The assessment of the risk factors of suicidal attempts in children hospitalized in two Greater Poland pediatric care centers in years 2023- 2025
Abstract
Abstract Background Suicide attempts in children and adolescents are a major clinical and public health concern. Identification of modifiable and non-modifiable risk factors is crucial for targeted prevention and early intervention. The present study aimed to examine demographic, clinical, and psychosocial factors associated with suicide attempts among pediatric inpatients in two tertiary care centers in Greater Poland. Methods We conducted a retrospective analysis of electronic medical records of 274 children and adolescents hospitalized between 2023 and 2025. The sample comprised 119 controls, 25 patients with suicidal ideation without attempt, and 130 patients admitted after a suicide attempt. Data on sociodemographic characteristics, psychiatric diagnoses, substance use, family context, and circumstances of admission were extracted and analyzed. Firth-penalized logistic regression was used to identify factors independently associated with suicide attempt. Results In the primary model, previous suicide attempts, diagnosed depression, and interpersonal conflict were independently associated with suicide attempt. Substance use showed a positive but non-significant association. In the secondary analysis restricted to the hospital where suicidal ideation without attempt was available, previous suicide attempts and depression remained strongly associated with suicide attempt compared with suicidal ideation without attempt. Among medication-related attempts, overdoses most…
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