TY  - JOUR
PY  - 2022//
TI  - Pediatric intensive care unit admissions after adolescent suicide attempts during the pandemic
JO  - Pediatrics
A1  - Bruns, Nora
A1  - Willemsen, Lea
A1  - Stang, Andreas
A1  - Kowall, Bernd
A1  - Holtkamp, Katharina
A1  - Kamp, Oliver
A1  - Dudda, Marcel
A1  - Hey, Florian
A1  - Hoffmann, Florian
A1  - Blankenburg, Judith
A1  - Eifinger, Frank
A1  - Fuchs, Hans
A1  - Haase, Roland
A1  - Baier, Jan
A1  - Andrée, Clemens
A1  - Heldmann, Michael
A1  - Maldera, Vanessa
A1  - Potratz, Jenny
A1  - Kurz, Daniel
A1  - Mand, Nadine
A1  - Doerfel, Claus
A1  - Rothoeft, Tobias
A1  - Schultz, Michel
A1  - Ohlert, Manuel
A1  - Silkenbäumer, Katrin
A1  - Boesing, Thomas
A1  - Indraswari, Fithri
A1  - Niemann, Frank
A1  - Jahn, Peter
A1  - Merker, Michael
A1  - Braun, Nicole
A1  - Brevis Nunez, Francisco
A1  - Engler, Matthias
A1  - Heimann, Konrad
A1  - Brasche, Milian
A1  - Wolf, Gerhard
A1  - Freymann, Holger
A1  - Dercks, Martin
A1  - Hoppenz, Marc
A1  - Felderhoff-Muser, Ursula
A1  - Dohna-Schwake, Christian
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND AND OBJECTIVES: The worldwide SARS-CoV-2 virus pandemic challenges adolescents' mental health. The aim of this study was to compare the number of pediatric intensive care unit (PICU) admissions after suicide attempts during the first German lockdown and one year later during a second, prolonged lockdown with pre-pandemic years. <br><br>METHODS: A retrospective multicenter study was conducted among 27 German PICUs. Cases <18 years admitted to the PICU due to accidents or injuries between March 16th and May 31st of 2017-2021 were identified based on ICD-10 codes (German modification) and patient data entered into a database. This study is a subset analysis on suicide attempts in adolescents aged 12-17.9 years. The Federal Statistics Office was queried for data on fatal suicides, which were available only for 2020 in adolescents aged 10-17.9 years. <br><br>RESULTS: Total admissions and suicide attempts declined during the first lockdown in 2020 (standardized morbidity ratio (SMR) 0.74 (95% CI 0.58-0.92) and 0.69 (0.43-1.04), respectively) and increased in 2021 (2.14 (SMR 1.86-2.45) and 2.84 (2.29-3.49), respectively). Fatal suicide rates remained stable between 2017-2019 and 2020 (1.57 v. 1.48/100,000 adolescent years) with monthly numbers showing no clear trend during the course of 2020. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0031-4005
UR  - http://dx.doi.org/10.1542/peds.2021-055973
ID  - ref1
ER  -