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Children (Basel). 2021 Jan 20;8(2). doi: 10.3390/children8020059.

Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011-2017) of One Midwestern City in the US.

Children (Basel, Switzerland)

Andrew Kampfschulte, Matthew Oram, Alejandra M Escobar Vasco, Brittany Essenmacher, Amy Herbig, Aniruddh Behere, Mara L Leimanis-Laurens, Surender Rajasekaran

Affiliations

  1. Office of Research and Education, Spectrum Health, 15 Michigan Street NE, Grand Rapids, MI 49503, USA.
  2. Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Life Sciences Building, 1355 Bogue Street, East Lansing, MI 48824, USA.
  3. Pediatric Intensive Care Unit, Helen DeVos Children's Hospital, 100 Michigan Street NE, Grand 16 Rapids, Grand Rapids, MI 49503, USA.
  4. Pediatric Behavior Health, Helen DeVos Children's Hospital, 100 Michigan Street NE, Grand 14 Rapids, Grand Rapids, MI 49503, USA.

PMID: 33498346 PMCID: PMC7909391 DOI: 10.3390/children8020059

Abstract

Suicide frequency has tripled for some pediatric age groups over the last decade, of which, serious attempts result in pediatric intensive care unit (PICU) admissions. We paired clinical, aggregate geospatial, and temporal demographics to understand local community variables to determine if epidemiological patterns emerge that associate with risk for PICU admission. Data were extracted at an urban, high-volume, quaternary care facility from January 2011 to December 2017 via ICD 10 codes associated with suicide. Clinical, socioeconomic, geographical, and temporal variables were reviewed. In total, 1036 patients over the age of 9 were included, of which

Keywords: critical care; geospatial; pediatrics; self-directed violence; suicide; temporal

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