Self-injury and suicidal behavior in children and youth population: Learning from the pandemic
Introduction: Suicidal behaviour and self-harm are increasing in children and adolescents. Non-suicidal self-harm are a dysfunctional method of emotional regulation, and it must be distinguished from suicidal behaviours. Methods: Narrative review of the current situation on suicide and self-harm in...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Elsevier
2023-03-01
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| Series: | Anales de Pediatría (English Edition) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2341287923000327 |
| _version_ | 1811158432316653568 |
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| author | Paula Vázquez López Paula Armero Pedreira Lidia Martínez-Sánchez José Miguel García Cruz Concha Bonetde Luna Félix Notario Herrero Ana Rosa Sánchez Vázquez Pedro Javier Rodríguez Hernández Azucena Díez Suárez |
| author_facet | Paula Vázquez López Paula Armero Pedreira Lidia Martínez-Sánchez José Miguel García Cruz Concha Bonetde Luna Félix Notario Herrero Ana Rosa Sánchez Vázquez Pedro Javier Rodríguez Hernández Azucena Díez Suárez |
| author_sort | Paula Vázquez López |
| collection | DOAJ |
| description | Introduction: Suicidal behaviour and self-harm are increasing in children and adolescents. Non-suicidal self-harm are a dysfunctional method of emotional regulation, and it must be distinguished from suicidal behaviours. Methods: Narrative review of the current situation on suicide and self-harm in Spain. Descriptive study of suicidal behaviours in paediatric emergencies. Results: Mental health consultations were analysed (March-2019 to March-2020 and March-2020 to March-2021) in a multicentric study of the SEUP (Spanish Society of Pediatric Emergencies), finding a 122 % increase of the diagnosis of ''non-accidental drug intoxication” and 56 % of “suicide/suicide attempt/suicidal ideation”. In another prospective analysis, 281 attempts were recorded, with the patient profile being: female (90.1 %), 14.8 years old, 34.9 % without previous psychiatric diagnosis; 57.7% with previous suicidal behaviour. The presence of psychiatric disorders, especially depression, and previous attempts, are the best-known risk factors for suicidal behaviour, although other factors are involved (family, personal or social). Pediatricians should be trained to deal with questions about suicide and acquire the skills to conduct an interview with a supportive and empathetic attitude. In Spain, suicide prevention plans are heterogeneous among communities, and there is not a unified national suicide prevention plan. Conclusions: Primary, hospital and mental health care resources for paediatric population should be strengthened to prevent suicidal behaviours. Specific training for school staff, and child and adolescent psychiatry training for paediatricians and nurses are crucial in the prevention of suicide in children and adolescent population. Resumen: Introducción: Las conductas suicidas y las autolesiones están aumentando en niños y adolescentes. Las autolesiones no suicidas suponen un método disfuncional de regulación emocional. Es importante aprender a distinguirlas de las conductas suicidas. Material y métodos: Revisión narrativa de la situación actual sobre suicidio y autolesiones en España. Estudio descriptivo conductas suicidas en urgencias pediátricas. Resultados: En un estudio multicéntrico de la SEUP (sociedad Española de Urgencias Pediátricas) se analizaron las consultas por salud mental (marzo-2019 a marzo-2020 y marzo-2020 a marzo-2021), encontrándose un aumento de 122% del diagnóstico “intoxicación no accidental por fármacos” y de 56% en “suicidio/ intento de suicidio/ideación autolítica”. En otro análisis prospectivo, se registraron 281 tentativas, siendo el perfil de paciente: sexo femenino (90,1%), 14,8 años, 34,9% sin diagnóstico psiquiátrico previo, 57,7% con conductas suicidas anteriormente. La presencia de trastornos psiquiátricos, en especial de depresión, y de intentos previos, son los factores de riesgo más implicados en la conducta suicida, aunque existen otros de índole diversa (familiares, personales o sociales). Los pediatras deben estar formados para atender consultas sobre suicidio, y adquirir habilidades para realizar una entrevista con actitud de apoyo y empatía. En España los planes de prevención de suicidio son heterogéneos y no existe un plan nacional de prevención del suicidio. Conclusiones: Se deben reforzar los recursos de atención primaria, hospitalaria y de salud mental de población pediátrica. Los centros escolares y la formación en psiquiatría infantil y adolescente para médicos y enfermeras resultan cruciales en la prevención del suicidio en niños y adolescentes. |
| first_indexed | 2024-04-10T05:23:24Z |
| format | Article |
| id | doaj.art-402acf40403c432da7284f60de4bad71 |
| institution | Directory Open Access Journal |
| issn | 2341-2879 |
| language | Spanish |
| last_indexed | 2024-04-10T05:23:24Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Anales de Pediatría (English Edition) |
