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Jonathan C Cherry¹, Eleanor A Fitzpatrick², Navjot K Sandila³

¹Division of Pediatric Emergency Medicine, IWK Health Emergency Department, Dalhousie University, Halifax, NS, Canada. jonathan.cherry@iwk.nshealth.ca.

|April 2, 2024

概括

紧急部门的分类中适度地识别了青少年非自杀性自伤. 超过一半的患有心理健康问题的年轻人报告自伤,主要是割伤,女性更容易受到影响.

科学领域:

青少年心理健康青少年心理健康
紧急医疗紧急医疗
精神病学是一个精神病学.

背景情况:

非自杀性自我伤害 (NSSI) 是青少年向急诊室提出的一个重大问题.
准确地识别NSSI在选时对于及时干预和风险评估至关重要.

研究的目的:

评估在急诊室分拣和随后的心理健康评估中记录的NSSI之间的一致性.
描述报告NSSI的青少年患者的人口和临床特征.

主要方法:

对914名年龄在12至18岁的患有精神健康问题的患者进行了健康记录审查.
排除患有自闭症谱系障碍或精神分裂症的患者.
使用科恩的卡帕,灵敏度和负预测值对分拣表格,心理健康评估和风险清单进行分析.

主要成果:

其中58.4%的患者报告有NSSI病史.
在女性中,NSSI的流行率更高 (82.1%).
与详细评估的分类一致性中等 (科恩卡帕=0.6),灵敏度为71.5%和负预测值为71.2%.

结论:

紧急部门分拣在识别青少年NSSI方面表现出适度的有效性.
超过一半的患有心理健康问题的青少年报告了NSSI,突出了其流行程度.
了解NSSI模式对于评估儿科精神卫生保健中的应对策略至关重要.

关键词:

青少年是一个青少年.紧急情况紧急情况心理健康心理健康儿科儿科儿科自伤行为自伤行为.

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