Hospitalization for Suicide Ideation or Attempt: 2008-2015
Hospitalization for Suicide Ideation or Attempt: 2008-2015
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DOI：
10.1542/peds.2017-2426
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发表时间：
2018-06-01
期刊：
影响因子：
8
通讯作者：
Williams, Derek
中科院分区：
文献类型：
--
作者：
Plemmons, Gregory;Hall, Matthew;Williams, Derek
目的：据报道，在过去的十年中，美国儿童的自杀意念(SI)和自杀企图(SAS)呈上升趋势。我们调查了2008年至2015年美国儿童医院的SI和SA的急诊和住院情况。方法：我们使用了来自儿科健康信息系统数据库的行政计费数据的回顾分析。结果：在研究期间，有115856例SI和SA的急诊和SA。SI和SA的年度访问百分比几乎翻了一番，从2008年的0.66%增加到2015年的1.82%(平均每年增加0.16个百分点[95%可信区间0.15至0.17])。各年龄组均有显著增长，但15至17岁青少年(年均增长0.27个百分点[95%可信区间0.23至0.30])和12至14岁青少年(年均增长0.25个百分点[95%可信区间0.21至0.27])增幅更大。女孩(平均每年增加0.14个百分点[95%可信区间0.13至0.15])和男孩(年均增加0.10个百分点[95%可信区间0.09至0.11])出现增长，但女孩的增幅较高。也观察到季节性变化，最低的病例发生在夏季，最高的发生在春季和秋季。结论：从2008年到2015年，美国儿童医院的SI和SA就诊人数稳步增加，在所有医院就诊人数中所占比例不断上升。在所有年龄组中都注意到了增长，并在整个研究期间保持了一致的季节性模式。儿科精神健康障碍的影响越来越大，这对儿童医院和卫生保健提供系统具有重要影响。
OBJECTIVES: Suicide ideation (SI) and suicide attempts (SAs) have been reported as increasing among US children over the last decade. We examined trends in emergency and inpatient encounters for SI and SA at US children's hospitals from 2008 to 2015.METHODS: We used retrospective analysis of administrative billing data from the Pediatric Health Information System database.RESULTS: There were 115856 SI and SA encounters during the study period. Annual percentage of all visits for SI and SA almost doubled, increasing from 0.66% in 2008 to 1.82% in 2015 (average annual increase 0.16 percentage points [95% confidence intervals (CIs) 0.15 to 0.17]). Significant increases were noted in all age groups but were higher in adolescents 15 to 17 years old (average annual increase 0.27 percentage points [95% CI 0.23 to 0.30]) and adolescents 12 to 14 years old (average annual increase 0.25 percentage points [95% CI 0.21 to 0.27]). Increases were noted in girls (average annual increase 0.14 percentage points [95% CI 0.13 to 0.15]) and boys (average annual increase 0.10 percentage points [95% CI 0.09 to 0.11]), but were higher for girls. Seasonal variation was also observed, with the lowest percentage of cases occurring during the summer and the highest during spring and fall.CONCLUSIONS: Encounters for SI and SA at US children's hospitals increased steadily from 2008 to 2015 and accounted for an increasing percentage of all hospital encounters. Increases were noted across all age groups, with consistent seasonal patterns that persisted over the study period. The growing impact of pediatric mental health disorders has important implications for children's hospitals and health care delivery systems.