Cargando…
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...
Autores principales: | , , , , , , , |
---|---|
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 |
_version_ | 1783655920471900160 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7909391 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT kampfschulteandrew understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus AT orammatthew understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus AT escobarvascoalejandram understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus AT essenmacherbrittany understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus AT herbigamy understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus AT behereaniruddh understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus AT leimanislaurensmaral understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus AT rajasekaransurender understandingsuicideinourcommunitythroughthelensofthepediatricicuanepidemiologicalreview20112017ofonemidwesterncityintheus |