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Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US

Suicide frequency has tripled for some pediatric age groups over the last decade, of which, serious attempts result in pediatric intensive care unit (PICU) admissions. We paired clinical, aggregate geospatial, and temporal demographics to understand local community variables to determine if epidemio...

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Autores principales: Kampfschulte, Andrew, Oram, Matthew, Escobar Vasco, Alejandra M., Essenmacher, Brittany, Herbig, Amy, Behere, Aniruddh, Leimanis-Laurens, Mara L., Rajasekaran, Surender
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909391/
https://www.ncbi.nlm.nih.gov/pubmed/33498346
http://dx.doi.org/10.3390/children8020059
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author Kampfschulte, Andrew
Oram, Matthew
Escobar Vasco, Alejandra M.
Essenmacher, Brittany
Herbig, Amy
Behere, Aniruddh
Leimanis-Laurens, Mara L.
Rajasekaran, Surender
author_facet Kampfschulte, Andrew
Oram, Matthew
Escobar Vasco, Alejandra M.
Essenmacher, Brittany
Herbig, Amy
Behere, Aniruddh
Leimanis-Laurens, Mara L.
Rajasekaran, Surender
author_sort Kampfschulte, Andrew
collection PubMed
description Suicide frequency has tripled for some pediatric age groups over the last decade, of which, serious attempts result in pediatric intensive care unit (PICU) admissions. We paired clinical, aggregate geospatial, and temporal demographics to understand local community variables to determine if epidemiological patterns emerge that associate with risk for PICU admission. Data were extracted at an urban, high-volume, quaternary care facility from January 2011 to December 2017 via ICD 10 codes associated with suicide. Clinical, socioeconomic, geographical, and temporal variables were reviewed. In total, 1036 patients over the age of 9 were included, of which n = 161 were PICU admissions. Females represented higher proportions of all suicide-related hospital admissions (67.9%). Looking at race/ethnicity, PICU admissions were largely Caucasian (83.2%); Blacks and Hispanics had lower odds of PICU admissions (OR: 0.49; 0.17, respectively). PICU-admitted patients were older (16.0 vs. 15.5; p = 0.0001), with lower basal metabolic index (23.0 vs. 22.0; p = 0.0013), and presented in summer months (OR: 1.51, p = 0.044). Time-series decomposition showed seasonal peaks in June and August. Local regions outside the city limits identified higher numbers of PICU admissions. PICUs serve discrete geographical regions and are a source of information, when paired with clinical geospatial/seasonal analyses, highlighting clinical and societal risk factors associated with PICU admissions.
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spelling pubmed-79093912021-02-27 Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US Kampfschulte, Andrew Oram, Matthew Escobar Vasco, Alejandra M. Essenmacher, Brittany Herbig, Amy Behere, Aniruddh Leimanis-Laurens, Mara L. Rajasekaran, Surender Children (Basel) Article Suicide frequency has tripled for some pediatric age groups over the last decade, of which, serious attempts result in pediatric intensive care unit (PICU) admissions. We paired clinical, aggregate geospatial, and temporal demographics to understand local community variables to determine if epidemiological patterns emerge that associate with risk for PICU admission. Data were extracted at an urban, high-volume, quaternary care facility from January 2011 to December 2017 via ICD 10 codes associated with suicide. Clinical, socioeconomic, geographical, and temporal variables were reviewed. In total, 1036 patients over the age of 9 were included, of which n = 161 were PICU admissions. Females represented higher proportions of all suicide-related hospital admissions (67.9%). Looking at race/ethnicity, PICU admissions were largely Caucasian (83.2%); Blacks and Hispanics had lower odds of PICU admissions (OR: 0.49; 0.17, respectively). PICU-admitted patients were older (16.0 vs. 15.5; p = 0.0001), with lower basal metabolic index (23.0 vs. 22.0; p = 0.0013), and presented in summer months (OR: 1.51, p = 0.044). Time-series decomposition showed seasonal peaks in June and August. Local regions outside the city limits identified higher numbers of PICU admissions. PICUs serve discrete geographical regions and are a source of information, when paired with clinical geospatial/seasonal analyses, highlighting clinical and societal risk factors associated with PICU admissions. MDPI 2021-01-20 /pmc/articles/PMC7909391/ /pubmed/33498346 http://dx.doi.org/10.3390/children8020059 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kampfschulte, Andrew
Oram, Matthew
Escobar Vasco, Alejandra M.
Essenmacher, Brittany
Herbig, Amy
Behere, Aniruddh
Leimanis-Laurens, Mara L.
Rajasekaran, Surender
Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US
title Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US
title_full Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US
title_fullStr Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US
title_full_unstemmed Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US
title_short Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US
title_sort understanding suicide in our community through the lens of the pediatric icu: an epidemiological review (2011–2017) of one midwestern city in the us
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909391/
https://www.ncbi.nlm.nih.gov/pubmed/33498346
http://dx.doi.org/10.3390/children8020059
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