Antidepressant Utilisation and Suicide Attempts in Children and Adolescents

BACKGROUND AND OBJECTIVE Despite recent national attention on deaths from firearms, little information exists about children and adolescents who are hospitalized for firearm injuries. The objective was to determine the national frequency of firearm-related hospitalizations in the United States in children, compare rates by cause and demographics, and describe hospitalized cases. METHODS We used the 2009 Kids’ Inpatient Database to identify hospitalizations from firearm-related injuries in young people <20 years of age; International Classification of Diseases, Ninth Revision, Clinical Modification, and external-cause-of injury codes were used to categorize the injuries and the causes as follows: assault, suicide attempt, unintentional, or undetermined. Incidences were calculated by using the weighted number of cases and the intercensal population. Risk ratios compared incidences. RESULTS In 2009, 7391 (95% confidence interval [CI]: 6523–8259) hospitalizations were due to firearm-related injuries. The hospitalization rate was 8.87 (95% CI: 7.83–9.92) per 100 000 persons <20 years of age. Hospitalizations due to assaults were most frequent (n = 4559) and suicide attempts were least frequent (n = 270). Of all hospitalizations, 89.2% occurred in males; the hospitalization rate for males was 15.22 per 100 000 (95% CI: 13.41–17.03) and for females was 1.93 (95% CI: 1.66–2.20). The rate for black males was 44.77 (95% CI: 36.69–52.85), a rate more than 10 times that for white males. Rates were highest for those aged 15 to 19 years (27.94; 95% CI: 24.42–31.46). Deaths in the hospital occurred in 453 (6.1%); of those hospitalized after suicide attempts, 35.1% died. CONCLUSIONS On average, 20 US children and adolescents were hospitalized each day in 2009 due to firearm injuries. Public health efforts are needed to reduce this common source of childhood injury.

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Suicidal ideation and suicide attempts in children and adolescents with bipolar disorder: a systematic review of prevalence and incidence rates, correlates, and targeted interventions

Bipolar Disorders ◽

10.1111/bdi.12094 ◽

2013 ◽

Vol 15 (5) ◽

pp. 507-523 ◽

Cited By ~ 74

Author(s):

Marta Hauser ◽

Britta Galling ◽

Christoph U Correll

Keyword(s):

Systematic Review ◽

Bipolar Disorder ◽

Suicidal Ideation ◽

Children And Adolescents ◽

Suicide Attempts ◽

Incidence Rates ◽

Targeted Interventions

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Suicide attempts in children and adolescents: The place of clock genes and early rhythm dysfunction

Journal of Physiology-Paris ◽

10.1016/j.jphysparis.2017.11.001 ◽

2016 ◽

Vol 110 (4) ◽

pp. 461-466 ◽

Cited By ~ 3

Author(s):

Bertrand Olliac ◽

Lisa Ouss ◽

Annaëlle Charrier

Keyword(s):

Children And Adolescents ◽

Suicide Attempts ◽

Clock Genes

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The impact of migration and culture on suicide attempts of children and adolescents living in Istanbul

International Journal of Psychiatry in Clinical Practice ◽

10.3109/13651501.2014.961929 ◽

2014 ◽

Vol 19 (1) ◽

pp. 32-39 ◽

Cited By ~ 11

Author(s):

Türkan Akkaya-Kalayci ◽

Christian Popow ◽

Dietmar Winkler ◽

R. Hülya Bingöl ◽

Türkay Demir ◽

...

Keyword(s):

Children And Adolescents ◽

Suicide Attempts ◽

The Impact

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Suicide attempts among children and adolescents

Engrami ◽

10.5937/engrami1601019k ◽

2016 ◽

Vol 38 (1) ◽

pp. 19-27

Author(s):

Ana Kesic ◽

Dragana Vucinic ◽

Jasminka Markovic ◽

Jasna Jancic

Keyword(s):

Children And Adolescents ◽

Suicide Attempts

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Comparison of Suicide Attempts and Suicide Deaths by Jumping from a High Place in Korean Children and Adolescents

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18189513 ◽

2021 ◽

Vol 18 (18) ◽

pp. 9513

Author(s):

Jungeun Song ◽

Sung-Hee Hong ◽

Joonbeom Kim ◽

Seyeun Chang ◽

Ki-Hwan Yook ◽

...

Keyword(s):

Suicide Attempt ◽

Children And Adolescents ◽

Suicide Attempts ◽

School Adjustment ◽

Ministry Of Education ◽

School Life ◽

Korean Children ◽

Suicide Note ◽

Difficulty Score ◽

High Place

Jumping from a high place is the most common method of suicide among Korean children and adolescents. The aim of this study was to examine the personal, family, and school life of Korean children and adolescents who chose jumping from a high place, among suicide attempts and suicide deaths, based on teachers’ reports. Data on suicide attempts and suicide deaths by jumping from a high place in children and adolescents were collected through the Ministry of Education in South Korea from 2016 to 2018. We compared sociodemographic variables, suicide-related variables, emotional and behavioral status, school life related variables, and variables related to family problems among suicide deaths (n = 262), actual suicide attempts (n = 50), and interrupted or aborted suicide attempts (n = 210). There were differences in educational stage (p < 0.001), place of suicide (p < 0.001), presence of suicide note (p < 0.05) and previous suicide attempt (p < 0.001) among the three groups. The total difficulty score on the Strength Difficulty Questionnaire of interrupted or aborted suicide attempts was higher than that of the other two groups. Our study suggests that the suicide death group tend to present fewer personal and family pathologies and better school adjustment than the suicide attempt group.

