Cited by 45Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseInjury Epidemiology and Prevention

Characteristics of adolescents who visit the emergency department following suicide attempts: comparison study between adolescents and adults

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Lee, Jinhee, Bang, Yeon Sik, Min, Seongho, Ahn, Joung-Sook, Kim, Hyun, Cha, Yong-Sung, Park, In-Suk, Kim, Min-Hyuk·2019·BMC Psychiatry

Abstract

BACKGROUND: The purpose of this study was to identify the demographic and clinical characteristics of suicide attempts in adolescents who visit the emergency department compared to those of adults. METHODS: This study included 149 children under the age of 18, and 1427 people in the age of 19-65 who came to the emergency department with suicide attempt from 2009 to 2015. We compare sociodemographic, clinical, and suicide attempt-related characteristics through Chi-square test and logistic regression analysis to evaluate the difference between two groups. RESULTS: In adolescents, suicide attempters had more number of previous suicide attempt history than adults. Adolescents used more non-lethal method such as poisoning of over the counter drugs and had about 5 times higher odds ratio in suicide attempts with analgesics. The motivation of suicide attempt among adolescents was more related with interpersonal problems but less with financial or illness-related problems. The intention of suicide attempt in adolescents was less serious and lethal compared to adults. CONCLUSION: Suicide attempts among adolescents had showed different from adults in method, motivation and intention. Considering the characteristics of suicide attempt among adolescent, it is necessary to keep close attention to adolescent's suicide attempters and develop the customized intervention program to prevent the suicide attempt in this groups.

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  • Of the included studies, 5 were pilot trials with insufficient power to detect small treatment effect sizes.

    “Of the included studies, 5 were pilot trials,37,38,39,40,43 with insufficient power to detect small treatment effect sizes.”

    From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [39]

    The Methods (Study subject and Statistical analyses; page not provided) describe a comparison of adolescents and adults who visited an emergency department after suicide attempts, not a treatment trial. The Discussion (Strengths and limitations; page not provided) calls its sample relatively large. This paper therefore cannot substantiate its identification as one of five underpowered pilot treatment trials. (LLM, conf=0.87)

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  • In comparison with adults, adolescents who present to emergency departments for suicide attempts have a higher number of previous attempts, are more likely to use nonlethal means, and more frequently experience interpersonal conflict as the precipitant to a suicide attempt versus financial or illness-related stressors in adult samples.

    “For example, in comparison with adults, adolescents who present to emergency departments for SAs have a higher number of previous attempts, are more likely to use nonlethal means and more frequently experience interpersonal conflict as the precipitant to a suicide attempt vs financial or illness-related stressors in adult samples.50”
  • In controlled trials with children and adolescents, control conditions were often vaguely defined and sometimes involved elements of safety planning to varying degrees, although results were consistent whether these studies were removed or included.

    “In controlled trials with children and adolescents,35,38,39,40,42,43,44 control conditions were often vaguely defined and sometimes involved elements of safety planning to varying degrees, although results were consistent whether these studies were removed (Figure 2) or included (eFigure in Supplement 1).”

    From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [39]

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Authors
Lee, J., Bang, Y. S., Min, S., Ahn, J.-S., Kim, H., Cha, Y.-S., Park, I.-S., & Kim, M.-H.
Affiliations
Yonsei University (KR)
Corresponding author
Kim, Min-Hyuk
Venue
BMC Psychiatry
Published
2019-07-26
Volume
19
Issue
1
Pages
231-231
ISSN
1471-244X (ISSN-L)
OpenAlex
W2964874479
Cited by
45
References
38
Citations by year
2026: 2 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 6 · 2021: 10 · 2020: 5 · 2019: 2
FWCI
6.72
Type
journal article
Language
en
Open access
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
Keywords
suicide attempts, adolescents, emergency department visits, suicide attempt methods, analgesic overdose, drug poisoning, interpersonal problems, suicide prevention
MeSH terms
Adolescent, Adult, Aged, Child, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Motivation, Risk Factors, Suicide, Attempted, Odds Ratio, Intention, Young Adult

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