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Acta Pediatr Mex 2024; 45 (S1)


Intentos de suicidio atendidos en un servicio de urgencias pediátrico, antes y durante la pandemia de COVID-19

Casas MA, Obregón MMC, Rodríguez CA, Velasco RÁE, Vega RRV, Cázares RE, Mendoza VLF, Gallardo PNP

Idioma: Español
Referencias bibliográficas: 42
Paginas: S3-S15
Archivo PDF: 420.13 Kb.


RESUMEN

Objetivo: Identificar la frecuencia de los casos de IS atendidos en el servicio de urgencias por temporalidad (en los últimos cinco años) y describir los posibles factores de riesgo y/o posibles desencadenantes y algunas características del IS así como de la solicitud de atención.
Materiales y Métodos: Estudio observacional, retrospectivo y descriptivo de revisión de expedientes, de 2018 a 2023.
Resultados: Se revisaron 296 expedientes con el diagnóstico de IS. El 74% fueron mujeres, 56% eran adolescentes tardíos, 43% tempranos y 1% niños. Todos los meses, con excepción de enero, registran incrementos de los casos atendidos por IS durante la pandemia. Los principales factores de riesgo y/o desencadenantes fueron: los conflictos interpersonales (64.19%), el estrés social (57.43%), la agudización de un trastorno de salud mental previo (56.08%), el antecedente de IS previo (48.31%), divorcio de los padres (31.42%) y vivir diferentes formas de violencia [psicológica (28.33%), sexual (18.92%) y por pares (16.55%)]. El horario de solicitud de atención se concentró principalmente en los turnos vespertino y nocturno (79.39%).
Conclusiones: Durante la pandemia hubo un incremento en la cantidad de casos atendidos por Intento de Suicidio en adolescentes en el servicio de urgencias y cambios en la temporalidad de presentación.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic.Acta Biomed. 2020;91(1):157–60.

  2. México. Poder Ejecutivo Consejo de Salubridad General.ACUERDO por el que se declara como emergencia sanitariapor causa de fuerza mayor, a la epidemia de enfermedadgenerada por el virus SARS-CoV2 (COVID-19).: Diario Oficialde la Federación, Mar. 30, 2020

  3. Hill RM, Rufino K, Kurian S, Saxena J, Saxena K, WilliamsL. Suicide ideation and attempts in a pediatric emergencydepartment before and during COVID-19. Pediatrics.2021 Mar;147(3):e2020029280. doi: 10.1542/peds.2020-029280.

  4. Comunicado De Prensa Núm . 520 / 21 8 De SeptiembreDe 2021 Estadísticas a Propósito Del Día Mundial Para LaPrevención Del Suicidio. México: INEGI; 2021;1–5.

  5. García-Fernández L, Romero-Ferreiro V, Izquierdo-Izquierdo M, Rodríguez V, Alvarez-Mon MA, Lahera G, et al.Dramatic increase of suicidality in children and adolescentsafter COVID-19 pandemic start: A two-year longitudinalstudy. J Psychiatr Res. 2023 Jul;163:63-67. doi: 10.1016/j.jpsychires.2023.04.014.

  6. Hermosillo-De-la-torre AE, Arteaga-De-luna SM, Acevedo-Rojas DL, Juárez-Loya A, Jiménez-Tapia JA, Pedroza-CabreraFJ, et al. Psychosocial correlates of suicidal behavior amongadolescents under confinement due to the COVID-19pandemic in Aguascalientes, Mexico: A cross-sectionalpopulation survey. Int J Environ Res Public Health. 2021May 7;18(9):4977. doi: 10.3390/ijerph18094977.

  7. Vázquez López P, Armero Pedreira P, Martínez-SánchezL, García Cruz JM, Bonet de Luna C, Notario Herrero F, etal. Self-injury and suicidal behavior in children and youthpopulation: Learning from the pandemic. An Pediatr(Engl Ed). 2023 Mar;98(3):204-212. doi: 10.1016/j.anpede.2022.11.005.

  8. García Haro J, García Pascual H, González González M,Barrio Martínez S, García Pascual R. ¿Qué es suicidio?Problemas clínicos y conceptuales. Apunt. Psic. 2023Sep. 17;37(2):91-100. doi:https://doi.org/10.55414/ap.v37i2.807

  9. Gobierno de México. Exceso de mortalidad en MéxicoCOVID-19. 21 De Junio. 2023. p. 1–6. https://coronavirus.gob.mx/exceso-de-mortalidad-en-mexico/

  10. Bronfenbrenner U. Ecological models of human development.Int Encycl Educ. 1994;3(2):1643–7.

  11. Geoffroy MC, Chadi N. Increasing paediatric emergencyvisits for suicide-related concerns during COVID-19. LancetPsychiatry. 2023 May;10(5):308-309. doi: 10.1016/S2215-0366(23)00073-1.

