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Suicide and suicidal ideation in classic exstrophy
William G Reiner1, John P Gearhart, Brad Kropp
1Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA. William-reiner@ouhsc.edu
The Journal of Urology
|August 22, 2008
Summary
Children with classic bladder exstrophy face increased risks for suicidal behavior, including ideation and attempts. This highlights the need for early screening in this vulnerable pediatric population.
Area of Science:
- Pediatric Urology
- Adolescent Psychiatry
- Suicidology
Background:
- Chronic illness is often overlooked as a suicide risk factor in children.
- Classic bladder exstrophy is a complex congenital condition requiring extensive medical management.
Purpose of the Study:
- To investigate the prevalence of suicidal behavior (ideation and attempts) in pediatric patients with classic bladder exstrophy.
- To assess the psychological vulnerability associated with this condition.
Main Methods:
- Retrospective chart review of 121 patients (5-24 years old) diagnosed with classic bladder exstrophy.
- Data collected from a combined 2-center database (1996-2005).
- Psychological evaluations focused on surgical readiness and coping with medical requirements.
Main Results:
- 14.9% of patients (18/121) reported suicidal ideation.
- Among patients over 14 years old (38/121), 31.4% experienced suicidal ideation, with 2 serious attempts and 1 completed suicide.
- All reported suicidal behaviors were in male patients.
Conclusions:
- Classic bladder exstrophy is associated with significant psychological vulnerability to suicidal behavior in males.
- Clinical screening for suicidal behavior and psychopathology is recommended for individuals with classic bladder exstrophy.
- This study underscores the importance of addressing mental health in children with chronic congenital conditions.
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