自傷行為の監視:ICD-10-CMコードR45.88の分析
Pamela Imm1,2, Dagan Wright3
1Wisconsin Department of Health Services, Madison, Wisconsin, USA pamimm@gmail.com.
まとめ
この研究では,自殺以外の自傷行為 (R45. 88) をコードした患者は,著しく若かったことが判明しました. すべてのR45.88症例を含むことは,自己傷害の監視と被災者の理解を改善します.
科学分野:
- 公衆衛生の監視
- 医療コードの正確さ
- メンタルヘルスの研究
背景:
- 自殺以外の自傷行為 (ICD-10-CMコードR45.88) の分類に関する統一された指針がない.
- 自己傷害の症例と関連した傷害のない症例の 人口統計学的および臨床的な違いを理解する必要がある.
研究 の 目的:
- 自分を傷つけた患者と 怪我をしていない患者とを比較する.
- この2つの自己傷害症例の分類における 人口統計と併発性の違いを分析する.
主な方法:
- ウィスコンシン州とオレゴン州の排水記録 (2022-2023) の分析
- 2つのグループ:グループA (傷害コード付きの自己傷害) とグループB (他の傷害コードなしのR45.88)
- 病院や緊急治療室の患者に対する単変数およびロジスティック回帰分析
主要な成果:
- グループBの患者 (傷害のない自己傷害) は,司法管轄区と患者タイプの両方で著しく若かった.
- 病院とED患者の両方のロジスティック回帰モデルでは,年齢が重要な要因でした.
- 併発症 (例えば,自殺念頭,精神疾患) と人口統計学において,地域によって有意な差異が観察された.
結論:
- 傷害に関係なくR45.88の全ての事例を 含む自己傷害の監視は,自己傷害の負担を より正確に表すことができます.
- このアプローチは様々な形態の自傷行為に 影響された集団を より良く特定し 特徴づけます
関連する概念動画
Diagnostic and Statistical Manual of Mental Disorders (DSM)
141
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
141
SBAR II: Application of SBAR
4.7K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.7K
Conduct Disorder
106
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
106
Depressive Disorders: Etiology
165
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
165
Oppositional Defiant Disorder
137
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
137
Bulimia Nervosa
190
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
190


