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      Pediatric Intensive Care Unit Admissions After Adolescent Suicide Attempts During the Pandemic

      1 , 1 , 2 , 2 , 1 , 3 , 3 , 4 , 4 , 5 , 6 , 7 , 8 , 8 , 9 , 10 , 10 , 11 , 12 , 13 , 14 , 15 , 15 , 16 , 17 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 25 , 26 , 27 , 28 , 29 , 1 , 1
      Pediatrics
      American Academy of Pediatrics (AAP)

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          Abstract

          BACKGROUND AND OBJECTIVES

          The worldwide SARS-CoV-2 virus pandemic challenges adolescents’ mental health. The aim of this study was to compare the number of pediatric intensive care unit (PICU) admissions after suicide attempts during the first German lockdown and one year later during a second, prolonged lockdown with pre-pandemic years.

          METHODS

          A retrospective multicenter study was conducted among 27 German PICUs. Cases <18 years admitted to the PICU due to accidents or injuries between March 16th and May 31st of 2017-2021 were identified based on ICD-10 codes (German modification) and patient data entered into a database. This study is a subset analysis on suicide attempts in adolescents aged 12–17.9 years. The Federal Statistics Office was queried for data on fatal suicides, which were available only for 2020 in adolescents aged 10–17.9 years.

          RESULTS

          Total admissions and suicide attempts declined during the first lockdown in 2020 (standardized morbidity ratio (SMR) 0.74 (95% CI 0.58–0.92) and 0.69 (0.43–1.04), respectively) and increased in 2021 (2.14 (SMR 1.86–2.45) and 2.84 (2.29–3.49), respectively). Fatal suicide rates remained stable between 2017–2019 and 2020 (1.57 v. 1.48/100,000 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.

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          Author and article information

          Journal
          Pediatrics
          American Academy of Pediatrics (AAP)
          0031-4005
          1098-4275
          May 10 2022
          May 10 2022
          Affiliations
          [1 ]Department of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, Essen, Germany
          [2 ]Institute of Medical Informatics, Biometry and Epidemiology, University Medicine Essen, University of Duisburg-Essen, Essen, Germany
          [3 ]Department of Trauma, Hand and Reconstructive Surgery, University Medicine Essen, University of Duisburg-Essen, Essen, Germany
          [4 ]Pediatric Clinic and Pediatric Polyclinic at the Dr. von Haunerschen Children's Hospital, Interdisciplinary pediatric intensive care unit - pediatric emergency medicine, LMU Munich, Munich, Germany
          [5 ]Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Dresden, University of Technology Dresden, Dresden, Germany
          [6 ]Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Cologne, University of Cologne, Cologne, Germany
          [7 ]Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Freiburg, University of Freiburg, Freiburg, Germany
          [8 ]Department of Pediatrics, Neonatology and Pediatric Intensive Care Medicine, University Hospital Halle, University of Halle, Halle, Germany
          [9 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Helios Hospital Krefeld, Krefeld, Germany
          [10 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Helios University Hospital Wuppertal, Wuppertal, Germany
          [11 ]Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Münster, Münster, Germany
          [12 ]Department of Pediatrics 3, Pediatric Cardiology, Pediatric Intensive Care Medicine, Olgahospital Stuttgart, Stuttgart, Germany
          [13 ]Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Marburg, Philipps University of Marburg, Marburg, Germany
          [14 ]Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Jena, University of Jena, Jena, Germany
          [15 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Catholic Hospital Bochum, Ruhr-University of Bochum, Bochum, Germany
          [16 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Community Hospital Koblenz, Koblenz, Germany
          [17 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Protestant Hospital Bethel, University of Bielefeld, Bielefeld, Germany
          [18 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital Fulda, Fulda, Germany
          [19 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Bergmannsheil and Pediatric Hospital Buer, Gelsenkirchen, Germany
          [20 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital Leverkusen gGmbH, Leverkusen, Germany
          [21 ]Department for Children and Adolescents, Division for Stem Cell Transplantation, Immunology and Intensive Care Medicine, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
          [22 ]Clinic of Pediatric Surgery, Klinikum Ernst von Bergmann, Potsdam, Germany
          [23 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospitals Duisburg, Duisburg, Germany
          [24 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospital Offenbach, Offenbach, Germany
          [25 ]Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Aachen, RWTH Aachen University, Aachen, Germany
          [26 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital of Traunstein, Southeast Bavaria Hospitals, Traunstein, Germany
          [27 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Florence Nightingale Hospital, Düsseldorf, Germany
          [28 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Clemenshospital Münster, Münster, Germany
          [29 ]Department of Pediatrics, Pediatric Intensive Care Medicine, Cologne Hospitals, Children’s Hospital Amsterdamer Str, Cologne, Germany
          Article
          10.1542/peds.2021-055973
          35534988
          442e860a-2ca1-4111-83c9-834f51e173f1
          © 2022
          History

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