Hepatic Injury Clinical Trial
Official title:
Attempted Suicide With Acetaminophen Among 8-18 Year-old Children / Adolescents
A: Early predictors of hepatic injury after suicide attempt with acetaminophen:
To explore the following in a pediatric population with acetaminophen overdose due to
suicide attempt: 1) the prevalence of episodes of pre- and in-hospital vomiting and the
relationship between the total number of vomiting episodes and hepatic injury, 2) the
relevance of the early initiation of N-acetylcysteine (NAC) treatment to hepatic injury, and
3) the presence/absence of illness prior to the suicide attempt and hepatic injury.
B: Characteristics, social behaviour, trends and risk factors:
1. To explore the relationship between children admitted to a paediatric department as a
result of suicide attempts with acetaminophen and their parents and friends. 2. To determine
the extent to which the children had attempted to speak to their parents or other adults
about their problems before their suicide attempts. 3. To determine the prevalence of
self-mutilation among children with suicidal behaviour. 4. To examine the reasons for these
suicide attempts.
C: Establishment of the expression of cytochrome P450 in a pediatric including the
age-adjusted activities.
Urine samples will be analyzed using an HPLC tandem mass spectrometric method, which we have
already established in our lab.
There will be categorized three groups for comparison:
1. An age-appropriate background population (approximately 200 patients)
2. Paediatric patients that have been admitted to Rigshospitalet, due to severe hepatic
injury (approximately 50 patients)
3. Other pediatric patients admitted to their local hospital because of acetaminophen
poisoning (approximately 200 patients) A control urine sample will be analyzed three
months after the suicide attempt.
n/a
Observational Model: Case-Only
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