Joana Cachão, Inês Oliveira, Isabel Raminhos


Background: Adolescence is a time of great changes for young people when new sensations and experiences are sought and thus opening the door for psychoactive substance use and abuse. Self-induced intoxication is a recurrent cause of admission in emergency department units amongst adolescents.

Objective: This study aims to characterize the sample of adolescents who presented to a pediatric emergency department with self-induced poisoning from July 2011 to June 2015, after the widening of attendance age in the pediatric care units.

Methods: A descriptive retrospective study was conducted and data was collected from medical computerized records of adolescents admitted to the pediatric emergency department with self-induced intoxication. Analysis were performed to describe demographic variables, substance profile, precipitant/ motivation, relevant medical history, treatment received in the emergency department and follow-up.

Results: Participants comprised 246 adolescents representing 0,64% of the overall adolescent admissions in the pediatric emergency department during that period. The majority of patients aged 15 to 17 years (77,2%). Alcohol and drug intoxication had similar frequencies (40,2% and 39,8% respectively). Drug intoxication was significantly more frequent in females (p = 0,000). Of the total number of adolescents, 28,5% were already attending a specialist outpatient clinic (Adolescent Medicine, Psychology and/or Child Psychiatry or Psychiatry), 27,2% were referred to ambulatory care and 44,3% were not referred to any other physician.

Conclusions: The enlargement of pediatric age care generated a greater contact with risky behaviors. Prevention is very important and it is urgent to design intervention strategies committing the family and society in general.


Adolescent; alcoholic intoxication; emergency medicine

Full Text:

PDF (Português)


Naia A, Simões C, Matos MG. Consumo de substâncias na

adolescência. Revista Toxicodependências 2007, 13: 23-30.

MG Matos. Consumo de substâncias: Estilo de vida?

À procura de um estilo? Instituto da Droga e da

Toxicodependência 2008.

Griswold KS, Aronoff H, Kernan JB, Kahn LS. Adolescent

Substance Use and Abuse: Recognition and Management.

American Family Physician 2008; 77: 331-6.

Decreto-Lei nº 106/2015 de 16 de Junho. Diário da República

I Série. Nº 115, 3896-3897. Ministério da Saúde. Lisboa.

Decreto-Lei nº 15/93 de 22 de Janeiro. Diário da República I

Série-A. Nº 18, 234-252. Ministério da Justiça. Lisboa.

Lei nº 30/2000 de 29 de Novembro. Diário da República I

Série. Nº 276, 6829-6832. Ministério da Justiça. Lisboa.

Repetto HP, Calatayud SG, Barca GC, Serrano RS, Figuero

CR. Consumo de tabaco, alcohol y drogas no legales entre

adolescentes y relación con los hábitos de vida y el entorno.

An Esp Pediatr 2001; 55: 121-8.

Carapinha L, Calado V, Lavado E, Dias L, Ribeiro C. Os

Jovens, o Álcool e a Lei. Consumos, atitudes e legislação.

SICAD 2014.

Maia C, Freira S, Fonseca H, Pedro R, Silva F. Consumo

de substâncias no adolescente. Acta Pediatr Port 2010; 41:


Norma nº 035/2012 de 30/12/2012 - Abordagem da

Intoxicação Alcoólica Aguda em Adolescentes e Jovens.

Atualizada a 14/10/2014. Direção Geral de Saúde.

Feijão F, Calado V, Lavado E. Estudo sobre o Consumo

de Álcool, Tabaco e Drogas. Instituto da Droga e da

Toxicodependência 2011.

Feijão F. Inquérito Nacional em Meio Escolar, 2011 (3º ciclo).

Consumo de Drogas e outras substâncias psicoativas:

Uma abordagem integrada - Síntese de resultados. SICAD.

Ministério da Saúde.

Feijão F. Inquérito Nacional em Meio Escolar 2011

(Secundário). Consumo de Drogas e outras substâncias

psicoativas: Uma abordagem integrada - Síntese de

resultados. SICAD. Ministério da Saúde.

Aires S, Neves S, Cálix MJ, F Cecília, Silveira A. Alcoolismo

na adolescência: a realidade de um Serviço de Pediatria.

Nascer e Crescer 2014; 23: 8-11.

Hibell B. The 2011 Espad Report Substance Use Among

Students in 36 European Countries - The Swedish Council

for Information on Alcohol and Other Drugs. Stockholm:

Swedish Ministry of Health and Social Affairs, the European

Monitoring Centre for Drugs & Drug Addiction 2012.

Woolfenden S, Williams K. Children and Adolescents With

Acute Alcohol Intoxication/Self-poisoning Presenting to the

Emergency Department. Arch Pediatr Adolesc Med 2002;

: 345-8.

Nunes I, Monteiro J, Amorim J, Jorge R, Ferreira S, Costa

M, Gomes L. Intoxicações voluntárias em adolescentes:

casuística do serviço de urgência de um hospital distrital.

Acta Pediatr Port 2014; 45:270-4.

Feijão F. Epidemiologia do consumo de álcool entre os

adolescentes escolarizados a nível nacional e nas diferentes

regiões geográficas. Revista Toxicodependências 2010; 16:


Lifshitz M, Gavrilov V. Deliberate Self-Poisoning In

Adolescents. IMAJ 2002; 4: 252-3.

Barros A, Pinto M, Laranjeira C, Macedo L. Ingestão

medicamentosa voluntária em um serviço de pediatria.

Adolesc. Saude 2011; 8: 6-9.

Veras J, Katz C. Suicide attempts by exogenous intoxication

among female adolescents treated at a reference hospital

in the city of Recife-PE, Brazil. Rev Bras Enferm 2011; 64:


Nadkarni A, Parkin A, Dogra N, Stretch DD, Evans PA.

Characteristics of children and adolescents presenting to

accident and emergency departments with deliberate self

harm. J Accid Emerg Med 2000; 17: 98-102.

Sahin S, Carman KB, Dinleyici EC. Acute Poisoning in

Children; Data of a Pediatric Emergency Unit. Iran J Pediatr

; 21: 479-84.

Neto C, Fraga S, Ramos E. Consumo de substâncias ilícitas

por adolescentes portugueses. Rev Saúde Pública 2012; 46:



  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Journal indexed in