Rohan Borschmann1,2,3,4, Patrick Stark5, Chidambaram Prakash5, Susan M Sawyer1,6,7. 1. Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia. 2. Centre for Mental Health, Melbourne School of Population of Global Health, Melbourne, Victoria, Australia. 3. Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia. 4. Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. 5. Mental Health Services, Royal Children's Hospital, Melbourne, Victoria, Australia. 6. Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia. 7. Department of Adolescent Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.
Abstract
AIM: Self-harm and suicidal behaviour is most prevalent during adolescence, but little is known about the risk profile of adolescents admitted to hospital for suicidal behaviour. Young people who self-harm are at an increased risk of mortality compared to those who do not self-harm; adolescents admitted to hospital for suicidal behaviour are particularly at risk. The aim of this study was to generate a risk profile of adolescents admitted to hospital with suicidal behaviour. METHODS: We conducted a 12-month retrospective audit of adolescent admissions to the mental health inpatient unit at a tertiary children's hospital in Melbourne, Australia. Routinely collected data were used to generate a risk profile. RESULTS: We found that 212 of 271 (78.2%) admissions were due to suicidal behaviour. Of these, 107 (51%) adolescents were diagnosed with one or more mental disorders at discharge, most commonly major depressive disorder. Beyond known distal determinants of health risk, the proximal risk profile of these adolescents included factors relating to gender, substance use, prior mental health diagnoses and prior admission to hospital. Poor sleep was also a risk factor, with 159 (75%) reporting a recent history of sleeping problems. CONCLUSIONS: The very high proportion of admissions to the mental health inpatient unit due to suicidal behaviour reinforces the importance of finding effective methods of identification of the risk processes underpinning suicidal behaviours to reduce the unnecessary waste of young lives by suicide.
AIM: Self-harm and suicidal behaviour is most prevalent during adolescence, but little is known about the risk profile of adolescents admitted to hospital for suicidal behaviour. Young people who self-harm are at an increased risk of mortality compared to those who do not self-harm; adolescents admitted to hospital for suicidal behaviour are particularly at risk. The aim of this study was to generate a risk profile of adolescents admitted to hospital with suicidal behaviour. METHODS: We conducted a 12-month retrospective audit of adolescent admissions to the mental health inpatient unit at a tertiary children's hospital in Melbourne, Australia. Routinely collected data were used to generate a risk profile. RESULTS: We found that 212 of 271 (78.2%) admissions were due to suicidal behaviour. Of these, 107 (51%) adolescents were diagnosed with one or more mental disorders at discharge, most commonly major depressive disorder. Beyond known distal determinants of health risk, the proximal risk profile of these adolescents included factors relating to gender, substance use, prior mental health diagnoses and prior admission to hospital. Poor sleep was also a risk factor, with 159 (75%) reporting a recent history of sleeping problems. CONCLUSIONS: The very high proportion of admissions to the mental health inpatient unit due to suicidal behaviour reinforces the importance of finding effective methods of identification of the risk processes underpinning suicidal behaviours to reduce the unnecessary waste of young lives by suicide.
Authors: Xavier Alvarez-Subiela; Carmina Castellano-Tejedor; Mireia Verge-Muñoz; Kike Esnaola-Letemendia; Diego Palao-Vidal; Francisco Villar-Cabeza Journal: Int J Environ Res Public Health Date: 2022-06-21 Impact factor: 4.614
Authors: Xavier Alvarez-Subiela; Carmina Castellano-Tejedor; Francisco Villar-Cabeza; Mar Vila-Grifoll; Diego Palao-Vidal Journal: Int J Environ Res Public Health Date: 2022-08-11 Impact factor: 4.614