在急诊室患者中,过渡到自杀想法和尝试
Claudio Yurdadön1, Ronny Bruffaerts1, Marc Sabbe1
1KU Leuven, Leuven, Belgium.
BJPsych open
|April 18, 2024
概括
精神病急诊室 (PER) 患者的自杀想法和行为 (STB) 是持久的,往往导致重复转诊和过渡到更严重的STB,突出了关键的公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 紧急医疗 紧急医疗
背景情况:
- 自杀的想法和行为 (STB) 是一个主要的全球公共卫生问题.
- 自杀是全世界死亡的主要原因.
- 了解精神病急诊室 (PER) 患者的STB频谱过渡至关重要.
研究的目的:
- 调查当前有自杀念头的患者之前的PER转诊情况.
- 确定以前的PER转介的原因.
- 分析这些推的时间.
主要方法:
- 在20年内对24,815个PER转诊的回顾性研究.
- 描述性统计和物流回归用于识别风险概况.
- 使用多重归算和数据权重技术.
主要成果:
- 在PER患者中,STB经常导致重复转诊 (高达5倍的可能性),其中18%发生在一个月内.
- 之前被转诊为创意/计划的患者,过渡到自杀企图的风险增加了66%.
- 25%的高风险患者在一个月内过渡到自杀企图.
结论:
- 在PER患者中,STB表现为持久性,并导致反复使用医疗保健.
- 推之间的短时间间隔是常见的.
- 过渡到更严重的性病,包括自杀企图,是一个重大的问题.
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