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A review of Suicide Behavior Among Arab Adolescents

The Scientific World JOURNAL ◽

10.1100/tsw.2005.84 ◽

2005 ◽

Vol 5 ◽

pp. 674-679 ◽

Cited By ~ 9

Author(s):

Mohammed Morad ◽

Efrat Merrick ◽

Amir Schwarz ◽

Joav Merrick

Keyword(s):

Children And Adolescents ◽

Jewish Population ◽

Suicide Attempts ◽

Intervention Strategies ◽

Arab Countries ◽

Arab Population ◽

Prevention And Intervention ◽

The Past ◽

Suicide Behavior ◽

Low Incidence

Islam prohibits the taking of one's life, because this way you will interfere with the work of G-d (Allah), which is clear from several places in the Quran. Concerning individual suicide or suicide attempts in various Arab countries the literature is sparse and the incidence low. In this paper we present a review of research from Israel showing that suicide epidemiology among the Arab population of children and adolescents display a low incidence, but an increase has been observed over the past decade, but still much lower than the Jewish population. We believe that there is a need for the development of prevention and intervention strategies in order to keep this incidence low.

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Suicide Ideation and Attempts in Children With Psychiatric Disorders and Typical Development

Crisis ◽

10.1027/0227-5910/a000284 ◽

2015 ◽

Vol 36 (1) ◽

pp. 55-60 ◽

Cited By ~ 16

Author(s):

Susan Dickerson Mayes ◽

Susan L. Calhoun ◽

Raman Baweja ◽

Fauzia Mahr

Keyword(s):

Children And Adolescents ◽

Psychiatric Disorders ◽

Suicide Risk ◽

Suicide Ideation ◽

Suicide Attempts ◽

Typical Development ◽

Oppositional Defiant ◽

Suicide Behavior ◽

Increased Risk ◽

Inattentive Type

Background: Children and adolescents with psychiatric disorders are at increased risk for suicide behavior. Aims: This is the first study to compare frequencies of suicide ideation and attempts in children and adolescents with specific psychiatric disorders and typical children while controlling for comorbidity and demographics. Method: Mothers rated the frequency of suicide ideation and attempts in 1,706 children and adolescents with psychiatric disorders and typical development, 6–18 years of age. Results: For the typical group, 0.5% had suicide behavior (ideation or attempts), versus 24% across the psychiatric groups (bulimia 48%, depression or anxiety disorder 34%, oppositional defiant disorder 33%, ADHD-combined type 22%, anorexia 22%, autism 18%, intellectual disability 17%, and ADHD-inattentive type 8%). Most alarming, 29% of adolescents with bulimia often or very often had suicide attempts, compared with 0–4% of patients in the other psychiatric groups. Conclusion: It is important for professionals to routinely screen all children and adolescents who have psychiatric disorders for suicide ideation and attempts and to treat the underlying psychiatric disorders that increase suicide risk.

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Transcultural Differences in Risk Factors and in Triggering Reasons of Suicidal and Self-Harming Behaviour in Young People with and without a Migration Background

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186498 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6498

Author(s):

Zeliha Özlü-Erkilic ◽

Thomas Wenzel ◽

Oswald D. Kothgassner ◽

Türkan Akkaya-Kalayci

Keyword(s):

Risk Factors ◽

Young People ◽

Children And Adolescents ◽

Suicidal Behaviour ◽

Attempted Suicide ◽

Suicide Attempts ◽

Stress Disorder ◽

Acute Stress ◽

Migration Background ◽

Migrant Children

Minors with and without migration background can have different risk factors and triggering reasons for self-harming and suicidal behaviour. We retrospectively analysed the data of 192 children and adolescents to investigate the transcultural differences in self-harming, as well as suicidal behaviour in Austrian, Turkish, and Bosnian/Croatian/Serbian (BCS)-speaking patients, who were treated in an emergency out-patient clinic in Vienna. Our results showed transcultural differences in both behaviours. In all groups, females had higher rates of suicide attempts and self-harming behaviour than males. While Turkish-speaking patients received treatment more often, after attempted suicide, Austrians and BCS-speaking patients needed treatment more often for acute stress disorder. Suicide attempts and self-harming behaviours were triggered most frequently by intrafamilial problems, but more frequently in migrant patients. Turkish-speaking patients were at a more than 2 times (OR = 2.21, 95%CI: 1.408–3.477) higher risk for suicide attempts, and were triggered almost 3 times (OR = 2.94, 95%CI: 1.632–5.304) more often by interfamilial conflicts. The suicide attempts of BCS-speaking minors were more often caused by relationship and separation crises (OR = 2.56, 95%CI: 1.148–5.705). These transcultural differences in suicidal and self-harming behaviour of minors, demand an increase of transcultural competence to provide optimal treatment of migrant children.

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