Prevalence of suicide attempts and their risk factors in school-aged patients with epilepsy: a population-based study

被引:0
作者
Tomor Harnod
Cheng-Li Lin
Chia-Hung Kao
机构
[1] Buddhist Tzu Chi Medical Foundation,Department of Neurosurgery, Hualien Tzu Chi General Hospital
[2] Tzu Chi University,College of Medicine
[3] Management Office for Health Data,College of Medicine
[4] China Medical University Hospital,Graduate Institute of Clinical Medical Science and School of Medicine, College of Medicine
[5] China Medical University,Department of Nuclear Medicine and PET Center
[6] China Medical University,Department of Bioinformatics and Medical Engineering
[7] China Medical University Hospital,undefined
[8] Asia University,undefined
来源
European Child & Adolescent Psychiatry | 2018年 / 27卷
关键词
Cohort study; Epilepsy; School age; Suicide;
D O I
暂无
中图分类号
学科分类号
摘要
Suicide prevention is a critical issue for young people. However, no large body of representative data on the risk of suicide attempts in school-aged patients with epilepsy in Taiwan or other developing countries is available. Patients aged ≤ 18 years who received a diagnosis of epilepsy between 2000 and 2012 were included in the epilepsy cohort (N = 9801). The comparison cohort was matched to the epilepsy cohort at a ratio of 4:1. We calculated the adjusted hazard ratio and 95% confidence intervals (CIs) for suicide attempts after adjustment for age, sex, urbanization level, parental occupation category, comorbidities, and follow-up time. Further analysis was performed to assess the dose–response effect on the risk of attempting suicide based on the average frequency of medical visits for epilepsy. The overall incidence rates of suicide attempts in the epilepsy and comparison cohorts were 15.7 and 5.89 per 100,000 people per year, respectively. The epilepsy cohort had a 2.34-fold higher risk of suicide being attempted (95% CI 2.17–2.52) than did the comparison cohort. Male sex, over 12 years of age, and parental occupation of office work were found to be the major risk factors for suicide attempts. Epilepsy might be an independent factor predisposing school-aged patients to suicide attempts. The results of this study could provide clinicians and governments with vital information on suicide prevention for young people with epilepsy in Taiwan and other developing countries.
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页码:1047 / 1053
页数:6
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  • [1] Chang YH(2001)Summary of the practice parameters for the assessment and treatment of children and adolescents with suicidal behavior J Am Acad Child Adolesc Psychiatry 40 495-499
  • [2] Ho WC(2012)Risk of mortality among patients with epilepsy in southern Taiwan Seizure 21 254-259
  • [3] Tsai JJ(2015)Avoiding premature death in epilepsy BMJ 350 h718-1654
  • [4] Li CY(2013)Premature mortality in epilepsy and the role of psychiatric comorbidity: a total population study Lancet 382 1646-526
  • [5] Lu TH(2017)Psychiatric comorbidities and outcomes in epilepsy patients: an insight from a nationwide inpatient analysis in the United States Cureus 9 e1686-257
  • [6] Ridsdale L(2013)Screening for suicidal ideation in children with epilepsy Epilepsy Behav 29 521-37
  • [7] Fazel S(2008)Relationship between physical disabilities or long-term health problems and health risk behaviors or conditions among US high school students J Sch Health 78 252-60
  • [8] Wolf A(2008)Cultural orientation in Southeast Asian American young adults Cult Divers Ethnic Minor Psychol 14 29-1343
  • [9] Långström N(2017)CHA2DS2-VASc score in the prediction of ischemic bowel disease among patients with atrial fibrillation: Insights from a nationwide cohort Int J Cardiol 15 56-230
  • [10] Newton CR(2015)Risk of leukaemia in children infected with enterovirus: a nationwide, retrospective, population-based, Taiwanese-registry, cohort study Lancet Oncol 16 1335-S44