Suicide attempt management among Turkish and American adolescents: A comparison of two pediatric emergency departments

Basit Öğe Kaydı
dc.authorscopusid41662339000
dc.authorscopusid57194763753
dc.authorscopusid58766406900
dc.authorscopusid58590791800
dc.authorscopusid36657286700
dc.authorscopusid35312096900
dc.authorscopusid35554695600
dc.contributor.authorYurtseven, A.
dc.contributor.authorTuran, C.
dc.contributor.authorOrt, D.M.
dc.contributor.authorIslam, M.
dc.contributor.authorKöse, S.
dc.contributor.authorSaz, E.U.
dc.contributor.authorHennes, H.
dc.date.accessioned2024-08-25T18:39:05Z
dc.date.available2024-08-25T18:39:05Z
dc.date.issued2023
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground/aim: Suicide is one of the leading causes of death among adolescents. This study aimed to compare the characteristics and short-term outcomes of Turkish and American adolescents with suicide attempts and determine the differences in management and resource utilization between two pediatric emergency departments; one in Türkiye and one in the United States of America. Materials and methods: Adolescents who presented to the emergency departments with a chief complaint of suicide attempt between October 2017 and September 2018 were eligible for including in the study. Characteristics and other information of 217 (131 American and 86 Turkish) suicide attempter adolescents were retrieved from medical records. Outcome was defined as re-admission to the emergency department for another suicide attempt within 3 months of the index visit. Results: Overall, 78% of adolescents were female. Abuse history (physical/sexual) was more common among American adolescents (p = 0.005), whereas uncontrolled psychiatric diseases were more evident in Turkish cases (p < 0.001). Social worker assessment and hospitalization rates were significantly lower, with shorter mean duration of follow-up in the emergency department among Turkish compared to American adolescents (respectively, p < 0.001, p < 0.001 and p = 0.002). Repeated suicide attempts within three months were significantly higher in the Turkish group compared to the American one (29% vs. 8%, p < 0.001). Receiving a social worker assessment, hospitalization and longer observation in emergency department reduced the incidence of repeated suicide attempts (respectively, p <0.001, p = 0.003 and p = 0.012). Conclusion: Turkish adolescents had shorter observation time in the emergency department, received fewer assessment by social workers and were less likely to be hospitalized. These may have contributed to the higher rate of repeat suicide attempts following discharge from the emergency department. Adequate resources are needed to help decrease the burden of suicide among Turkish adolescents. © TÜBİTAK.en_US
dc.identifier.doi10.55730/1300-0144.5757
dc.identifier.endpage1876en_US
dc.identifier.issn1300-0144
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-85179886259en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1870en_US
dc.identifier.urihttps://doi.org/10.55730/1300-0144.5757
dc.identifier.urihttps://hdl.handle.net/11454/101224
dc.identifier.volume53en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240825_Gen_US
dc.subjectAdolescenten_US
dc.subjectcross-culturalen_US
dc.subjectemergency departmenten_US
dc.subjectsuicideen_US
dc.subjectadolescenten_US
dc.subjectArticleen_US
dc.subjectcomparative studyen_US
dc.subjectemergency warden_US
dc.subjectfemaleen_US
dc.subjectfollow upen_US
dc.subjecthospitalizationen_US
dc.subjecthumanen_US
dc.subjectlength of stayen_US
dc.subjectmaleen_US
dc.subjectmental diseaseen_US
dc.subjectobservational studyen_US
dc.subjectpediatricsen_US
dc.subjectquestionnaireen_US
dc.subjectretrospective studyen_US
dc.subjectrisk assessmenten_US
dc.subjectsensitivity and specificityen_US
dc.subjectsocial workeren_US
dc.subjectsuicide attempten_US
dc.titleSuicide attempt management among Turkish and American adolescents: A comparison of two pediatric emergency departmentsen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu