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意図せざる傷害や暴行後の精神衛生診断と費用
Christopher Dunphy1, Cora Peterson1, Marwa Rawy1
1National Center for Injury Control and Prevention, Centers for Disease Control and Prevention (all).
American journal of preventive medicine
|February 16, 2026
まとめ
けがや暴行は,精神疾患を発症するリスクを大幅に高め,医療費を上げます. これは,傷害と暴力のケアにメンタルヘルスサポートを統合する必要性を強調しています.
科学分野:
- 公衆衛生は公衆衛生である.
- メンタルヘルス研究 メンタルヘルス研究
- 健康経済学 医療経済学
背景:
- 意図しない怪我や暴行は,毎年何百万人もの緊急治療室 (ED) の訪問につながります.
- これらのインシデントは,重篤で長期的な身体的,心理的な結果につながる可能性があります.
- 本研究では,怪我と,その後の精神保健の成果と支出との関連を調査しています.
研究 の 目的:
- 不意の傷害や暴行が精神疾患の発生率を高めるかどうかを判断する.
- これらの傷害がメンタルヘルスケア支出に与える影響を評価する.
- 怪我の種類と精神的健康診断および治療費用の関連性を定量化します.
主な方法:
- 2022年のUS MarketScanのデータ分析では,19.1百万人の雇用主主催保険加入者のデータを分析した.
- 対照群の非意図的 (n=105,389) または暴力的な (n=1,986) 傷害のためにED訪問を受けた個人を比較したマッチングコホート研究.
- 新しい精神疾患の診断,精神薬の処方,医療費の評価 (怪我によるもの,精神疾患特有のもの) ED訪問後の12ヶ月.
主要な成果:
- EDで治療された意図しない傷を負った人は,新しい精神疾患の診断を受ける可能性が34%高く,暴行による傷を負った人は98%の増加を示しました.
- 新規の精神薬の処方箋は,意図しない傷害で50%増加し,暴行で71%増加しました.
- 平均的な過剰な精神保健費は,意図しない怪我に対して302ドル,怪我の翌年の暴行に対して711ドルでした.
結論:
- 意図しない怪我や暴行は,精神疾患に対する脆弱性を大幅に高めます.
- これらの出来事は,メンタルヘルスケア支出の顕著な増加につながります.
- メンタルヘルスサービスへの効率的なアクセスは極めて重要であり,メンタルヘルスコストは,怪我や暴力による経済的負担の一部として認識されるべきである.
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