亚利桑那州协会实施了行为健康危机应对系统,其中包括自杀住院治疗

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Tami L Mark¹, Kristen Henretty¹, Brent J Gibbons¹

¹RTI International, Durham, North Carolina.

Psychiatric services (Washington, D.C.)

|August 9, 2023

概括

亚利桑那州的危机应对系统与自杀相关住院病例的减少有关. 这项研究研究了全面的行为健康危机系统对住院率的影响,需要进一步的研究.

科学领域:

公共卫生公共卫生
医疗保健服务研究医疗服务研究
心理健康服务心理健康服务

背景情况:

包括移动危机单位和稳定中心在内的全面的行为健康危机应对系统正在全国范围内开发.
988自杀和危机救生线于2022年7月启动,标志着联邦和州对加强危机护理的承诺.
关于这些系统在减少因自杀和行为健康危机而住院的有效性,研究有限.

研究的目的:

评估亚利桑那州实施全面的行为健康危机响应系统与与自杀有关的住院治疗之间的关联.
评估亚利桑那州2015年危机系统对住院趋势的影响,与没有类似系统的州相比.

主要方法:

采用了一个比较的中断时间序列 (CITS) 设计.
亚利桑那州 (N=215,063) 和内华达州 (N=84,091) 的2010-2019年医疗成本和利用计划 (HCUP) 国家住院患者数据库 (SID) 的数据被分析.
该CITS模型控制了各州之间随时间变化的人口差异.

主要成果:

从2010年到2019年,亚利桑那州和内华达州每10万人每年的自杀相关住院病例在亚利桑那州和内华达州增加.
亚利桑那州的危机应对系统实施与每10万人每季度257例自杀相关住院病例的统计学上显著的相对下降有关 (p=0.033).

结论:

这些发现表明,全面的危机响应系统可能与与自杀有关的住院治疗减少有关.
需要进一步的研究,才能充分了解实施这些系统对心理健康危机结果的多方面的影响.

关键词:

危机响应系统的危机响应系统.经济学经济学经济学医疗保健改革医疗保健改革心理健康系统心理健康系统自杀和自我破坏的行为.

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