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Epidemiologic profile and triggering factors of voluntary poisoning in teenagers
Self-poisoning is an important medical and social problem in adolescents. We performed an observational cross-sectional retrospective study on a group of 219 adolescents admitted for voluntary intoxications at “St. Mary” Children's Emergency Hospital, Iasi during 1 year period. Epidemiological...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293421/ https://www.ncbi.nlm.nih.gov/pubmed/28151858 http://dx.doi.org/10.1097/MD.0000000000005831 |
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author | Nistor, Nicolai Jitareanu, Cristina Frasinariu, Otilia Elena Ciomaga, Irina Mihaela Rugina, Aniela Luminita Streanga, Violeta |
author_facet | Nistor, Nicolai Jitareanu, Cristina Frasinariu, Otilia Elena Ciomaga, Irina Mihaela Rugina, Aniela Luminita Streanga, Violeta |
author_sort | Nistor, Nicolai |
collection | PubMed |
description | Self-poisoning is an important medical and social problem in adolescents. We performed an observational cross-sectional retrospective study on a group of 219 adolescents admitted for voluntary intoxications at “St. Mary” Children's Emergency Hospital, Iasi during 1 year period. Epidemiological aspects and triggering factors have been analyzed. Data collected from the patients’ files were centralized in an SPSS 18.0 database and processed with confidence interval of 95%. We found that pharmaceutical drugs have been usually involved (34.7%), mostly in girls (56.3% vs. 15.5%; P = 0.0001). The most frequently cited reason for poisoning was family conflict, with a relative risk (RR) 1.43 times higher in girls, as well as scholar conflict (RR = 1.39). A great percentage of the monitored girls presented severe depression (23.3% vs. 6.9%; P = 0.001), with an RR more than 3 times higher than in the case of boys. All cases evolved favorably, no death having been recorded, even if 18 teenagers initially presented an extremely serious condition, being admitted in various stages of coma (Glasgow coma scale score < 8). We found that self-inflicted poisonings with pharmaceutical drugs was more common in girls and the use of drug and alcohol intoxication was found especially in boys. The most common pharmaceutical drug involved in self-poisoning was acetaminophen. Psychological disorders and family or school conflicts are the most important triggering factors of voluntary poisoning. Risk factors should be identified after stabilizing the patient, and actions should be taken in order to prevent a fatal recurrence. |
format | Online Article Text |
id | pubmed-5293421 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-52934212017-02-10 Epidemiologic profile and triggering factors of voluntary poisoning in teenagers Nistor, Nicolai Jitareanu, Cristina Frasinariu, Otilia Elena Ciomaga, Irina Mihaela Rugina, Aniela Luminita Streanga, Violeta Medicine (Baltimore) 7200 Self-poisoning is an important medical and social problem in adolescents. We performed an observational cross-sectional retrospective study on a group of 219 adolescents admitted for voluntary intoxications at “St. Mary” Children's Emergency Hospital, Iasi during 1 year period. Epidemiological aspects and triggering factors have been analyzed. Data collected from the patients’ files were centralized in an SPSS 18.0 database and processed with confidence interval of 95%. We found that pharmaceutical drugs have been usually involved (34.7%), mostly in girls (56.3% vs. 15.5%; P = 0.0001). The most frequently cited reason for poisoning was family conflict, with a relative risk (RR) 1.43 times higher in girls, as well as scholar conflict (RR = 1.39). A great percentage of the monitored girls presented severe depression (23.3% vs. 6.9%; P = 0.001), with an RR more than 3 times higher than in the case of boys. All cases evolved favorably, no death having been recorded, even if 18 teenagers initially presented an extremely serious condition, being admitted in various stages of coma (Glasgow coma scale score < 8). We found that self-inflicted poisonings with pharmaceutical drugs was more common in girls and the use of drug and alcohol intoxication was found especially in boys. The most common pharmaceutical drug involved in self-poisoning was acetaminophen. Psychological disorders and family or school conflicts are the most important triggering factors of voluntary poisoning. Risk factors should be identified after stabilizing the patient, and actions should be taken in order to prevent a fatal recurrence. Wolters Kluwer Health 2017-02-03 /pmc/articles/PMC5293421/ /pubmed/28151858 http://dx.doi.org/10.1097/MD.0000000000005831 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 7200 Nistor, Nicolai Jitareanu, Cristina Frasinariu, Otilia Elena Ciomaga, Irina Mihaela Rugina, Aniela Luminita Streanga, Violeta Epidemiologic profile and triggering factors of voluntary poisoning in teenagers |
title | Epidemiologic profile and triggering factors of voluntary poisoning in teenagers |
title_full | Epidemiologic profile and triggering factors of voluntary poisoning in teenagers |
title_fullStr | Epidemiologic profile and triggering factors of voluntary poisoning in teenagers |
title_full_unstemmed | Epidemiologic profile and triggering factors of voluntary poisoning in teenagers |
title_short | Epidemiologic profile and triggering factors of voluntary poisoning in teenagers |
title_sort | epidemiologic profile and triggering factors of voluntary poisoning in teenagers |
topic | 7200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293421/ https://www.ncbi.nlm.nih.gov/pubmed/28151858 http://dx.doi.org/10.1097/MD.0000000000005831 |
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