Epidemiological characteristics of the pediatric suicide attempt at the "Dr. Antonio Luaces Iraola" Provincial General Teaching Hospital
Keywords:
adolescent; hospitalized adolescent; pediatric emergency medicine; statistical indicators; suicide attemptAbstract
Introduction: suicide attempt is a global public health problem. Lack of knowledge about its specific epidemiological contexts hinders the adoption of important hospital-based decision-making.
Objective: to describe the epidemiological characteristics of suicide attempts in pediatric patients.
Methods: a cross-sectional descriptive study was carried out in the pediatric emergency department of the Provincial Hospital of Ciego de Ávila, from June 2024 to June 2025. From a universe of 53 patients, a sample of 48 patients aged between 5 and 18 years who had attempted suicide was selected, registered in the service consultation records. The variables analyzed included age group, sex, place of residence, suicide method, and repetition of the attempt, among others. The ethical principles of research were observed.
Results: 52.00% were aged between 15 and 18 years, and 64.60% were female. Patients were equally distributed between urban and rural areas. In 77.00% of cases, medication tablets were ingested. There were 11 severe cases and no deaths. A total of 18.6% of patients had a repeated suicide attempt. The incidence rate was 33.00 per 10,000 emergency department visits, and 83.6 per 10,000 in the 15–18 age group.As a notifiable disease, suicide attempts accounted for 37.70% of the cases registered in the institution.
Conclusions: in pediatric patients, suicide attempts are a serious and significant issue. The predominance of the 15–18 years age group, female sex, ingestion of medications as the method, and multiple repeat attempts are epidemiological variables that may indicate lethality. This study provides a primary local epidemiological characterization that can serve as a basis for future research.
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References
1. Organización Mundial de la Salud. Suicidio [Internet]. Mar 2025 [citado 12 Jul 2025]. Nota descriptiva s/n [aprox. 4 p.]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/suicide
2. Organización Panamericana de la Salud. Suicidio en la Región de las Américas. Informe regional correspondiente al año 2021 [Internet]. Washington, D.C.: OPS; 2025 [citado 18 Nov 2025]. Disponible en: https://iris.paho.org/server/api/core/bitstreams/2120b984-6151-4f6b-b7d3-da852b988194/content
3. Organización Panamericana de la Salud. Prevención del suicidio [Internet]. Washington, D.C.: OPS; Mar 2025 [citado 12 Nov 2025]. Disponible en: https://www.paho.org/es/temas/prevencion-suicidio
4. Ministerio de Salud Pública (Cuba). Anuario Estadístico de Salud 2024 [Internet]. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2025 [citado 8 Ago 2025]. Disponible en: https://files.sld.cu/dne/files/2025/09/AES-2024-para-sitio-3.pdf
5. Stenbacka M, Jokinen J. Violent and non-violent methods of attempted and completed suicide in Swedish young men: the role of early risk factors. BMC Psychiatry [Internet]. Ago 2015 [citado 24 Nov 2025];15:e196. Disponible en: https://www.safetylit.org/citations/index.php?fuseaction=citations.viewdetails&citationIds[]=citjournalarticle_493050_24
6. Bostwick JM, Pabbati C, Geske JR, McKean AJ. Suicide attempt as a risk factor for completed suicide: even more lethal than we knew. Am J Psychiatry [Internet]. 2016 [citado 27 Nov 2025];173(11):1094-100. Disponible en: https://www.suicideinfo.ca/wp-content/uploads/gravity_forms/6-191a85f36ce9e20de2e2fa3869197735/2018/03/Suicide-attempt-as-a-risk-factor-for-completed-suicide-Even-more-lethal-than-we-knew_oa.pdf
7. Von-Elm E, Altman-Douglas G, Egger M, Pocock-Stuart J, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. BMJ [Internet]. 2007 [actualizado 17 Nov 2021; citado 12 Jun 2025];335:806-8. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC2034723/pdf/bmj-335-7624-ac-00806.pdf
8. Zacca-Peña E, Bess-Constantén S. Sistema de Información Estadística. Enfermedad de declaración obligatoria [Internet]. La Habana: Ministerio de Salud PúbliCA; 2020 [citado 23 Feb 2025]. Disponible en: https://files.sld.cu/dne/files/2020/02/manual-de-informacion-estadistica-edo.pdf
9. Gran-Álvarez MA, Castañeda-Abascal I. Estadísticas sanitarias. Temas docentes [Internet]. Ciudad de La Habana: Ministerio de Salud Pública; 2000 [citado 12 Jun 2025]. Disponible en: https://0.academia-photos.com/attachment_thumbnails/55708886/mini_magick20190114-5157-t7zxt9.png?1547456536
10. Asociación Médica Mundial. Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. Ratificadaen la 75th WMA General Assembly, Helsinki, Finland, october 2024 [Internet]. Helsinki: 18ª Asamblea Mundial; 1964 [citado 23 Feb 2025]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki/
11. García-García AL, Felipe-Díaz K, Álvarez-Felipe HB, Rodríguez-Marín O, Delgado-Quintero M, Rodríguez-García S. Morbilidad y conductas de riesgo en adolescentes ingresados en el Hospital General de Ciego de Ávila. Mediciego [Internet]. 2018 [citado 23 Feb 2025];24(1):4-9. Disponible en: https://revmediciego.sld.cu/index.php/mediciego/article/view/814/1218
