2024, Number S1
<< Back Next >>
Acta Pediatr Mex 2024; 45 (S1)
Barriers to identify suicide attempts and risk factors in adolescents: Analysis of a clinical case
Casas MA, Velasco RÁE, Rodríguez CA, Agatón-Peralta VA
Language: Spanish
References: 24
Page: S54-S59
PDF size: 351.06 Kb.
ABSTRACT
Background: Suicide attempts are not explicit in all cases, and neither are the
possible risk factors or triggers of these behaviors, especially in the adolescent
population. Identifying them is crucial to provide comprehensive care and preventing
fatal outcomes.
Clinic case: A 14-year-old male patient went to the emergency department for
ingesting 40 pills, initially referring it for recreational purposes. He was admitted for the
management of drug poisoning. The assessments are reported: medical, social work,
mental health, and through a screening of risk factors. Barriers to the identification of
risk factors and suicidal behavior were analyzed.
Conclusions: Through the analysis of this clinical case, four main barriers to identifying
adolescents with suicide attempts and their main risk factors were identified.
These were related to a) the knowledge and skills for the identification and registration
of the suicide attempt; b) limitations to identifying potential risk factors for suicidal
behavior; c) the lack of systematization for the evaluation of children and adolescents
pawith
suicide attempts, and d) the need for multi- and interdisciplinary collaboration
and communication, sometimes inter-institutional and intersectoral, for the comprehensive
care of patients with suicide attempts. In addition, the advantages of having
screening instruments for the assessment of adolescents with suicide attempts and the
systematization of the process were identified.
REFERENCES
Ong MS, Lakoma M, Gees Bhosrekar S, Hickok J, McLean L,Murphy M, et al. Risk factors for suicide attempt in children,adolescents, and young adults hospitalized for mental healthdisorders. Child Adolesc Ment Health. 2021;26(2):134-42.
Bahia CA, Avanci JQ, Pinto LW, Minayo MC de S. Notificaçõese internações por lesão autoprovocada em adolescentesno Brasil, 2007-2016. Epidemiol e Serv saudeRev do Sist Unico Saude do Bras. 2020;29(2):e2019060.
Vargas HB, Saavedra JE. Factores asociados con la conductasuicida en adolescentes. Rev Neuropsiquiatr.2013;75(1):19.
Gairin I, House A, Owens D. Attendance at the accidentand emergency department in the year before suicide:retrospective study. Br J Psychiatry. 2003;183:28-33.
Petrik ML, Gutierrez PM, Berlin JS, Saunders SM. Barriersand facilitators of suicide risk assessment in emergencydepartments: A qualitative study of provider perspectives.Gen Hosp Psychiatry. 2015;37(6):581-6.
Casas-Muñoz, Abigail; Velasco-Rojano, Ángel Eduardo;Rodríguez-Caballero, Aarón; Prado-Solé, Eva; Álvarez MG.ACE-IQ extended version validation and ACE´s frequencyin Mexican Adolescents. Child Abuse Negl. 2023 Oct5:106492. doi: 10.1016/j.chiabu.2023.106492. Epub aheadof print. PMID: 37805276.
Casas Muñoz A, Velasco Rojano ÁE, Loredo Abdalá A. Adaptacióny validación de la prueba de detección de consumode alcohol, tabaco y sustancias (ASSIST) en adolescentesmexicanos de una población semirrural. Rev Int Investigen Adicciones. 2022;8(1):30-9.
Dias Fogaça V, Mateus de Souza D, Silva L, Bautista GuedesDM, Domingues F, Trinquinato I, et al. Suicide attemptsby adolescents assisted in an emergency department:a cross-sectional study. Rev Bras Enferm [Internet].2023;76(2):e20220137.
Sulleiro A, Vázquez M, Nowotny A, Gosiker M, Gónzalez J.Abordaje Integral del Suicidio en las Adolescencias: lineamientospara equipos de salud. Vol. 1a ed. Buenos Aires,Argentina; 2021. 114 p.
Fleta Zaragozano J. Autolesiones en la adolescencia: unaconducta emergente. Bol la Soc Pediatr Aragon La Rioja ySoria. 2017;47:37-45.
Chun TH, Mace SE, Katz ER, Shook JE, Callahan JM, ConnersGP, et al. Evaluation and management of children andadolescents with acute mental health or behavioral problems.Part I: Common clinical challenges of patients withmental health and/or behavioral emergencies. Pediatrics.2016;138(3):e:20161570.
Organización Mundial de la Salud (OMS). Suicidio [Internet].2021 [cited 2023 Jun 29]. Available from: https://www.who.int/es/news-room/fact-sheets/detail/suicide
Valdez-Santiago R, Villalobos-Hernández A, Arenas-MonrealL. Conducta suicida en México : análisis comparativoentre población adolescente y adulta. 2023;65:110-6.
Sendra-Gutiérrez JM, Esteban-Vasallo M, Domínguez-Berjón MF. Suicidal behaviour characteristics and factorsassociated with mortality in the hospital setting. RevPsiquiatr Salud Ment. 2018;11(4):234-43.
Breslin K, Balaban J, Shubkin CD. Adolescent suicide: whatcan pediatricians do? Curr Opin Pediatr. 2020;32(4):595-600.
Delbazi-Paz, Belén; M, Ana Carolina L, María Agostina,Lumello; Flavia S. G. Análisis de impulsividad y agresividadmediante Barratt Impulsiveness Scale y Buss-PerryAggression Questionnaire en argentinos. Año [Internet].2020;5(7):1-15.
Linehan MM, Comtois KA, Brown MZ, Heard HL, WagnerA. Suicide Attempt Self-Injury Interview (SASII): Development,reliability, and validity of a scale to assess suicideattempts and intentional self-injury. Psychol Assess.2006;18(3):303-12.
Horowitz LM, Bridge JA, Teach SJ, Ballard E, Klima J, RosensteinDL, et al. Ask suicide-screening questions (ASQ): A briefinstrument for the pediatric emergency department. ArchPediatr Adolesc Med. 2012;166(12):1170-6.
Warner CH, Appenzeller GN, Grieger T, Belenkiy S, BreitbachJ, Parker J, et al. Importance of anonymity to encouragehonest reporting in mental health screening after combatdeployment. Arch Gen Psychiatry. 2011;68(10):1065-71.
Dilillo D, Mauri S, Mantegazza C, Fabiano V, Mameli C,Zuccotti GV. Suicide in pediatrics: epidemiology, risk factors,warning signs and the role of the pediatrician in detectingthem. Ital J Pediatr. 2015;41(1):1-8.
De la Torre M. Manejo Inicial De La Ideación Suicida. GuiaDesarro por el Cent Psicol Apl. 2013;1-35.
Organización Panamericana de la Salud(OPS). Guía deintervención mhGAP para los trastornos mentales, neurológicosy por consumo de sustancias en el nivel de atenciónde salud no especializada [Internet]. Vol. Versión 2.,Repositorio Institucional para intercambio de información.2018. 1–173 p.
Alcântara de Sousa K, Silva Ferreira, Maria Goreth; FerreiraCoelho Galvão E. Multidisciplinary health care in cases ofchildhood suicidal ideation: operational and organizationallimits. Rev Bras Enferm. 2020;73 1(Suppl 1):e20190459.
de Freitas APA, Borges LM. From Reception To Triage: CareOf Suicide Attempts In Hospital Emergencies. Estud Psicol.2017;22(1):50-60.