通过儿科初级保健查检测出青少年抑郁症和自杀的新兴风险
Molly Davis1,2,3,4,5, Jason D Jones1,2,4, Karen T G Schwartz1,2
1Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, USA.
Journal of pediatric psychology
|November 25, 2023
概括
大多数青少年显示稳定低风险的抑郁和自杀. 然而,女性,黑人和医疗补助保险青少年面临着新出现的风险,告知初级保健预防策略.
科学领域:
- 儿科初级医疗保健的儿童初级医疗保健.
- 青少年心理健康 青少年心理健康
- 公共卫生 公共卫生
背景情况:
- 青少年抑郁症和自杀风险是严重的公共卫生问题.
- 在儿科初级保健机构中,早期识别和干预至关重要.
- 了解随着时间推移的风险模式对于有效的预防至关重要.
研究的目的:
- 记录青少年抑郁症和自杀风险的稳定性和变化.
- 为了识别处于出现抑郁和自杀风险的青少年.
- 在儿科初级保健中提供有针对性的干预信息.
主要方法:
- 来自大型儿科网络的电子健康记录的回顾性分析.
- 包括27,335名12至17岁的青少年,接受两次抑郁症查.
- 2017年11月至2020年2月期间收集的数据.
主要成果:
- 大多数青少年保持低抑郁和自杀风险.
- 在青少年的一个子组中观察到新兴风险.
- 新兴风险的更高几率与女性性别,黑人种族和医疗补助保险有关.
- 高龄和西班牙裔/拉丁裔种族也与抑郁症风险增加有关.
结论:
- 调查结果强调了在初级保健中需要量身定制的监测和预防策略.
- 识别有风险的子组可以优化对心理健康支持的资源配置.
- 全球性抑郁查有助于早期发现和及时干预.
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