12. Persaud A, Soler-Santana R, Donatien-Rojas NC, Inciarte-Tamayo K. Caracterización sociodemográfica y epidemiológica de niños y adolescentes con intento de suicidio en el municipio de Santiago de Cuba. Medisan [Internet]. 2023 [citado 14 Mar 2025];27(4):e4467. Disponible en: https://medisan.sld.cu/index.php/san/article/view/4467/pdf
13. Osorio W, Sanhueza M, Muñoz K, Spano A, Valenzuela L, Sanhueza N. Descripción epidemiológica de suicidalidad de adolescentes chilenos entre los años 2019-2022: un problema de salud pública aún no resuelto. Rev Chil Salud Pública [Internet]. 2024 [citado 13 Nov 2025];28:e72669-e72669. Disponible en: https://revistasaludpublica.uchile.cl/index.php/RCSP/article/view/72669/78078
14. Jeong JY, Kim DH. Gender differences in the prevalence of and factors related to non-suicidal self-injury among middle and high school students in South Korea. Int J Environ Res Public Health [Internet]. Jun 2021 [citado 21 Ago 2025];18(11):5965. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8199576/pdf/ijerph-18-05965.pdf
15. Paredes-Lascano PL, Bravo-Paredes LA, Posso-Lopez GP, Quelal-Zurita AD. Factores asociados al intento de suicidio en adolescentes. Cambios [Internet]. 2022 [citado 8 Ago 2025];21(1):e848. Disponible en: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/848/574
16. Rojas-Rojas M, León-Martínez CA, Troya-Gutiérrez A. Aspectos demográficos y psicosociales de adolescentes con intento suicida. Acta Med Centr [Internet]. 2025 [citado 17 Jun 2025];19(1):e2062. Disponible en: https://revactamedicacentro.sld.cu/index.php/amc/article/view/e2062/pdf
17. Berardelli I, Rogante E, Sarubbi S, Erbuto D, Cifrodelli M, Concolato C, et al. Is lethality different between males and females? Clinical and gender differences in inpatient suicide attempters. Internat J Environment Res Public Health [Internet]. 2022 [citado 22 Nov 2025];19(20):13309. Disponible en: https://www.mdpi.com/1660-4601/19/20/13309
18. Lissabet-Magaña Á, Taño-Tamayo D, Marcheco-Ricardo A, López-Méndez D, Rivera-Martínez JE. Caracterización de adolescentes con conducta suicida. Rev Cubana Med Mil [Internet]. Dic 2022 [citado 5 Dic 2025];51(4):e02202242. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/2242/1660
19. Casant J, Helbich M. Inequalities of suicide mortality across urban and rural areas: a literature review. J Environ Res Public Health [Internet]. 2022 [citado 16 Dic 2025];19(5): 2669. Disponible en: https://www.mdpi.com/1660-4601/19/5/2669
20. Vázquez-Ramos D, Arango-Díaz A, Pacheco-Fuentes YJ, Castellanos-Sánchez E, Sierra Ruíz YJ, Ruíz-Ramos MC. Caracterización de la conducta suicida en la Provincia de Villa Clara. Acta Med Centr [Internet]. Mar 2024 [citado 14 Nov 2025];18(1):e1856. Disponible en: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1856/1732
21. Cortés-Alfaro A, Suárez-Medina R, Serra-Larín S. Métodos y sustancias empleados en la conducta suicida en adolescentes. Rev Cubana Med Gen Integr [Internet]. 2019 [citado 23 Mar 2025];35(4):e1105. Disponible en: http://scielo.sld.cu/pdf/mgi/v35n4/1561-3038-mgi-35-04-e1105.pdf
22. Sarmiento-Ardebol NR, Fernández-Carballo JA, Fernández-Sarmiento DM, Hernández-Velázquez FM. Caracterización clínico-epidemiológica de pacientes pediátricos con intento suicida en el Hospital Pediátrico Provincial de Holguín. Medisur [Internet]. Abr 2023 [citado 3 Mar 2025];21(2):348-54. Disponible en: http://scielo.sld.cu/pdf/ms/v21n2/1727-897X-ms-21-02-348.pdf
23. Méndez-Bustos P, Fuster-Villaseca J, Tapia A, López-Castromán J. Caracterización clínica, psicológica y sociofamiliar de la conducta suicida en adolescentes chilenos: análisis de correspondencias múltiples. Medwave [Internet]. 2022 [citado 23 Nov 2025];22(6):e002567. Disponible en: https://www.medwave.cl/medios/medwave/Julio2022/PDF/medwave-2022-06-002567.pdf
24. Ormiston CK, Lawrence WR, Sulley S, Shiels MS, Haozous EA, Pichardo CM, et al. Trends in adolescent suicide by method in the US, 1999-2020. JAMA Network Open [Internet]. Mar 2024 [citado 4 Nov 2025];7(3):e244427. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10980967/
25. De la Torre-Luque A, Pemau A, Ayad-Ahmed W, Borges W, Fernández-Sevillano J, Garrido-Torres N, et al. Risk of suicide attempt repetition after an index attempt: A systematic review and meta-analysis. General Hospital Psychiatry [Internet]. Abr 2023 [citado 24 Nov 2025];81:51-6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0163834323000130
26. Cortés-Alfaro A, Alonso-Uría RM, Castro-Peraza M, Díaz-Hernández MA, Machado-Lubián MC, Maggie-Torriente J, et al. Prevención de la conducta suicida en adolescentes [Internet]. La Habana: Editorial Ciencias Médicas; 2019 [citado 10 Ago 2025]. Disponible en: http://www.bvs.sld.cu/libros/prevencion_conducta_suicida_adolescentes/prevencion_conducta_suicida.pdf
27. Ferede YA, Tassew WC, Zeleke AM, Beyene JA, Gonete YA, Abebe MT. Suicide attempt and its determinants among adolescents and youth in Ethiopia: a systematic review and meta-analysis. BMC Psychiatry [Internet]. Feb 2025 [citado 13 Nov 25];25(1):160. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11844130/pdf/12888_2025_Article_6574.pdf
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