January 2011 to 31 May 2022, 606,159 patients accessed the ED, 8,397 of who had a child psychiatry consultation (CPC). CPCs increased significantly by 11 times in the last decade (155 in 2011 vs. 1,824 in 2021, < 0.001); CPCs for SA increased significantly by 33 times, from 6 in 2011 to 200 in 2021 (3.9% of total CPC vs. 11%, < 0.001). While total CPCs increased constantly during the entire period (annual percent change (APC) of 21.7 from 2011 to 2021 in a 0 joinpoint model), CPCs for SA increased significantly from 2011 to 2016, were approximately stable from 2016 to 2020, and then had a peak in 2021 after the COVID-19 pandemic (APC from 2011 to 2016 of 64.1, APC of 1.2 from 2016 to 2020, and APC of 230 after 2020 in a 2-joinpoint model).
Total CPCs in ED as well as evaluation for SA and SI increased significantly during the last decade. CPCs for SA had an additional increase after the COVID-19 pandemic. This picture warrants timely and efficient improvements in emergency settings and mental health resources.
在过去几十年中，青少年自杀未遂事件呈上升趋势。
我们研究了一家儿科急诊科的会诊、自杀未遂及自杀意念情况。
2011年1月1日至2022年5月31日，共有606,159名患者前往该急诊科就诊，其中8397人接受了儿童精神病学会诊（CPC）。在过去十年中，CPC显著增加了11倍（2011年为155例，2021年为1824例，<0.001）；自杀未遂的CPC显著增加了33倍，从2011年的6例增至2021年的200例（占CPC总数的3.9%对11%，<0.001）。虽然在整个期间CPC总数持续增加（在0节点模型中，2011年至2021年的年百分比变化（APC）为21.7），但自杀未遂的CPC从2011年至2016年显著增加，2016年至2020年大致稳定，然后在2021年新冠疫情后达到峰值（在2节点模型中，2011年至2016年的APC为64.1，2016年至2020年的APC为1.2，2020年后的APC为230）。
在过去十年中，急诊科的CPC总数以及自杀未遂和自杀意念的评估显著增加。新冠疫情后，自杀未遂的CPC进一步增加。这种情况需要在紧急情况下以及心理健康资源方面及时有效地加以改善。
