在无家可归的人群中使用健康信息交换系统来表征自杀念头,自杀行为和服务使用情况
Zandra V Ho1,2, Sarah A Arias3,4, Zachary J Kunicki1,3,4
1Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Journal of clinical psychology
|July 11, 2023
概括
自杀念头往往在无家可归之前出现,而自杀行为则随之而来. 卫生数据交换平台可以跟踪这些模式,并改善对有心理健康需求的无家可归人士的护理.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 心理健康研究 心理健康研究
背景情况:
- 无家可归的人群经历了高度的自杀想法和行为.
- 关于无家可归和自杀想法/行为之间的时间关系的研究有限.
研究的目的:
- 使用全州电子健康记录数据,研究无家可归与自杀念头/行为 (SI/SB) 之间的时间关系.
- 分析SI/SB的无家可归个人中使用服务的模式.
- 在这个脆弱人群中确定SI/SB的临床关联.
主要方法:
- 在健康信息交换 (HIE) 中利用了来自5368名无家可归患者的时间标记数据.
- 分析了服务利用率和无家可归的相对时间与SI/SB发作.
- 采用多变量模型来识别与SI/SB,住院和重复急性护理利用的关联.
主要成果:
- 自杀念头的发作通常在无家可归之前,而自杀行为的发作通常在之后.
- 与自杀相关的服务利用率在无家可归者开始时显著增加.
- 超过50%的SI/SB遭遇导致住院,重复急性护理的比例很高.
结论:
- 健康信息交换 (HIEs) 对于研究无家可归者等服务不足的人群是有价值的.
- 纵向HIE数据可以描述SI/SB在规模上的时间和临床关联.
- 增加对综合心理健康,物质使用和SI/SB服务的访问是至关重要的.
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