| spelling | doaj.art-402acf40403c432da7284f60de4bad712023-03-08T04:14:21ZspaElsevierAnales de Pediatría (English Edition)2341-28792023-03-01983204212Self-injury and suicidal behavior in children and youth population: Learning from the pandemicPaula Vázquez López0Paula Armero Pedreira1Lidia Martínez-Sánchez2José Miguel García Cruz3Concha Bonetde Luna4Félix Notario Herrero5Ana Rosa Sánchez Vázquez6Pedro Javier Rodríguez Hernández7Azucena Díez Suárez8Unidad de Urgencias de Pediatría, Hospital Gregorio Marañón, Madrid, SpainUnidad de Urgencias, Hospital Puerta de Hierro, Majadahonda, Madrid, SpainUnidad de Urgencias, Hospital Sant Joan de Déu, Barcelona, SpainCentro de Salud de San Martín, Vitoria, Álava, SpainHospital Infantil La Paz, Madrid, SpainUnidad de Pediatría-Adolescencia, Clínica HLA Nuestra Señora del Rosario, Albacete, SpainUnidad de Pediatría Social, Hospital Materno Infantil Torrecárdenas, Almería, SpainHospital de Día Infantil y Juvenil «Diego Matías Guigou y Costa», Servicio de Psiquiatría, Hospital Universitario Ntra. Sra. de Candelaria y Universidad de La Laguna, Tenerife, SpainUnidad de Psiquiatría Infantil y Adolescente, Departamento de Psiquiatría y Psicología Médica, Clínica Universidad de Navarra, Pamplona, Navarra, Spain; Corresponding author.Introduction: Suicidal behaviour and self-harm are increasing in children and adolescents. Non-suicidal self-harm are a dysfunctional method of emotional regulation, and it must be distinguished from suicidal behaviours. Methods: Narrative review of the current situation on suicide and self-harm in Spain. Descriptive study of suicidal behaviours in paediatric emergencies. Results: Mental health consultations were analysed (March-2019 to March-2020 and March-2020 to March-2021) in a multicentric study of the SEUP (Spanish Society of Pediatric Emergencies), finding a 122 % increase of the diagnosis of ''non-accidental drug intoxication” and 56 % of “suicide/suicide attempt/suicidal ideation”. In another prospective analysis, 281 attempts were recorded, with the patient profile being: female (90.1 %), 14.8 years old, 34.9 % without previous psychiatric diagnosis; 57.7% with previous suicidal behaviour. The presence of psychiatric disorders, especially depression, and previous attempts, are the best-known risk factors for suicidal behaviour, although other factors are involved (family, personal or social). Pediatricians should be trained to deal with questions about suicide and acquire the skills to conduct an interview with a supportive and empathetic attitude. In Spain, suicide prevention plans are heterogeneous among communities, and there is not a unified national suicide prevention plan. Conclusions: Primary, hospital and mental health care resources for paediatric population should be strengthened to prevent suicidal behaviours. Specific training for school staff, and child and adolescent psychiatry training for paediatricians and nurses are crucial in the prevention of suicide in children and adolescent population. Resumen: Introducción: Las conductas suicidas y las autolesiones están aumentando en niños y adolescentes. Las autolesiones no suicidas suponen un método disfuncional de regulación emocional. Es importante aprender a distinguirlas de las conductas suicidas. Material y métodos: Revisión narrativa de la situación actual sobre suicidio y autolesiones en España. Estudio descriptivo conductas suicidas en urgencias pediátricas. Resultados: En un estudio multicéntrico de la SEUP (sociedad Española de Urgencias Pediátricas) se analizaron las consultas por salud mental (marzo-2019 a marzo-2020 y marzo-2020 a marzo-2021), encontrándose un aumento de 122% del diagnóstico “intoxicación no accidental por fármacos” y de 56% en “suicidio/ intento de suicidio/ideación autolítica”. En otro análisis prospectivo, se registraron 281 tentativas, siendo el perfil de paciente: sexo femenino (90,1%), 14,8 años, 34,9% sin diagnóstico psiquiátrico previo, 57,7% con conductas suicidas anteriormente. La presencia de trastornos psiquiátricos, en especial de depresión, y de intentos previos, son los factores de riesgo más implicados en la conducta suicida, aunque existen otros de índole diversa (familiares, personales o sociales). Los pediatras deben estar formados para atender consultas sobre suicidio, y adquirir habilidades para realizar una entrevista con actitud de apoyo y empatía. En España los planes de prevención de suicidio son heterogéneos y no existe un plan nacional de prevención del suicidio. Conclusiones: Se deben reforzar los recursos de atención primaria, hospitalaria y de salud mental de población pediátrica. Los centros escolares y la formación en psiquiatría infantil y adolescente para médicos y enfermeras resultan cruciales en la prevención del suicidio en niños y adolescentes.http://www.sciencedirect.com/science/article/pii/S2341287923000327AutolesionesSuicidioSalud mentalAdolescentes |
| spellingShingle | Paula Vázquez López Paula Armero Pedreira Lidia Martínez-Sánchez José Miguel García Cruz Concha Bonetde Luna Félix Notario Herrero Ana Rosa Sánchez Vázquez Pedro Javier Rodríguez Hernández Azucena Díez Suárez Self-injury and suicidal behavior in children and youth population: Learning from the pandemic Anales de Pediatría (English Edition) Autolesiones Suicidio Salud mental Adolescentes |
| title | Self-injury and suicidal behavior in children and youth population: Learning from the pandemic |
| title_full | Self-injury and suicidal behavior in children and youth population: Learning from the pandemic |
| title_fullStr | Self-injury and suicidal behavior in children and youth population: Learning from the pandemic |
| title_full_unstemmed | Self-injury and suicidal behavior in children and youth population: Learning from the pandemic |
| title_short | Self-injury and suicidal behavior in children and youth population: Learning from the pandemic |
| title_sort | self injury and suicidal behavior in children and youth population learning from the pandemic |
| topic | Autolesiones Suicidio Salud mental Adolescentes |
| url | http://www.sciencedirect.com/science/article/pii/S2341287923000327 |
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