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

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.

1. Servcie KSI. Deaths and Death rates by cause(236 item), sex, and age(by five-year age group). Web site. Available at:http://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ETITLE &parmTabId=M_01_01&statId=1999038&themaId=#SelectStatsBoxDiv. Accessed October 22, 2018.
2. Sheridan DC, Hendrickson RG, Lin AL, Fu R, Horowitz BZ. Adolescent Suicidal Ingestion: National Trends Over a Decade. J Adolesc Health. 2017;60(2):191-5.
3. Howson MA, Yates KM, Hatcher S. Re-presentation and suicide rates in emergency department patients who self-harm. Emerg Med Australas. 2008;20(4):322-7.
4. Hong JP, Choi SH. Korea Annual Report of Suicide. In: Suicide KAfP, editor. Seoul2011. p. 20-3.
5. Ko SH, Lee KW. Clinical analysis of acute drug poisoning victims by intentional poisoning. J Korean Soc Emerg Med. 2012;23(5):679-86.
6. Kim JH, Cho JS, Kim JJ, Lim YS, Yang HJ, Lee G. Comparison of Epidemiology and Outcomes of Patients with Intentional Poisoning by Age Groups: Single Center Observation Study. J Korean Soc Clin Toxicol. 2016;14(2):129-35.
7. Park JH, No YH, Wi DH. Clinical Analysis of Attempted Suicide in the Elderly. J Korean Soc Emerg Med. 2001;12(2): 135-42.
8. Lee HS, Han JH, Kim JH, Kim SP, KIM SH, Lee JS. Epidemiologic Characteristics of Intentional Poisoning: Emergency Department Based Injury in-depth Surveillance During 2011-2015. J Korean Soc Clin Toxicol. 2017;15(2):131-9.
9. Han CS, Jeon WC, Min YG, Choi SC, Lee JS. Retrospective Analysis on the Clinical Differences of Children and Adolescents Treated for Acute Pediatric Poisoning in an Emergency Department? J Korean Soc Emerg Med. 2013;24(6):742-9.
Files
IssueVol 4 No 2 (2020): Spring (April) QRcode
SectionBrief report
PMCIDPMC7163257
PMID32322794
Keywords
Adolescent Poisoning Suicide
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Choi Y, Choi Y, Lee D, Lim JY, Kim K, Lee J. Characteristics of Adolescent Patients Admitted to the Emergency Department due to Attempted Suicide by Poisoning; a Brief Report. Front Emerg Med. 2019;4(2):e26.

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