Suicide risk among urban children |
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| Institution: | 1. Washington University in St. Louis, George Warren Brown School of Social Work, Campus Box 1196, 1 Brookings Drive, 314-935-6145, Saint Louis, MO 63130, United States;2. NIMH Predoctoral Fellow, Race and Opportunity Lab, The Brown School of Social Work, Washington University in St. Louis, United States;3. Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA 16801, United States;1. Division of Pediatric Surgery, Department of Surgery, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital, Little Rock, AR, USA;2. Trauma Services, Dell Children’s Medical Center of Central Texas, Austin TX, USA;3. Department of Surgery, The Children’s Hospital at OU Medical Center, Oklahoma City, OK, USA;4. Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Science Center/Le Bonheur Children’s Hospital, Memphis, TN, USA;5. Department of Surgery and Level 1 Pediatric Trauma Center, Phoenix Children’s Hospital, Phoenix, AZ, USA;6. Department of Surgery and Trauma Services, Children’s Medical Center Dallas, Dallas, TX, USA;7. University of Arkansas for Medical Sciences, Department of Pediatrics, Division of Biostatistics, Little Rock, AR, USA;1. Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, Sendai, Japan;2. Miyagi Psychiatric Center, Natori, Japan |
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| Abstract: | ObjectiveThis study examines how socio-demographic and clinical characteristics influence suicide risk among a large, urban sample of children (ages 12 and younger) receiving Psychiatric Emergency Services (PES).MethodsBivariate and binomial logistic regression analyses were employed to analyze data for a sample of 951 urban children presenting for pediatric PES.ResultsApproximately 17.2% of patients presented had a history of suicidal thought and behavior. Despite the larger number of black children presenting for PES, we found no significant difference in suicide risk across ethnic group, though the prevalence rates were increasingly higher in Whites, Latinos, and Black respectively. Of those presenting with suicidality: 65.1% were diagnosed with a behavioral disorder, 26.3% were diagnosed with a mood disorder, 3.8% with a psychotic disorder, and 4.8% with another disorder. About one in ten suicidal cases admitted to prior child abuse. Furthermore, patients admitted to the hospital for suicidality were more likely to be female, to have a mood disorder, and to be appropriately discharged to an inpatient setting following initial hospital care.ConclusionsThe study points to the importance of screening publically insured (Medicaid) urban children experiencing psychological distress regardless of ethnicity and age for suicide risk. Clinicians should consider these findings when working with children in psychiatric crisis. |
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