自杀思想和行为儿童的护理人员报告的心理和行为功能:一个病例控制设计
Ellen Bartolini1, Rick Ostrander1, Carisa Parrish1
1The Johns Hopkins University School of Medicine, Department of Child and Adolescent Psychiatry, Baltimore, Maryland, USA.
Early intervention in psychiatry
|June 6, 2023
概括
进入精神病单位的自杀想法和行为 (STB) 儿童表现出显著的情绪和行为问题. 这些孩子更有可能是女性,年长,有虐待或自我伤害的历史,需要有针对性的干预.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 儿科心理学 儿科心理学
- 心理健康研究 心理健康研究
背景情况:
- 12岁以下儿童的自杀念头和自杀企图是一个关键问题.
- 了解这些儿童的特点对于有效的干预至关重要.
研究的目的:
- 实证地了解儿童 (12岁及以下) 的情绪和行为功能,这些儿童因自杀念头或企图而入住住院内精神病科.
- 将这些孩子与没有自杀思想和行为 (STB) 的同龄人进行比较.
主要方法:
- 对573名12岁及以下的住院患者的回顾性图表审查.
- 组包括:没有尝试的自杀念头 (n=155),自杀企图 (n=37) 和对照组 (n=381).
- 人口统计数据,护理人员报告的功能和出院诊断的比较.
主要成果:
- 患有STB的儿童表现出临床上显著的外部化和内部化症状.
- 性病组更有可能是女性,年长,有性虐待史和非自杀性自我伤害.
- 抑郁症是STB组中更常见的诊断.
结论:
- 住院精神科病房的性病患儿童与同龄人有很大差异.
- 这些差异在人口统计学,症状和诊断方面显而易见.
- 调查结果有助于识别风险因素,为治疗提供信息,并指导未来对儿科性传播疾病的研究.
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