Pediatr Emerg Care. 2021 Oct 04; doi: 10.1097/PEC.0000000000002553. Epub 2021 Oct 04.
Sources of Medications Used by Children and Adolescents for Intentional Ingestion: A Retrospective Chart Review.
Pediatric emergency care
Emma K Larson, Kyle P Johnson, David C Sheridan
Affiliations
Affiliations
- From the Oregon Health and Science University School of Medicine, UW/Seattle Children's Pediatric Residency Program, Seattle, WA Department of Child and Adolescent Psychiatry Department of Emergency Medicine, Oregon Health and Science University, Portland, OR.
PMID: 34608059
DOI: 10.1097/PEC.0000000000002553
Abstract
INTRODUCTION: Suicide is a leading cause of death among adolescents. Oregon ranks 17th nationally for youth suicide rates, and ingestion of medications as a means of suicide is common. Despite the high prevalence of intentional poisoning among youth in Oregon, information about medications used by children and adolescents for attempted suicide, in particular the sources of medications, is not readily available.
METHODS: The objective of this study is to describe types and sources of medications used for intentional ingestion among patients seen by the Doernbecher Children's Hospital Child and Adolescent Psychiatry Consultation-Liaison Service. This was a retrospective analysis of patients seen by the Child and Adolescent Psychiatry Consultation-Liaison Service for intentional ingestion from 2015 to 2017. Data on 434 total intentional ingestions were collected, including demographic information, types of medications ingested, and sources of both over-the-counter (OTC) and prescription (Rx) medications. Ingestions without intent of suicide were excluded. Descriptive analysis of ingestion data was performed.
RESULTS: Intentional ingestions included Rx and OTC medications in similar frequencies. For Rx medications, 68% of ingestions included patients' own Rxs. Eighty-eight percent of ingestions that were not the patients' own Rx belonged to someone else living in their home. For OTC medications, 66% of medications were available at home.
CONCLUSIONS: Intentional ingestions among adolescents most frequently involve medications that are readily available in their homes, and these include both OTC and Rx medications. This study highlights the importance of securing medications at home as a preventative measure and the importance of anticipatory guidance for primary care providers.
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Conflict of interest statement
Disclosure: The authors declare no conflict of interest.
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