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首页> 外文期刊>Canadian Medical Association Journal: Journal de l'Association Medicale Canadienne >Suicide and suicide attempts in children and adolescents in the child welfare system.
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Suicide and suicide attempts in children and adolescents in the child welfare system.

机译：儿童自杀和自杀企图青少年儿童福利系统。

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BACKGROUND: Few population studies have examined the psychiatric outcomes of children and adolescents in the child welfare system, and no studies have compared outcomes before and after entry into care. Our objective was to assess the relative rate (RR) of suicide, attempted suicide, admission to hospital and visits to physicians' offices among children and adolescents in care compared with those not in care. We also examined these outcomes within the child welfare population before and after entry into care. METHODS: We used population-level data to identify children and adolescents 5 to 17 years of age who were in care in Manitoba for the first time between Apr. 1, 1997, and Mar. 31, 2006, and a comparison cohort not in care. We compared the two cohorts to obtain RRs for the specified outcomes. We also determined RRs within the child welfare population relative to the same population two years before entry into care. RESULTS: We identified 8279 children and adolescents in care for the first time and a comparison cohort of 353 050 children and adolescents not in care. Outcome rates were higher among those in care than in the comparison cohort for suicide (adjusted RR 3.54, 95% confidence interval [CI] 2.11-5.95), attempted suicide (adjusted RR 2.11, 95% CI 1.84-2.43) and all other outcomes. However, adjusted RRs for attempted suicide (RR 0.27, 95% CI 0.21-0.34), admissions to hospital and physician visits decreased after entry into care. INTERPRETATION: Children and adolescents in care were at greater risk of suicide and attempting suicide than those who were not in care. Rates of suicide attempts and hospital admissions within this population were highest before entry into care and decreased thereafter.
机译：背景:很少有人口研究儿童的精神成果青少年儿童福利系统,没有研究比较之前和之后的结果进入护理。相对速度(RR)的自杀,自杀未遂,进入医院和访问医生的办公室在照顾儿童和青少年相比之下,那些不关心。这些结果在儿童福利人口之前和之后进入保健。方法:我们使用群体的数据确定5到17岁的儿童和青少年年龄在护理在马尼托巴省第一时间4月1日,1997年,3月31日,2006年比较组不关心。两组获得RRs指定结果。人口相对于相同的福利人口两年前进入保健。结果:我们确定了8279名儿童青少年在照顾和一个第一次353 050名儿童和比较的青少年不关心。那些在护理比较高群自杀(RR 3.54,调整95%可信区间(CI) 2.11 - -5.95),尝试自杀(调整后的相对危险度2.11,95%可信区间1.84 - -2.43)所有其他的结果。自杀未遂(相对危险度0.27,95%可信区间0.21 - -0.34),招生医院和医生访问降低后进入护理。儿童和青少年在保健大自杀和试图自杀的风险比他们不关心。在这个人口和住院进入保健和减少前最高之后。

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