Child and Adolescent Suicidal Ideation and Suicide Attempts: Evidence from the Healthcare Cost and Utilization Project
Child and Adolescent Suicidal Ideation and Suicide Attempts: Evidence from the Healthcare Cost and Utilization Project
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DOI：
10.1016/j.jpeds.2018.10.017
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发表时间：
2019-03-01
影响因子：
5.1
通讯作者：
Vaughn, Michael G.
中科院分区：
文献类型：
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作者：
Carbone, Jason T.;Holzer, Katherine J.;Vaughn, Michael G.
目的 研究与儿童和青少年自杀意念和自杀企图相关的趋势，并将这些趋势与成年人群中的趋势进行比较。研究设计 使用具有全国代表性的行政计费数据样本进行分析。结果 2010 年至 2010 年间，急诊科收治的 874 872 名（95% CI，810 574-939 169）名儿童和青少年以及 5 561 197 名（95% CI，5 271 426-5 850 968）成年人有过自杀意念或自杀企图。 2014 年，占儿童（95% CI，1.13-1.37）和青少年入院人数的 1.20%，占成人入院人数的 1.09%（95% CI，1.05-1.13）。与成人相比，儿童和青少年更有可能是女性（aOR，1.74；95% CI，1.71-1.78）并且拥有私人保险（aOR，1.75；95% CI，1.68-1.83）。尽管25岁及以上成年人的入院比例有所增加（18.95%），但增幅最大的是儿童和青少年（5-11岁，37.87%；12-14岁，82.03%；15-17岁，51.59%；18-24岁，26.77%）。儿童和青少年存在季节性趋势，较高的发病率与学年相关，而成人则不然。结论 从业者应该认识到，青少年的自杀意念和自杀企图与更多人群的表现不同，他们应该警惕识别危险因素。尤其是在自残风险增加的季节。
Objectives To examine the trends associated with child and adolescent suicidal ideation and suicide attempts and to compare these trends to those among the adult population.Study design A nationally representative sample of administrative billing data was used for the analysis. which included descriptive statistics, trend data, and logistic regression.Results There were 874 872 (95% CI, 810 574-939 169) children and adolescents and 5 561 197 (95% CI, 5 271 426-5 850 968) adults admitted to an emergency department who experienced suicidal ideation or suicide attempts between 2010 and 2014, representing 1.20% of admissions for children (95% CI, 1.13-1.37) and adolescents and 1.09% of admissions for adults (95% CI, 1.05-1.13). Children and adolescents were more likely to be female (aOR, 1.74; 95% CI, 1.71-1.78) and to have private insurance (aOR, 1.75; 95% Cl. 1.68-1.83) as compared with adults. Although the percentage of admissions increased for adults 25 and older (18.95%) the greatest increases were found among children and adolescents (5-11 years of age. 37.87%; 12-14 years of age, 82.03%; 15-17 years of age, 51.59%; and 18-24 years of age, 26.77%). There is a seasonal trend for children and adolescents such that higher rates are associated with the school year, which is not present for adults.Conclusion Practitioners should be cognizant of the fact that suicidal ideation and suicide attempts for youth present differently than they do for the greater population and they should be vigilant in identifying risk factors. especially during seasons where risk of self-harm increases.