{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T00:29:45Z","timestamp":1724459385051},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"abstract":"<jats:p>Objetivos. Evaluar las caracter\u00edsticas sociales, epidemiol\u00f3gicas y cl\u00ednicas de los pacientes que consultaron por contacto con t\u00f3xicos con finalidad suicida en los servicios de urgencias pedi\u00e1tricos (SUP) espa\u00f1oles. De forma secundaria, identificar factores de riesgo para sufrir una intoxicaci\u00f3n moderada-grave (IMG). M\u00e9todo. Estudio de cohortes prospectivo multic\u00e9ntrico, que incluy\u00f3 pacientes menores de 18 a\u00f1os que consultaron en 20 SUP tras una exposici\u00f3n a t\u00f3xicos con finalidad suicida desde enero-2021 hasta junio-2022. Se realiz\u00f3 entrevista personal y se revis\u00f3 la historia cl\u00ednica. La gravedad de la intoxicaci\u00f3n se clasific\u00f3 mediante el Poisoning Severity Score (PSS). Se consider\u00f3 IMG una puntuaci\u00f3n PSS $ 2. Resultados. Se recogieron 592 episodios, 541 (91,4%) en pacientes de sexo mujer. La edad mediana fue 14,6 a\u00f1os (p25-75: 13,6-15,7). En 417 (70,4%) exist\u00eda alg\u00fan trastorno psiqui\u00e1trico diagnosticado, en 334 (56,4%) tentativas previas y en 409 (69,1%) acoso por iguales. Se produjo ingesta de f\u00e1rmacos en 584 (98,6%), con predominio de benzodiacepinas (222; 37,5%) y paracetamol (187; 31,6%). Cincuenta y tres fueron IMG (9,0%). En 585 (98,8%) la atenci\u00f3n incluy\u00f3 valoraci\u00f3n por salud mental. El trastorno adaptativo, con odds ratio (OR) de 3,2 [p25-75:1,1-9,0; p = 0,027], la implicaci\u00f3n de opi\u00e1ceos, con OR de 6,4 [p25-75:1,2-35,4; p = 0,032], y los antidiab\u00e9ticos, con OR de 27,6 [p25-75:1,2-634,9; p = 0,038], aumentaron el riesgo de IMG. Por su parte, sufrir acoso por iguales, con OR de 0,4 [p25-75:0,2-0,8; p = 0,013], y la implicaci\u00f3n de antinflamatorios no esteroideos (AINEs), con OR de 0,3 [p25- 75:0,1-0,8; p = 0,020], lo disminuyeron. Conclusiones. Las consultas por intoxicaci\u00f3n con finalidad suicida en los SUP se producen fundamentalmente en chicas adolescentes con antecedentes psiqui\u00e1tricos, tentativas previas y conducta autolesiva. Adem\u00e1s, con mucha frecuencia manifiestan sufrir acoso por iguales. Los pacientes con IMG presentan caracter\u00edsticas diferenciales, en los que el trastorno adaptativo y el uso de opi\u00e1ceos y antidiab\u00e9ticos son factores asociados a una mayor gravedad de la intoxicaci\u00f3n.<\/jats:p>","DOI":"10.55633\/s3me\/061.2024","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T07:12:40Z","timestamp":1724397160000},"source":"Crossref","is-referenced-by-count":0,"title":["Multicenter study of adolescent suicide attempts by poisoning: social, epidemiological, and clinical characteristics"],"prefix":"10.55633","author":[{"given":"Lorena","family":"Algarrada Vico","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Mart\u00ednez-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Baena Olom\u00ed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Consuelo","family":"Benito Cald\u00e9s","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Rodr\u00edguez Varela","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"L\u00f3pez-Corominas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jara","family":"Gaitero Trist\u00e1n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liliana","family":"Mangione Cardarella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Pe\u00f1alba C\u00edtores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose \u00c1ngel","family":"Mu\u00f1oz Bernal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Azkunaga Santib\u00e1\u00f1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"Humayor Y\u00e1\u00f1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Dolores","family":"Rodr\u00edguez Mesa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuria","family":"Clerigu\u00e9 Arrieta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helvia","family":"Benito Pastor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bego\u00f1a","family":"De Miguel Lavisier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neus","family":"Pociello Almi\u00f1ana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Piz\u00e0 Oliveras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"G\u00f3mez Garrido","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"N\u00fa\u00f1ez Rebollo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"V\u00e1zquez L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2024,8,23]]},"container-title":["Emergencias"],"original-title":["Estudio multic\u00e9ntrico sobre las caracter\u00edsticas sociales, epidemiol\u00f3gicas y cl\u00ednicas en las intoxicaciones con finalidad suicida en adolescentes"],"deposited":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T07:12:40Z","timestamp":1724397160000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/estudio-multicentrico-sobre-las-caracteristicas-sociales-epidemiologicas-y-clinicas-en-las-intoxicaciones-con-finalidad-suicida-en-adolescentes\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/061.2024","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,23]]}}}