参与青年暴力干预计划与暴力伤害后的再出诊率较低有关:英国重大创伤网络观察性研究
Edward A Dickson1, Lauren Blackburn1, Miriam Duffy1
1East Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham, United Kingdom.
PloS one
|October 18, 2023
概括
红线青年暴力干预计划 (YVIP) 在遭受暴力伤害的年轻人中减少了51%的急诊室再出诊. 以前的出席率预测了参与度,而周末的访问和电话接触阻碍了它.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 青少年医学 青少年医学
背景情况:
- 青少年暴力及其后果构成了重大的公共卫生挑战.
- 紧急服务部门 (ED) 经常遇到受暴力伤害的年轻人.
- 干预计划的目的是减少重复犯罪,并改善这一群体的结果.
研究的目的:
- 评估与Redthread青年暴力干预计划 (YVIP) 的参与和急诊室 (ED) 再次出席率之间的关联.
- 确定影响年轻患者参与YVIP的因素,这些年轻患者向主要创伤中心 (MTC) 提交.
主要方法:
- 在两年内,对573名被引用到YVIP的个人进行了回顾性,观察性队列研究.
- 以往事件率比率 (PERR) 分析,以比较参与者与非参与者之间的重新出席率.
- 后勤回归检查与YVIP参与相关的因素.
主要成果:
- 参与全方位的YVIP与ED重复出席率减少51%有关 (PERR为0.49).
- 以前的ED出席率积极预测了YVIP参与度 (OR 2.82).
- 与面对面的方法相比,周末出席和基于电话的外展对参与产生了负面影响.
结论:
- 有或没有武器的攻击是年轻人ED访问的主要原因之一.
- 红线YVIP与参与的年轻人重新参加率的降低有关.
- 有针对性的宣传策略可以提高计划的参与度和有效性.
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