在儿科初级保健中解决青少年自杀倾向问题
Jessica Kenny1,2, Kimberly Kelsay1,2, Maya Bunik1,3
1Children's Hospital Colorado, Aurora, CO.
Journal of developmental and behavioral pediatrics : JDBP
|October 5, 2023
概括
自杀念头 (SI) 影响7%的青少年. 综合护理,风险评估,安全计划和护理人员的参与显著降低了初级保健机构的SI频率.
科学领域:
- 青少年健康 青少年健康
- 心理健康查 心理健康查
- 初级保健干预措施的初级保健干预措施
背景情况:
- 自杀念头 (SI) 是青少年群体的一个重大问题.
- 初级保健机构越来越多地参与识别和管理青少年心理健康问题.
研究的目的:
- 为了确定青少年中SI的患病率.
- 描述由初级保健提供者 (PCP) 和行为健康临床医生 (BHC) 提供的SI干预措施.
- 为了确定与降低SI频率相关的因素.
主要方法:
- 对2107名青少年进行了回顾性混合方法研究.
- 利用临床信息学和电子医疗记录分析.
- 检查的PHQ-9A分数和干预代码.
主要成果:
- 7%的青少年报告SI.
- 确定了40个不同的干预措施 (17个由PCP,23个由BHC).
- 降低SI的关键因素包括PCP转介到综合行为健康和家庭导航员,以及BHC行动,如风险评估,安全规划和护理人员参与.
结论:
- 在初级保健中支持SI的查.
- 多学科和以家庭为中心的方法对于解决青少年SI至关重要.
- 具体干预措施在减少SI频率方面表现有前途.
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