BPG is committed to discovery and dissemination of knowledge
Retrospective Study
Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Apr 19, 2026; 16(4): 115520
Published online Apr 19, 2026. doi: 10.5498/wjp.v16.i4.115520
Analysis of emergency adolescent antidepressant poisoning incidence and family psychological environment influencing factors
Wei Yu, Fang Wang
Wei Yu, Fang Wang, Department of Emergency Medicine, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, Hangzhou 310006, Zhejiang Province, China
Author contributions: Yu W and Wang F conceived and designed the study; Yu W collected the clinical data, conducted the statistical analyses, and drafted the initial manuscript; Wang F supervised the study, provided critical revisions, and approved the final manuscript. Both authors have read and agreed to the published version of the manuscript and are accountable for all aspects of the work.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of the Hangzhou First People’s Hospita (Approval No. 2025ZN372-1) and conducted in accordance with the Declaration of Helsinki.
Informed consent statement: The requirement for informed consent was waived by the Institutional Review Board of the Hangzhou First People’s Hospital because the study used de-identified retrospective data and involved no direct patient contact.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: De-identified data supporting the findings of this study are available from the corresponding author upon reasonable request and with institutional permission.
Corresponding author: Fang Wang, Department of Emergency Medicine, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, No. 261 Huansha Road, Shangcheng District, Hangzhou 310006, Zhejiang Province, China. i289412281@163.com
Received: November 7, 2025
Revised: December 8, 2025
Accepted: January 20, 2026
Published online: April 19, 2026
Processing time: 142 Days and 18.9 Hours
Core Tip

Core Tip: Among adolescents presenting to the emergency department, antidepressant poisoning comprised 11.2% of visits and was predominantly intentional. Multivariable analysis showed higher depressive symptoms (Center for Epidemiologic Studies Depression Scale), greater parental psychological distress (Symptom Checklist-90), lower social support (Social Support Rating Scale), and unstable family structure (Family Structure Characteristics Questionnaire) independently correlated with antidepressant poisoning, especially in females. These findings support a family-centered, bio-psycho-social prevention strategy that couples rapid emergency department screening with targeted interventions for parental mental health and adolescent social-support strengthening.