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[一名学龄期患者的自杀未遂及相关因素:病例报告]

[Suicidal attempt in a school-aged patient and related factors: a case report].

作者信息

Hinojosa-Vega Rocío, Rojas-Carrasco Karmina Elena, González-Muñiz Sonia, Jaramillo-Villanueva Leonel, Jiménez-Márquez Abigail

机构信息

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Servicio de Salud Mental. Ciudad de México, México.

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Servicio de Escolares y Adolescentes. Ciudad de México, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2023 Nov 6;61(6):875-881. doi: 10.5281/zenodo.10064736.

DOI:10.5281/zenodo.10064736
PMID:37995446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10727761/
Abstract

BACKGROUND

Suicide is a public health problem, which has increased in recent years, becoming a serious cause of mortality, mostly in low- and middle-income countries. Suicidal behavior is infrequent before adolescent years, various related factors have been described. The purpose of this work is to describe the case of a patient in school age who attempted suicide and the identified factors that might have contributed.

CLINICAL CASE

Nine-year-old male attempted suicide by hanging in the bathroom, endangering his life. He received emergency attention and hospitalized in intensive care. During his hospitalization, the mental health service approached him. Amongst the factors previously associated with suicidal intent during school age and identifiable in the patient are family disintegration, symptoms of major depression episodes, reading-related learning difficulties and attention deficit hyperactivity disorder. The patient received treatment and follow up consultation, without showing any suicidal behavior up to this date. The patient is currently 13 years old.

CONCLUSIONS

It must be recognized that children of school age can present suicidal behavior. It is important to acknowledge the factors associated with this kind of behavior, to reduce risks and provide an opportune attention and handling.

摘要

背景

自杀是一个公共卫生问题,近年来呈上升趋势,成为主要在低收入和中等收入国家导致死亡的一个严重原因。青少年期之前自杀行为并不常见,已有多种相关因素被描述。本文旨在描述一名学龄期自杀未遂患者的病例以及可能导致自杀的相关因素。

临床病例

一名9岁男性在浴室上吊自杀,生命垂危。他接受了紧急救治并入住重症监护病房。住院期间,心理健康服务机构对他进行了干预。在该患者身上可识别出的、先前与学龄期自杀意图相关的因素包括家庭破裂、重度抑郁发作症状、阅读相关学习困难以及注意力缺陷多动障碍。该患者接受了治疗及后续咨询,截至目前未再出现任何自杀行为。患者目前13岁。

结论

必须认识到学龄期儿童可能出现自杀行为。认识与这类行为相关的因素、降低风险并给予及时关注和处理非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/10727761/612ddb92baea/04435117-61-6-875-c001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/10727761/3b429ff00c59/04435117-61-6-875-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/10727761/612ddb92baea/04435117-61-6-875-c001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/10727761/3b429ff00c59/04435117-61-6-875-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/10727761/612ddb92baea/04435117-61-6-875-c001.jpg

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本文引用的文献

1
Risk and protective factors in suicidal behaviour among young people in Hong Kong: A comparison study between children and adolescents.香港年轻人自杀行为中的风险与保护因素:儿童与青少年的比较研究
Psychiatry Res. 2023 Mar;321:115059. doi: 10.1016/j.psychres.2023.115059. Epub 2023 Jan 27.
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Assessment of suicide risk in mental health practice: shifting from prediction to therapeutic assessment, formulation, and risk management.精神卫生实践中的自杀风险评估:从预测转向治疗性评估、制定方案和风险管理。
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Suicide and self-harm.
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The effects of parental divorce on children.父母离异对孩子的影响。
Psychiatriki. 2022 Mar 28;33(1):81-82. doi: 10.22365/jpsych.2021.040. Epub 2021 Nov 26.
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Suicide and Self-Harm in Children and Adolescents Admitted to PICUs in the United States.美国儿科重症监护病房收治的儿童和青少年的自杀和自伤行为。
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Suicide prevention in childhood and adolescence: a narrative review of current knowledge on risk and protective factors and effectiveness of interventions.儿童和青少年自杀预防:关于风险、保护因素及干预措施有效性的现有知识的叙述性综述
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Adolescent suicide: what can pediatricians do?青少年自杀:儿科医生能做什么?
Curr Opin Pediatr. 2020 Aug;32(4):595-600. doi: 10.1097/MOP.0000000000000916.
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Suicidality in Childhood and Adolescence.儿童和青少年期的自杀倾向。
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Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018: A Meta-Analysis.全球范围内 1989 年至 2018 年儿童和青少年自杀行为、蓄意自伤和非自杀性自伤的终生发生率和 12 个月发生率:一项荟萃分析。
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