カタルーニャの青少年と若年成人における自己傷害の発生傾向と臨床的管理:プライマリケアコホート研究 (2013-2022)
Enric Aragonès1,2,3, Ana Lozano-Sánchez4,5, Tomàs López-Jiménez4,6
1Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Barcelona, Catalonia, Spain. earagones.tgn.ics@gencat.cat.
European child & adolescent psychiatry
|August 30, 2025
まとめ
青少年の自己傷害の発生率は,特にCOVID-19の間,著しく増加し,少女と社会経済的に恵まれない若者が最も影響を受けました. ターゲットに絞った精神保健戦略は 極めて重要です
科学分野:
- 公衆衛生
- 流行病学
- 青春期 医学
背景:
- 青少年や若者の自己傷害は 公共衛生上の問題として 増加しています
- 時間の流れやリスク要因を理解することは 効果的な介入に不可欠です
- 自傷行為の発生率とケアにおける格差が 明らかになっています
研究 の 目的:
- カタルーニャの自傷率と臨床管理の動向を調査する (2013-2022年).
- 性別や社会経済的な地位を含む人口格差を調査する.
- 臨床ケアパターンを分析し,医療対応を改善する分野を特定する.
主な方法:
- プライマリケアにおける情報システム (SIDIAP) のデータを用いて,人口ベースのコホート分析を行う.
- 10歳から24歳までの1,707,471人の個人を含め,8,868,472人年観察を行った.
- タイムトレンド,発生率比率 (IRR) と格差の統計分析
主要な成果:
- 自傷行為の発生率は2013年から2022年まで大幅に増加した (IRR2.67).
- COVID-19 パンデミック中に顕著な上昇 (2019年と比較してIRR2.06).
- 女性の割合はより高い (約 3x男の子),恵まれない地域の人々,および併発性不安/うつ病を持つ人々.
結論:
- 自傷行為の発生率は前例のないレベルに達しており,特に流行後には 性別,年齢,社会経済的格差が顕著です.
- 臨床管理は様々で 女の子はより頻繁に精神保健サービスに紹介される.
- 社会的決定因子と若者の精神的健康に 焦点を当てた医療戦略が 緊急に必要です
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