Bruns, Nora ORCID: 0000-0003-3809-1887, Willemsen, Lea, Stang, Andreas, Kowall, Bernd, Holtkamp, Katharina, Kamp, Oliver, Dudda, Marcel, Hey, Florian, Hoffmann, Florian, Blankenburg, Judith, Eifinger, Frank ORCID: 0000-0003-1758-6039, Fuchs, Hans, Haase, Roland, Baier, Jan, Andree, Clemens, Heldmann, Michael, Maldera, Vanessa, Potratz, Jenny, Kurz, Daniel, Mand, Nadine, Doerfel, Claus, Rothoeft, Tobias, Schultz, Michel, Ohlert, Manuel, Silkenbaeumer, Katrin, Boesing, Thomas, Indraswari, Fithri, Niemann, Frank, Jahn, Peter, Merker, Michael, Braun, Nicole, Nunez, Francisco Brevis, Engler, Matthias, Heimann, Konrad, Brasche, Milian, Wolf, Gerhard, Freymann, Holger, Dercks, Martin, Hoppenz, Marc, Felderhoff-Mueser, Ursula and Dohna-Schwake, Christian (2022). Pediatric ICU Admissions After Adolescent Suicide Attempts During the Pandemic. Pediatrics, 150 (2). ELK GROVE VILLAGE: AMER ACAD PEDIATRICS. ISSN 1098-4275

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Abstract

BACKGROUND AND OBJECTIVES: The worldwide severe acute respiratory syndrome coronavirus 2 pandemic challenges adolescents' mental health. In this study, we aim to compare the number of pediatric ICU (PICU) admissions after suicide attempts during the first German lockdown and one year later during a second, prolonged lockdown with prepandemic years. METHODS: A retrospective multicenter study was conducted among 27 German PICUs. Cases < 18 years admitted to the PICU because of accidents or injuries between March 16 and May 31 of 2017 to 2021 were identified based on International Classification of Diseases, 10th Revision codes (German modification) and patient data entered into a database. This study is a subset analysis on suicide attempts in adolescents aged 12 to 17.9 years. The Federal Statistics Office was queried for data on fatal suicides, which were available only for 2020 in adolescents aged 10 to 17.9 years. RESULTS: Total admissions and suicide attempts declined during the first lockdown in 2020 (standardized morbidity ratio 0.74 (95% confidence interval; 0.58-0.92) and 0.69 (0.43-1.04), respectively) and increased in 2021 (standardized morbidity ratio 2.14 [1.86-2.45] and 2.84 [2.29-3.49], respectively). Fatal suicide rates remained stable between 2017 to 2019 and 2020 (1.57 vs 1.48 per 100 000 adolescent years) with monthly numbers showing no clear trend during the course of 2020. CONCLUSIONS: This study shows a strong increase in serious suicide attempts among adolescents during the course of the pandemic in Germany. More research is needed to understand the relation between pandemic prevention measures and suicidal ideation to help implement mental health support for adolescents.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bruns, NoraUNSPECIFIEDorcid.org/0000-0003-3809-1887UNSPECIFIED
Willemsen, LeaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stang, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kowall, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Holtkamp, KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kamp, OliverUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dudda, MarcelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hey, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoffmann, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blankenburg, JudithUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eifinger, FrankUNSPECIFIEDorcid.org/0000-0003-1758-6039UNSPECIFIED
Fuchs, HansUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haase, RolandUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baier, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andree, ClemensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heldmann, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maldera, VanessaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Potratz, JennyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kurz, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mand, NadineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Doerfel, ClausUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rothoeft, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schultz, MichelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ohlert, ManuelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Silkenbaeumer, KatrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boesing, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Indraswari, FithriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Niemann, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jahn, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Merker, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Braun, NicoleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nunez, Francisco BrevisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Engler, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heimann, KonradUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brasche, MilianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolf, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Freymann, HolgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dercks, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoppenz, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Felderhoff-Mueser, UrsulaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dohna-Schwake, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-697281
DOI: 10.1542/peds.2021-055973
Journal or Publication Title: Pediatrics
Volume: 150
Number: 2
Date: 2022
Publisher: AMER ACAD PEDIATRICS
Place of Publication: ELK GROVE VILLAGE
ISSN: 1098-4275
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PediatricsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69728

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