  12. Auger N, Low N, Chadi N, Israël M, Steiger H, Lewin A,et al. Suicide Attempts in Children Aged 10–14 Years Duringthe First Year of the COVID-19 Pandemic. J AdolescHealth. 2023 Jun;72(6):899-905. doi: 10.1016/j.jadohealth.2023.01.019.

  13. Gordon-Hacker A, Bar-Shachar Y, Egotubov A, UzefovskyF, Gueron-Sela N. Trajectories and Associations BetweenMaternal Depressive Symptoms, Household Chaos andChildren’s Adjustment through the COVID-19 Pandemic:A Four-Wave Longitudinal Study. Res Child AdolescPsychopathol. 2023 Jan;51(1):103-117. doi: 10.1007/s10802-022-00954-w.

  14. Smith J, Guimond FA, Bergeron J, St-Amand J, Fitzpatrick C,Gagnon M. Changes in students’ achievement motivationin the context of the COVID-19 pandemic: A function ofextraversion/introversion? Educ Sci. 2021 Jan 1;11(1):1–8.

  15. Panchal U, Salazar de Pablo G, Franco M, Moreno C, ParelladaM, Arango C, et al. The impact of COVID-19 lockdownon child and adolescent mental health: systematic review.Eur Child Adolesc Psychiatry. 2023 Jul;32(7):1151-1177.doi: 10.1007/s00787-021-01856-w.

  16. Panda PK, Gupta J, Chowdhury SR, Kumar R, Meena AK,Madaan P, et al. Psychological and Behavioral Impact ofLockdown and Quarantine Measures for COVID-19 Pandemicon Children, Adolescents and Caregivers: A SystematicReview and Meta-Analysis. J Trop Pediatr. 2021 Jan29;67(1):fmaa122. doi: 10.1093/tropej/fmaa122.

  17. White RA, Azrael D, Papadopoulos FC, Lambert GW, MillerM. Does suicide have a stronger association with seasonalitythan sunlight? BMJ Open. 2015 Jun 3;5(6):e007403.doi: 10.1136/bmjopen-2014-007403.

  18. Papadopoulos FC, Frangakis CE, Skalkidou A, Petridou E,Stevens RG, Trichopoulos D. Exploring lag and durationeffect of sunshine in triggering suicide. J Affect Disord.2005 Nov;88(3):287-97. doi: 10.1016/j.jad.2005.08.010.

  19. Melhem NM, Brent DA. Debate: The toll of the COVID-19pandemic on children’s risk for suicidal thoughts and behaviors.Child Adolesc Ment Health. 2021 Sep;26(3):274-275.doi: 10.1111/camh.12488.

  20. Ashworth E, Provazza S, McCarthy M, Saini P. Childrenand Young People Presenting in a Pediatric EmergencyDepartment in North-West England in Suicidal Crisis: AnExploratory Case Series Study. Front Psychiatry. 2022 Apr25;13:892939. doi: 10.3389/fpsyt.2022.892939.

  21. Shamah-Levy T, Romero-Martínez M, Barrientos-GutiérrezT, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA,et al. Encuesta Nacional de Salud y Nutricion Continua2021. Encuesta Nacional de Salud y Nutrición 2021 sobreCovid-19. Resultados nacionales. Cuernavaca, México:Instituto Nacional de Salud Pública; 2022. 324 p.

  22. Benton TD. Suicide and Suicidal Behaviors Among MinoritizedYouth. Child Adolesc Psychiatr Clin N Am. 2022Apr;31(2):211-221. doi: 10.1016/j.chc.2022.01.002.

  23. Xin M, Petrovic J, Zhang L, Böke BN, Yang X, Xue Y.Various Types of Negative Life Events Among YouthPredict Suicidal Ideation: A Cross-Sectional StudyBased on Gender Perspective. Am J Mens Health.2022 Jul-Aug;16(4):15579883221110352. doi:10.1177/15579883221110352.

  24. Turecki G, Brent DA, Gunnell D, O’Connor RC, Oquendo MA,Pirkis J, et al. Suicide and suicide risk. Nat Rev Dis Primers.2019 Oct 24;5(1):74. doi: 10.1038/s41572-019-0121-0.

  25. Anderson KN, Swedo EA, Trinh E, Ray CM, Krause KH,Verlenden J V., et al. Adverse Childhood Experiences Duringthe COVID-19 Pandemic and Associations with PoorMental Health and Suicidal Behaviors Among High SchoolStudents — Adolescent Behaviors and Experiences Survey,United States, January–June 2021. MMWR Morb MortalWkly Rep. 2022 Oct 14;71(41):1301-1305. doi: 10.15585/mmwr.mm7141a2.

  26. Madigan S, Korczak DJ, Vaillancourt T, Racine N, HopkinsWG, Pador P, et al. Comparison of paediatric emergencydepartment visits for attempted suicide, self-harm, andsuicidal ideation before and during the COVID-19 pandemic:a systematic review and meta-analysis. LancetPsychiatry. 2023 May;10(5):342-351. doi: 10.1016/S2215-0366(23)00036-6.

