Acute poisoning among children and adolescents in southern Norway

Tidsskr Nor Laegeforen. 2019 Sep 23;139(13). doi: 10.4045/tidsskr.17.1116. Print 2019 Sep 24.
[Article in Norwegian, English]

Abstract

Background: Self-inflicted poisoning is common in adolescents and is a risk factor for suicide. The aim of this study was to survey the circumstances surrounding hospitalisations due to acute poisoning in patients aged up to 18 years.

Material and method: All hospitalisations in the Departments of Paediatric and Adolescent Medicine, Sørlandet Hospital Trust (Arendal and Kristiansand) due to acute poisoning in the period 1 August 2014-31 July 2015 were prospectively recorded with the aid of a form completed during the admission.

Results: There were 88 hospitalisations distributed among 68 adolescents (mean age 15.5 years, SD 1.5) and 13 children (mean age 2.8 years, SD 2.8). The poisoning was categorised as self-harm behaviour in 32 (47 %) of the adolescents, and as substance misuse-related in 35 (52 %). In total, 37 (54 %) of the adolescents had been or were under treatment at the Department of Child and Adolescent Psychiatry. Fifteen (22 %) of the adolescents were deemed to be suicidal. Thirty (94 %) of the adolescents who reported self-harm as the intention behind their poisoning were offered further follow-up at the Department of Child and Adolescent Psychiatry, along with 7 (20 %) of the group with substance misuse-related poisoning.

Interpretation: Adolescents who reported self-harm as their intention were usually offered further follow-up, whereas adolescents with substance misuse-related poisoning were rarely offered follow-up.

MeSH terms

  • Acute Disease
  • Adolescent
  • Aftercare
  • Alcoholic Intoxication / epidemiology
  • Child
  • Child Guidance
  • Child, Preschool
  • Designer Drugs / poisoning
  • Female
  • Humans
  • Illicit Drugs / poisoning
  • Infant
  • Male
  • Norway / epidemiology
  • Patient Admission
  • Poisoning / epidemiology*
  • Prospective Studies
  • Residence Characteristics
  • Self-Injurious Behavior / epidemiology
  • Substance-Related Disorders / epidemiology
  • Suicidal Ideation

Substances

  • Designer Drugs
  • Illicit Drugs