Characteristics of Adolescent Patients Admitted to the Emergency Department due to Attempted Suicide by Poisoning; a Brief Report.

Advanced Journal of Emergency Medicine Pub Date : 2019-11-07 eCollection Date: 2020-01-01 DOI:10.22114/ajem.v0i0.268
Yun Hyung Choi, Yoon Hee Choi, Duk Hee Lee, Ji Yeon Lim, Keon Kim, Jae Hee Lee
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引用次数: 1

Abstract

Introduction: In the background of the increased suicide rate in the second decade of life, analysis of the characteristics of poisoning-related attempted suicide in adolescents and evaluation of the differences from adults may form an important basis for establishing measures to prevent deaths from poisoning.

Objective: We aimed to investigate the types of toxic substances ingested for attempted suicide by poisoning in adolescents admitted to the emergency department (ED).

Method: This cross-sectional study retrospectively analyzed and investigated the medical records of patients aged 13 or older, admitted to the ED of a tertiary medical institute over a period of 3 years, for attempted suicide by poisoning.

Results: The psychiatric diagnoses among patients in the adolescent group included depression (75.8%), bipolar disorder (12.5%), and panic disorder (12.5%). In terms of the type of drug used for poisoning, antidepressants or anti-psychotics and sleeping pills were the most commonly used in the adolescent (43 subjects, 45.2%) and adult (286 subjects, 37.6%) groups, respectively.

Conclusion: As there is a higher chance of poisoning by easily accessible drugs, the emergency physician needs to investigate any preceding diagnoses of psychiatric or medical illnesses in the adolescent patients attempting suicide with unknown drugs.

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青少年中毒自杀未遂急诊患者特征分析一个简短的报告。
引言:在青少年第二个十年自杀率上升的背景下,分析青少年与中毒有关的自杀未遂的特征,并评价其与成人的差异,可以为制定预防中毒死亡的措施提供重要依据。目的:探讨急诊科收治的青少年因中毒自杀未遂而摄入的有毒物质类型。方法:本横断面研究回顾性分析和调查了某三级医疗机构急诊科收治的3年内13岁及以上的中毒自杀未遂患者的病历。结果:青少年组患者的精神病学诊断包括抑郁症(75.8%)、双相情感障碍(12.5%)和惊恐障碍(12.5%)。青少年(43例,45.2%)和成人(286例,37.6%)最常使用的是抗抑郁或抗精神病药和安眠药。结论:由于容易获得的药物有较高的中毒几率,急诊医师需要调查青少年使用未知药物自杀的患者之前是否有精神或内科疾病的诊断。
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