title: Frequency of suicide attempts by ingestion of drugs seen at a tertiary care pediatric hospital in Mexico.
abstract: Suicide is a complex behavior with biological, psychological and social causes. It has predisposing family factors such as domestic violence, psychiatric disorders and parents' alcohol abuse. Suicides have increased in children and adolescents in the last decades and it is now the third leading cause of death. Mexico has the second place in mortality in adolescents between 10-14 years old, of which 21.9 % are suicides. This study aimed to determine the frequency of suicide attempts using drugs in children and adolescents in a tertiary care hospital and to identify the causes. A retrospective and descriptive study was performed considering socioeconomic, cultural and biological issues related to suicide attempts using drugs in children and adolescents who were attended at the National Institute of Pediatrics from January 1995 to March 2005. A total of 141 drug intoxication cases were detected including 47 suicide attempts; 25 girls and 22 boys, with a median of 13 years of age. The most frequently drug classes used were analgesics 21 of 47 cases and antidepressants 11 of 47 cases. Risk factors were parents' divorce and family dysfunction in 16 of 47 cases of the population. Suicidal behavior in children and adolescents can be a way to attract attention, as well as an alarm signal asking for help. Analgesics and antidepressants are drugs commonly used in suicide attempts.
authors.affiliation: Laboratorio de Farmacología, Instituto Nacional de Pediatría, Mexico.
authors.forename: Hugo Juárez
authors.initials: HJ
authors.lastname: Olguin
authors.forename: Lina Barrañco
authors.initials: LB
authors.lastname: Garduño
authors.forename: Janett Flores
authors.initials: JF
authors.lastname: Pérez
authors.forename: Mario Acosta
authors.initials: MA
authors.lastname: Bastida
authors.forename: Carmen
authors.initials: C
authors.lastname: Flores-Pérez
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D008800:Mexico; D011041:Poisoning / Q000453:epidemiology*; D012189:Retrospective Studies; D013406:Suicide, Attempted / Q000706:statistics & numerical data*