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Article

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

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, MI 49503, USA
4
Pediatric Behavior Health, Helen DeVos Children’s Hospital, 100 Michigan Street NE, Grand 14 Rapids, MI 49503, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Sari Acra
Received: 9 December 2020 / Revised: 15 January 2021 / Accepted: 16 January 2021 / Published: 20 January 2021
(This article belongs to the Special Issue Advances in Pediatric Critical Care)
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 n = 161 were PICU admissions. Females represented higher proportions of all suicide-related hospital admissions (67.9%). Looking at race/ethnicity, PICU admissions were largely Caucasian (83.2%); Blacks and Hispanics had lower odds of PICU admissions (OR: 0.49; 0.17, respectively). PICU-admitted patients were older (16.0 vs. 15.5; p = 0.0001), with lower basal metabolic index (23.0 vs. 22.0; p = 0.0013), and presented in summer months (OR: 1.51, p = 0.044). Time-series decomposition showed seasonal peaks in June and August. Local regions outside the city limits identified higher numbers of PICU admissions. PICUs serve discrete geographical regions and are a source of information, when paired with clinical geospatial/seasonal analyses, highlighting clinical and societal risk factors associated with PICU admissions. View Full-Text
Keywords: suicide; pediatrics; critical care; geospatial; temporal; self-directed violence suicide; pediatrics; critical care; geospatial; temporal; self-directed violence
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MDPI and ACS Style

Kampfschulte, A.; Oram, M.; Escobar Vasco, A.M.; Essenmacher, B.; Herbig, A.; Behere, A.; Leimanis-Laurens, M.L.; Rajasekaran, S. 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 2021, 8, 59. https://0-doi-org.brum.beds.ac.uk/10.3390/children8020059

AMA Style

Kampfschulte A, Oram M, Escobar Vasco AM, Essenmacher B, Herbig A, Behere A, Leimanis-Laurens ML, Rajasekaran S. 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. 2021; 8(2):59. https://0-doi-org.brum.beds.ac.uk/10.3390/children8020059

Chicago/Turabian Style

Kampfschulte, Andrew, Matthew Oram, Alejandra M. Escobar Vasco, Brittany Essenmacher, Amy Herbig, Aniruddh Behere, Mara L. Leimanis-Laurens, and Surender Rajasekaran. 2021. "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 8, no. 2: 59. https://0-doi-org.brum.beds.ac.uk/10.3390/children8020059

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