  27. Horowitz L, Tipton M V., Pao M. Primary and secondary preventionof youth suicide. Pediatrics. 2020 May;145(Suppl2):S195-S203. doi: 10.1542/peds.2019-2056H.

  28. Kirič B, Leben Novak L, Lušicky P, Drobnič Radobuljac M.Suicidal Behavior in Emergency Child and AdolescentPsychiatric Service Users Before and During the 16 Monthsof the COVID-19 Pandemic. Front Psychiatry. 2022 May11;13:893040. doi: 10.3389/fpsyt.2022.893040.

  29. Valdez-Santiago R, Villalobos A, Arenas-Monreal L,González-Forteza C, Hermosillo-de-la-Torre AE, Benjet C,et al. Comparison of suicide attempts among nationallyrepresentative samples of Mexican adolescents 12 monthsbefore and after the outbreak of the Covid-19 pandemic. JAffect Disord. 2022 Feb 1;298(Pt A):65-68. doi: 10.1016/j.jad.2021.10.111.

  30. Shidhaye R. Global Priorities for Improving Access to MentalHealth Services for Adolescents in the Post-PandemicWorld. Curr Opin Psychol. 2023 Oct;53:101661. doi:10.1016/j.copsyc.2023.101661.

  31. Casas-Muñoz A, Velasco-Rojano ÁE, Rodríguez-CaballeroA, Prado-Solé E, Álvarez MG. ACEs and mental healthproblems as suicidality predictors in Mexican adolescents.Child Abuse Negl. 2023 Sep 6:106440. doi: 10.1016/j.chiabu.2023.106440.

  32. Medina M, Velásquez AV, Ribero OJ, Trujillo N. Direct medicalcosts of suicide attempts by patients in Columbia’sAntioquia Mental Hospital. Rev Panam Salud Publica. 2018Oct 10;42:e129. doi: 10.26633/RPSP.2018.129.

  33. Epstein S, Roberts E, Sedgwick R, Polling C, Finning K, Ford T,et al. School absenteeism as a risk factor for self-harm andsuicidal ideation in children and adolescents: a systematicreview and meta-analysis. Eur Child Adolesc Psychiatry. 2020Sep;29(9):1175-1194. doi: 10.1007/s00787-019-01327-3.

  34. Chen PJ, MacKes N, Sacchi C, Lawrence AJ, Ma X, PollardR, et al. Parental education and youth suicidalbehaviours: a systematic review and meta-analysis. EpidemiolPsychiatr Sci. 2022 Mar 30;31:e19. doi: 10.1017/S204579602200004X.

  35. Grzejszczak J, Strzelecki D, Gabryelska A, Kotlicka-AntczakM. Affiliation to a Social Group as a Preventive Factor inSuicidal Behaviors in Children and Adolescents duringthe COVID-19 Pandemic. Children (Basel). 2023 Feb9;10(2):333. doi: 10.3390/children10020333.

  36. Yard E, Radhakrishnan L, Ballesteros MF, Sheppard M,Gates A, Stein Z, et al. Emergency Department Visits forSuspected Suicide Attempts Among Persons Aged 12-25Years Before and During the COVID-19 Pandemic — UnitedStates, January 2019-May 2021. MMWR Morb MortalWkly Rep. 2021 Jun 18;70(24):888-894. doi: 10.15585/mmwr.mm7024e1.

  37. Kamody RC, Bloch MH. Editorial: Schools on the frontlineof suicide prevention. J Child Psychol Psychiatry. 2022Aug;63(8):833-835. doi: 10.1111/jcpp.13663.

  38. Gonzalez-Urdiales P, Kuppermann N, Dalziel SR, Prego J,Benito J, Mintegi S. Pediatric intentional self-poisoningevaluated in the emergency department an internationalstudy. Pediatr Emerg Care. 2021 Dec 1;37(12):e1631-e1636. doi: 10.1097/PEC.0000000000002141.

  39. Lang A, Lovejoy MC. Perceptions of suicide risk and thehelpfulness of intervention strategies: a comparison ofstudents and mothers. Suicide Life Threat Behav. 1997Winter;27(4):362-72.

  40. Zayas LH, Bright CL, Álvarez-Sánchez T, Cabassa LJ. Acculturation,familism and mother-daughter relations amongsuicidal and non-suicidal adolescent latinas. . J Prim Prev.2009 Jul;30(3-4):351-69. doi: 10.1007/s10935-009-0181-0.

  41. Bhagar R, Le-Niculescu H, Roseberry K, Kosary K, DalyC, Ballew A, et al. Temporal effects on death by suicide:empirical evidence and possible molecular correlates.Discov Ment Health. 2023 Apr 3;3(1):10. doi: 10.1007/s44192-023-00035-4.

  42. Lantos JD, Yeh HW, Raza F, Connelly M, Goggin K, SullivantSA. Suicide Risk in Adolescents During the COVID-19 Pandemic.Pediatrics. 2022 Feb 1;149(2):e2021053486. doi:10.1542/peds.2021-053486.




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