Evidence map›Paper›PMID 33779031›Full record

ArticleChild and adolescent mental health2021

Characterizing children hospitalized for suicide-related thoughts and behaviors.

Marisa E Marraccini, Christopher W Drapeau, Rachel Stein, Cari Pittleman, Emily N Toole, Molly Kolstad, Amanda C Tow, Shannon M Suldo

Open access · greenAbstract read
In one paragraph

Article in Child and adolescent mental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Marisa E MarracciniSchool of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-7965-3703
Christopher W DrapeauDepartment of Education, Valparaiso University, Valparaiso, IN, USA.ORCID 0000-0002-1304-5369
Rachel SteinSchool of Education and Human Development, University of Colorado, Denver, Denver, CO, USA.ORCID 0000-0001-8827-9250
Cari PittlemanSchool of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Emily N TooleSchool of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Molly KolstadSchool of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Amanda C TowSchool of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Shannon M SuldoCollege of Education, University of South Florida, Tampa, FL, USA.ORCID 0000-0002-2173-181X
University of North Carolina at Chapel Hill · USUniversity of Colorado Denver · USUniversity of South Florida · USValparaiso University · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
Epidemiologic Case-control Study of Barrett's EsophagusK23DK059311 · NIDDK · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI SHAHEEN, NICHOLAS J · 2001 to 2005
$626k
NCATS NIH HHS UL1 TR002489NIDDK NIH HHS K23 DK059311NIMH NIH HHS L30 MH117655
6 · The paper itself

Abstract

backgroundDespite alarming increases in suicide deaths among preadolescent children, knowledge of the precipitants of suicide risk and the characteristics of children who seek treatment for suicidality is limited. This study's purpose is to describe children (ages 6-12) hospitalized for suicide-related concerns and compare demographic and diagnostic differences between children and adolescent (ages 13-18) patients.

methodsThis retrospective study analyzed medical records of 502 children and adolescents ages 6-18 admitted for suicide-related risk to one psychiatric inpatient hospital in southeastern United States between 2015 and 2018.

resultsPatients were predominantly White (63.5%), female (64.5%), and non-Hispanic/Latino (85.1%). We conducted descriptive analyses and a series of logistic regressions comparing children and adolescents with data extracted from discharge summaries, (i.e. primary reasons for admission, environmental stressors, and diagnostic categories). Common environmental stressors included school (63.2%) and family (60.7%), and the most common diagnosis included depressive disorders. Compared to adolescents, children were more likely to be Black (OR = 1.99), male (OR = 1.94), and receive neurodevelopmental disorder (aOR = 3.0) or trauma and stress-related disorder (aOR = 2.6) diagnoses, but less likely to be diagnosed with a depressive disorder (aOR = 0.4). Across both age-groups, Black patients were more likely to be diagnosed with neurodevelopmental disorders and less likely to receive internalizing disorder diagnoses.

conclusionsCharacteristics of children hospitalized for suicide-related risk are relatively similar to characteristics of children dying by suicide. Compared to adolescents, hospitalized children are more likely to be Black, male, and have a neurodevelopmental disorder diagnosis. Proactively identifying and providing strengths-based supports for Black boys and families appear critical for suicide prevention in children.

Indexed as

Suicidal IdeationSuicide PreventionAdolescentChildFemaleHospitalizationHospitals, PsychiatricHumansMaleRetrospective StudiesadolescentChildpsychiatric hospitalizationsuicidesuicide-related thoughts and behaviors

Identifiers

PMID33779031
PMCPMC8476654
OpenAlexW3142981416

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.