Characteristics of Adolescents Medically Admitted for Suicide Attempts

Objectives Limited data exist examining youth who have survived medically serious suicide attempts, even though they are at higher risk for dying by suicide. This study explored patterns of presentation and history of adolescents requiring an inpatient level of medical treatment for intentional self-harm. Methods A retrospective chart review was conducted over a 5-year period on adolescents aged 11–17 years who were admitted to inpatient pediatrics following a medically serious suicide attempt. Results Younger adolescents (aged 10–14 years) demonstrated an increase in the proportion of medical admissions following their first suicide attempt, indicating an increase in lethality of first attempts. History of prior psychiatric admissions, psychiatric diagnoses, and recent psychosocial crises were identified as prominent risk factors. Conclusions Youth admitted for medically serious suicide attempts (MSSAs) remain an understudied group. There is a clear need for increased education and awareness of this vulnerable population to improve suicide risk assessment, prevention, and follow-up strategies. Investigating youth with multiple MSSAs would also be valuable, as they may represent a distinct subgroup.