Cargando…
Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy
INTRODUCTION: Suicide is the fourth leading cause of death among adolescents and young adults (AYA) (Czyz EK, King CA. J Clin Child Adolesc Psychol.2015;44(1):181-19), and psychiatric disorders are a major contributing factor (WHO Global Health Estimates 2000-2019). Studies focusing on suicidality i...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434585/ http://dx.doi.org/10.1192/j.eurpsy.2023.727 |
_version_ | 1785091928716476416 |
---|---|
author | Valentini, E. Minuti, A. Menculini, G. De Giorgi, F. Sciarma, T. Amantini, K. Moretti, P. Tortorella, A. |
author_facet | Valentini, E. Minuti, A. Menculini, G. De Giorgi, F. Sciarma, T. Amantini, K. Moretti, P. Tortorella, A. |
author_sort | Valentini, E. |
collection | PubMed |
description | INTRODUCTION: Suicide is the fourth leading cause of death among adolescents and young adults (AYA) (Czyz EK, King CA. J Clin Child Adolesc Psychol.2015;44(1):181-19), and psychiatric disorders are a major contributing factor (WHO Global Health Estimates 2000-2019). Studies focusing on suicidality in Italian inpatients samples are scant. OBJECTIVES: The present cross-sectional study aimed to define clinical variables associated with suicidality related phenomena in a sample of young inpatients. The main objectives were to assess the prevalence of suicidal ideation and deliberate self-harm in inpatients aged 16–24 years and to determine the relationship between suicidal behaviours and psychiatric disorders. METHODS: This retrospective study was conducted in a naturalistic setting, at the Psychiatric Inpatient Unit, Perugia Hospital/Local Mental Health Unit 1, from January 2018 to December 2019. Sociodemographic information, clinical history, diagnostic and treatment features were collected. Descriptive and bivariate analyses were performed (p<0,05). RESULTS: Among 120 patients (14,2% of the overall 850 hospitalizations in the index period) admitted for suicidality-related phenomena, 21 (17,5%) were AYA. Admission was due to deliberate self-harm in 85,7% (n=18) and to suicidal ideation in 14,3% (n=3) cases. Personality disorders (p=0.006), were significantly more prevalent among AYA, while mood disorders were more frequent among adults (p=0.0018) (Tab.1). [Table: see text] CONCLUSIONS: Personality is under construction among youths, and affective symptoms may have unusual characteristics (Lack CW, Green AL. J Pediatr Nurs. 2009;24(1):13-25), as demonstrated by the fact that irritable rather than depressed mood is a core diagnostic mood symptom for adolescents (Rice F, et al. J Affect Disord. 2019;243:175-181). We hypothesized that symptoms of irritability, emotional dysregulation, and impulsivity could be linked to suicidality (Ghanem M, et al. Arch Suicide Res. 2013;17(3):262-274). Further investigations are needed for the characterization of AYA inpatients who experience suicidal thoughts or self-injurious behaviours, in order to redefine preventive tools and reduce suicide mortality rates. DISCLOSURE OF INTEREST: None Declared |
format | Online Article Text |
id | pubmed-10434585 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-104345852023-08-18 Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy Valentini, E. Minuti, A. Menculini, G. De Giorgi, F. Sciarma, T. Amantini, K. Moretti, P. Tortorella, A. Eur Psychiatry Abstract INTRODUCTION: Suicide is the fourth leading cause of death among adolescents and young adults (AYA) (Czyz EK, King CA. J Clin Child Adolesc Psychol.2015;44(1):181-19), and psychiatric disorders are a major contributing factor (WHO Global Health Estimates 2000-2019). Studies focusing on suicidality in Italian inpatients samples are scant. OBJECTIVES: The present cross-sectional study aimed to define clinical variables associated with suicidality related phenomena in a sample of young inpatients. The main objectives were to assess the prevalence of suicidal ideation and deliberate self-harm in inpatients aged 16–24 years and to determine the relationship between suicidal behaviours and psychiatric disorders. METHODS: This retrospective study was conducted in a naturalistic setting, at the Psychiatric Inpatient Unit, Perugia Hospital/Local Mental Health Unit 1, from January 2018 to December 2019. Sociodemographic information, clinical history, diagnostic and treatment features were collected. Descriptive and bivariate analyses were performed (p<0,05). RESULTS: Among 120 patients (14,2% of the overall 850 hospitalizations in the index period) admitted for suicidality-related phenomena, 21 (17,5%) were AYA. Admission was due to deliberate self-harm in 85,7% (n=18) and to suicidal ideation in 14,3% (n=3) cases. Personality disorders (p=0.006), were significantly more prevalent among AYA, while mood disorders were more frequent among adults (p=0.0018) (Tab.1). [Table: see text] CONCLUSIONS: Personality is under construction among youths, and affective symptoms may have unusual characteristics (Lack CW, Green AL. J Pediatr Nurs. 2009;24(1):13-25), as demonstrated by the fact that irritable rather than depressed mood is a core diagnostic mood symptom for adolescents (Rice F, et al. J Affect Disord. 2019;243:175-181). We hypothesized that symptoms of irritability, emotional dysregulation, and impulsivity could be linked to suicidality (Ghanem M, et al. Arch Suicide Res. 2013;17(3):262-274). Further investigations are needed for the characterization of AYA inpatients who experience suicidal thoughts or self-injurious behaviours, in order to redefine preventive tools and reduce suicide mortality rates. DISCLOSURE OF INTEREST: None Declared Cambridge University Press 2023-07-19 /pmc/articles/PMC10434585/ http://dx.doi.org/10.1192/j.eurpsy.2023.727 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Valentini, E. Minuti, A. Menculini, G. De Giorgi, F. Sciarma, T. Amantini, K. Moretti, P. Tortorella, A. Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy |
title | Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy |
title_full | Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy |
title_fullStr | Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy |
title_full_unstemmed | Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy |
title_short | Suicidality among adolescents and young adults in a Psychiatry Inpatient Unit: a two-year retrospective study in Umbria, central Italy |
title_sort | suicidality among adolescents and young adults in a psychiatry inpatient unit: a two-year retrospective study in umbria, central italy |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434585/ http://dx.doi.org/10.1192/j.eurpsy.2023.727 |
work_keys_str_mv | AT valentinie suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly AT minutia suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly AT menculinig suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly AT degiorgif suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly AT sciarmat suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly AT amantinik suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly AT morettip suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly AT tortorellaa suicidalityamongadolescentsandyoungadultsinapsychiatryinpatientunitatwoyearretrospectivestudyinumbriacentralitaly |