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| Titre de l’article | Cluster Analysis of Suicidal Behavior Patterns in Hospitalized Adolescents; Preliminary data from a retrospective cohort study |
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| Code d’article | P12 |
| Auteurs | |
| Forme de présentation | Poster |
| Domaines thématiques |
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| Résumé (Abstract) |
Background Between 48% and 87% of adolescents suffering from mental disorders (e.g., depression, anxiety, substance abuse, attention deficit disorder, or conduct disorder) engage in suicidal thoughts and behaviors (STB) which may necessitate a hospitalization. Although there are high rates of psychiatric disorders and hospitalization linked with STB, only a few studies evaluated changes of STB in adolescent populations during a hospitalization. Furthermore, there are conflicting data in the literature on the effects of hospitalization in adolescents presenting STB. Therefore, the current study aimed to 1) Identify group of patients with similar pattern of evolution of STB 2) evaluate differences in clinical and sociodemographic factors based on STB changes. Methods: we extracted retrospective data from 1,146 hospitalizations at the Psychiatric Hospitalization Unit for Adolescents at the University Hospital of Lausanne, Switzerland. Based on HonOSCA score, item 3 was operationalized to measure STB and was categorized into three levels: low, medium and high STB. A Two-Step Cluster Analysis approach was used to identify cluster of changes based on the STB score at the admission and at the discharge from hospital. Results: we identified four-cluster based on changes on STB at admission and discharge. Cluster one, or increasing cluster, with low STB at the entrance and medium STB at discharge (26.0% of the sample); cluster two, or decreasing cluster, with high STB at admission and low STB at discharge (10.3%); cluster three, or medium decreasing cluster, with medium levels of STB at admission and low at discharge (11.5%); and cluster four, or low stable cluster, with low levels at admission and discharge (52.1%). Discussion: preliminary analysis shows that an important number of subjects do not present a reduction in STB at discharge. Further analyses will evaluate factors associated with different clusters. Data from the present study might confirm current recommendation regarding the management of STB in adolescents, suggesting that inpatient psychiatric treatment might not be always recommended to reduce STB among adolescents. |