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    "titulo" => "Suicidio en la edad pediátrica: presentación de 30 casos"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluaci&#243;n de los intentos de suicidio en la poblaci&#243;npedi&#225;trica y su repercusi&#243;n sobre la morbimortalidad adicha edad</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han estudiado retrospectivamente 30 casos correspondientes a 26 pacientes&#44; de edades comprendidas entrelos 11 y 19 a&#241;os &#40;media 15&#44;5 a&#241;os&#41;&#44; ingresados en la unidad de cuidados intensivos pedi&#225;tricos por un intento desuicidio en el per&#237;odo comprendido entre enero de 1991y abril de 1999&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los factores analizados fueron edad&#44; sexo&#44; factor desencadenante&#44; n&#250;mero de intentos previos&#44; s&#237;ntomas&#44;m&#233;todo empleado&#44; tratamiento y mortalidad&#46; El grupo deedad en que se encontr&#243; mayor incidencia fue el de 14 a17 a&#241;os&#44; con un 73&#37; de los casos &#40;n &#61; 22&#41;&#46; En cuanto alsexo&#44; hab&#237;a un claro predominio femenino&#44; ya que el 96&#37;de los casos eran mujeres &#40;n &#61; 29&#41;&#46; En el 40&#37; &#40;12 casos&#41;se objetiv&#243; la presencia de intentos previos de suicidio&#46; Laafecci&#243;n subyacente m&#225;s frecuentemente encontrada fuela anorexia nerviosa &#40;en el 70&#37; de los casos&#41;&#46; El m&#233;todoempleado para el suicidio fue la ingesta de t&#243;xicos en el93&#37; &#40;28 casos&#41;&#46; La sintomatolog&#237;a m&#225;s frecuente fue la alteraci&#243;n del sistema nervioso central&#44; que se produjo en20 casos&#46; El tratamiento m&#225;s utilizado fue el carb&#243;n activado en dosis repetidas durante las primeras 48 h&#46; Encuanto a la evoluci&#243;n&#44; fue favorable en todos los casos&#44;excepto en 2 pacientes que fallecieron&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los intentos de suicidio constituyen un hecho creciente en la adolescencia&#44; por lo que el pediatra debe estarpreparado para afrontarlos y efectuar una adecuada intervenci&#243;n terap&#233;utica en los planos m&#233;dico&#44; familiar y social&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to evaluate suicide attemptsin pediatric population and analyze the morbimortality&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We have reviewed thirty reports from twenty six patients hospitalizated in UCIP by suicide attempts with anaverage age of 15&#46;5 years &#40;range 11&#8211;19&#41; between January1991 and April 1999&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The following variables were analyzed&#58; age&#44; sex&#44; precipitating suicidal event&#44; number of suicide attempts&#44;symptoms&#44; method&#44; treatment and mortality&#46; The agegroup with more incidence was between 14 and 17 yearswith 73&#37; &#40;22 cases&#41;&#46; The majority were girls &#40;96&#37;&#41;&#46; There were prior suicide attempt in 40&#37; &#40;12 cases&#41;&#46; Psychiatric disorder more frequently associated was anorexianervosa in 70&#37;&#46; The most common method was self-poisoning &#40;93&#37;&#41;&#46; Neurologic symptoms were seen in 20 cases&#46; The more used treatment was activated coal&#46; The clinical outcome was favourable and only two patients died&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The suicide attempts are happening more frecuently inthe adolescence in the last years&#46; Pediatricians have to beprepared to recognize and provide prompt attention toacute medical&#44; familiar and social problems&#46;</p>"
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Suicidio en la edad pediátrica: presentación de 30 casos
Suicide in pediatric patients: 30 cases
B. Osona Rodríguez, M. González Vicent, S. Mencía Bartolomé, J. Casado Flores*
Servicio de Cuidados Intensivos Pediátricos. Hospital Universitario del Niño Jesús. Madrid
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluaci&#243;n de los intentos de suicidio en la poblaci&#243;npedi&#225;trica y su repercusi&#243;n sobre la morbimortalidad adicha edad</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han estudiado retrospectivamente 30 casos correspondientes a 26 pacientes&#44; de edades comprendidas entrelos 11 y 19 a&#241;os &#40;media 15&#44;5 a&#241;os&#41;&#44; ingresados en la unidad de cuidados intensivos pedi&#225;tricos por un intento desuicidio en el per&#237;odo comprendido entre enero de 1991y abril de 1999&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los factores analizados fueron edad&#44; sexo&#44; factor desencadenante&#44; n&#250;mero de intentos previos&#44; s&#237;ntomas&#44;m&#233;todo empleado&#44; tratamiento y mortalidad&#46; El grupo deedad en que se encontr&#243; mayor incidencia fue el de 14 a17 a&#241;os&#44; con un 73&#37; de los casos &#40;n &#61; 22&#41;&#46; En cuanto alsexo&#44; hab&#237;a un claro predominio femenino&#44; ya que el 96&#37;de los casos eran mujeres &#40;n &#61; 29&#41;&#46; En el 40&#37; &#40;12 casos&#41;se objetiv&#243; la presencia de intentos previos de suicidio&#46; Laafecci&#243;n subyacente m&#225;s frecuentemente encontrada fuela anorexia nerviosa &#40;en el 70&#37; de los casos&#41;&#46; El m&#233;todoempleado para el suicidio fue la ingesta de t&#243;xicos en el93&#37; &#40;28 casos&#41;&#46; La sintomatolog&#237;a m&#225;s frecuente fue la alteraci&#243;n del sistema nervioso central&#44; que se produjo en20 casos&#46; El tratamiento m&#225;s utilizado fue el carb&#243;n activado en dosis repetidas durante las primeras 48 h&#46; Encuanto a la evoluci&#243;n&#44; fue favorable en todos los casos&#44;excepto en 2 pacientes que fallecieron&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los intentos de suicidio constituyen un hecho creciente en la adolescencia&#44; por lo que el pediatra debe estarpreparado para afrontarlos y efectuar una adecuada intervenci&#243;n terap&#233;utica en los planos m&#233;dico&#44; familiar y social&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to evaluate suicide attemptsin pediatric population and analyze the morbimortality&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We have reviewed thirty reports from twenty six patients hospitalizated in UCIP by suicide attempts with anaverage age of 15&#46;5 years &#40;range 11&#8211;19&#41; between January1991 and April 1999&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The following variables were analyzed&#58; age&#44; sex&#44; precipitating suicidal event&#44; number of suicide attempts&#44;symptoms&#44; method&#44; treatment and mortality&#46; The agegroup with more incidence was between 14 and 17 yearswith 73&#37; &#40;22 cases&#41;&#46; The majority were girls &#40;96&#37;&#41;&#46; There were prior suicide attempt in 40&#37; &#40;12 cases&#41;&#46; Psychiatric disorder more frequently associated was anorexianervosa in 70&#37;&#46; The most common method was self-poisoning &#40;93&#37;&#41;&#46; Neurologic symptoms were seen in 20 cases&#46; The more used treatment was activated coal&#46; The clinical outcome was favourable and only two patients died&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The suicide attempts are happening more frecuently inthe adolescence in the last years&#46; Pediatricians have to beprepared to recognize and provide prompt attention toacute medical&#44; familiar and social problems&#46;</p>"
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ISSN: 16954033
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