• Joana Cachão Department of Pediatrics, Hospital de São Bernardo, Centro Hospitalar de Setúbal
  • Inês Oliveira Department of Pediatrics, Hospital de São Bernardo, Centro Hospitalar de Setúbal
  • Isabel Raminhos Department of Pediatrics, Hospital de São Bernardo, Centro Hospitalar de Setúbal



Adolescent, alcoholic intoxication, emergency medicine


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.


Download data is not yet available.


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:




How to Cite

Cachão J, Oliveira I, Raminhos I. ADOLESCENCE AND SUSBSTANCE ABUSE. REVNEC [Internet]. 2017Jul.24 [cited 2024Jun.24];26(2):103-8. Available from:



Original Articles