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Pediatric ICU Admissions After Adolescent Suicide Attempts During the Pandemic

Authors :
Bruns, Nora
Willemsen, Lea
Stang, Andreas
Kowall, Bernd
Holtkamp, Katharina
Kamp, Oliver
Dudda, Marcel
Hey, Florian
Hoffmann, Florian
Blankenburg, Judith
Eifinger, Frank
Fuchs, Hans
Haase, Roland
Baier, Jan
Andree, Clemens
Heldmann, Michael
Maldera, Vanessa
Potratz, Jenny
Kurz, Daniel
Mand, Nadine
Doerfel, Claus
Rothoeft, Tobias
Schultz, Michel
Ohlert, Manuel
Silkenbaeumer, Katrin
Boesing, Thomas
Indraswari, Fithri
Niemann, Frank
Jahn, Peter
Merker, Michael
Braun, Nicole
Nunez, Francisco Brevis
Engler, Matthias
Heimann, Konrad
Brasche, Milian
Wolf, Gerhard
Freymann, Holger
Dercks, Martin
Hoppenz, Marc
Felderhoff-Mueser, Ursula
Dohna-Schwake, Christian
Bruns, Nora
Willemsen, Lea
Stang, Andreas
Kowall, Bernd
Holtkamp, Katharina
Kamp, Oliver
Dudda, Marcel
Hey, Florian
Hoffmann, Florian
Blankenburg, Judith
Eifinger, Frank
Fuchs, Hans
Haase, Roland
Baier, Jan
Andree, Clemens
Heldmann, Michael
Maldera, Vanessa
Potratz, Jenny
Kurz, Daniel
Mand, Nadine
Doerfel, Claus
Rothoeft, Tobias
Schultz, Michel
Ohlert, Manuel
Silkenbaeumer, Katrin
Boesing, Thomas
Indraswari, Fithri
Niemann, Frank
Jahn, Peter
Merker, Michael
Braun, Nicole
Nunez, Francisco Brevis
Engler, Matthias
Heimann, Konrad
Brasche, Milian
Wolf, Gerhard
Freymann, Holger
Dercks, Martin
Hoppenz, Marc
Felderhoff-Mueser, Ursula
Dohna-Schwake, Christian
Publication Year :
2022

Abstract

BACKGROUND AND OBJECTIVES: The worldwide severe acute respiratory syndrome coronavirus 2 pandemic challenges adolescents' mental health. In this study, we aim to compare the number of pediatric ICU (PICU) admissions after suicide attempts during the first German lockdown and one year later during a second, prolonged lockdown with prepandemic years. METHODS: A retrospective multicenter study was conducted among 27 German PICUs. Cases < 18 years admitted to the PICU because of accidents or injuries between March 16 and May 31 of 2017 to 2021 were identified based on International Classification of Diseases, 10th Revision codes (German modification) and patient data entered into a database. This study is a subset analysis on suicide attempts in adolescents aged 12 to 17.9 years. The Federal Statistics Office was queried for data on fatal suicides, which were available only for 2020 in adolescents aged 10 to 17.9 years. RESULTS: Total admissions and suicide attempts declined during the first lockdown in 2020 (standardized morbidity ratio 0.74 (95% confidence interval; 0.58-0.92) and 0.69 (0.43-1.04), respectively) and increased in 2021 (standardized morbidity ratio 2.14 [1.86-2.45] and 2.84 [2.29-3.49], respectively). Fatal suicide rates remained stable between 2017 to 2019 and 2020 (1.57 vs 1.48 per 100 000 adolescent years) with monthly numbers showing no clear trend during the course of 2020. CONCLUSIONS: This study shows a strong increase in serious suicide attempts among adolescents during the course of the pandemic in Germany. More research is needed to understand the relation between pandemic prevention measures and suicidal ideation to help implement mental health support for adolescents.

Details

Database :
OAIster
Notes :
English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1383745445
Document Type :
Electronic Resource