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医院心理健康风险查的开发和初始性能

Eve B Carlson^1,2, Patrick A Palmieri³, M Rose Barlow¹

¹From the Dissemination and Training Division, National Center for Posttraumatic Stress Disorder (Carlson, Barlow, Macia), VA Palo Alto Health Care System, Department of Veterans Affairs, Menlo Park, CA.

Journal of the American College of Surgeons

|December 1, 2023

概括

一个新的10项屏幕准确地预测了各种住院患者的心理健康风险,识别了75%的症状患者. 这种工具可以改善心理健康公平性和紧急护理后对个人的预防性护理.

科学领域:

创伤护理和心理健康的结果.
在不同的人群中健康公平.
预测性查精神健康状况的情况.

背景情况:

在紧急护理后住院的患者面临抑郁,焦虑和PTSD的风险.
创伤中心验证标准要求对高风险患者进行心理健康风险查.
现有的查工具可能不能充分代表美国人口的多样性.

研究的目的:

为住院患者开发和评估一种新的心理健康风险查方法.
确保屏幕在不同种族,种族和社会经济群体中表现良好.
确定该人口中心理健康症状的最具预测性风险因素.

主要方法:

在三家医院研究了一组多样化的样本,包括1320名紧急护理后入院的患者.
评估了住院期间的风险因素和随访时的心理健康症状.
分析确定了关键的风险因素和预测所需的最小项目,包括子组分析.

主要成果:

10项查准确识别了75%的患有精神健康症状升高的患者和71%没有的患者.
屏幕在所有研究的种族和种族子群体中表现出色.
开发的屏幕有效地预测了多样化的患者队列中的心理健康结果.

结论:

医院心理健康风险屏幕在预测整体心理健康结果和各种各样的子组中显示出高准确度.
在新样本中复制可能会导致在紧急护理后住院的患者进行例行查.
实施这种屏幕可以提高健康公平性,并促进预防性心理健康护理研究和实践.

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