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Characteristics of First Visit Pediatric Patients with Suicidal Ideation and Behavior: An 8-Year Retrospective Chart Review

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Date 2020 Oct 28
PMID 33110355
Citations 2
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Abstract

Objectives: Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later.

Methods: This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6-18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively.

Results: There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association.

Conclusion: Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.

Citing Articles

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References
1.
Copeland W, Goldston D, Costello E . Adult Associations of Childhood Suicidal Thoughts and Behaviors: A Prospective, Longitudinal Analysis. J Am Acad Child Adolesc Psychiatry. 2017; 56(11):958-965.e4. PMC: 6501553. DOI: 10.1016/j.jaac.2017.08.015. View

2.
Merikangas K, He J, Burstein M, Swendsen J, Avenevoli S, Case B . Service utilization for lifetime mental disorders in U.S. adolescents: results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010; 50(1):32-45. PMC: 4408275. DOI: 10.1016/j.jaac.2010.10.006. View

3.
Vander Stoep A, Weiss N, Kuo E, Cheney D, Cohen P . What proportion of failure to complete secondary school in the US population is attributable to adolescent psychiatric disorder?. J Behav Health Serv Res. 2003; 30(1):119-24. DOI: 10.1007/BF02287817. View

4.
Renaud J, Seguin M, Lesage A, Marquette C, Choo B, Turecki G . Service use and unmet needs in youth suicide: a study of trajectories. Can J Psychiatry. 2015; 59(10):523-30. PMC: 4197786. DOI: 10.1177/070674371405901005. View

5.
Sanchez A, Cornacchio D, Poznanski B, Golik A, Chou T, Comer J . The Effectiveness of School-Based Mental Health Services for Elementary-Aged Children: A Meta-Analysis. J Am Acad Child Adolesc Psychiatry. 2018; 57(3):153-165. DOI: 10.1016/j.jaac.2017.11.022. View