随着自我伤害的ED呈现后,自杀风险因医院而异
Siobhan Murphy1, Emma Ross2, Denise O'Hagan3
1Centre for Public Health, Institute of Clinical Science, Queen's University Belfast, Royal Victoria Hospital, Belfast, BT12 6BJ, Northern Ireland. Siobhan.murphy@qub.ac.uk.
Social psychiatry and psychiatric epidemiology
|October 20, 2023
概括
患者出现在急诊室 (EDs) 自伤面临不同的自杀风险根据医院参加. 后ED社区护理,而不仅仅是初始ED管理,对于降低自我伤害患者的死亡风险至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 患有自我伤害的患者到急诊室 (ED) 面临自杀和死亡的高风险.
- 在不同的ED中,这些患者的管理和护理途径存在显著差异.
研究的目的:
- 根据他们参加的医院,调查自我伤害患者死亡风险的变化.
- 为了确定护理管理中的差异是否解释了死亡风险的观察到的变化.
主要方法:
- 利用来自北爱尔兰自我伤害登记处 (2012年4月至2019年12月) 的全人口数据.
- 将自我伤害数据与死亡记录联系起来.
- 采用考克斯的比例危险模型来分析自杀,所有外部原因和所有原因死亡风险.
主要成果:
- 对64,350个自我伤害陈述的分析显示,EDs在心理健康评估和病房入院方面存在显著差异.
- 在最低和最高风险的ED之间观察到自杀风险的三倍范围.
- 自杀风险的这些变化在调整患者特征,自我伤害类型和ED护理后仍然存在.
结论:
- 随后的社区管理和护理准入对于降低自我伤害患者的死亡率比立即的ED护理更为关键.
- 作为启动转诊至关重要的社区服务的门户,ED护理仍然至关重要.
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