在伤害之前发现自杀:在儿科急诊室普遍进行自杀查
Esper G Wadih1, Kerry Caperell2
1From the Pediatric Emergency Department.
Pediatric emergency care
|May 8, 2024
概括
在儿科急诊室 (ED) 进行的普遍自杀查发现了许多处于危险的年轻人,包括那些没有明显的心理健康问题的人. 这种方法对于青少年的早期干预至关重要. 关键词:自杀查,儿科ED,青少年心理健康.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 青少年精神病学 青少年精神病学
背景情况:
- 自杀是青少年 (10-24岁) 死亡的主要原因.
- 儿科急诊室 (ED) 是识别有风险的年轻人的关键接入点.
- 需要有效的查工具来检测这种脆弱人群中自杀风险.
研究的目的:
- 评估儿童ED环境中普遍自杀查的有效性.
- 确定儿童ED患者中自杀风险的患病率和特征.
- 评估哥伦比亚自杀严重性评级尺度在这个人群中的实用性.
主要方法:
- 从2019年4月7日起在一个独立的儿童医院的儿科ED中进行的查的回顾性审查.
- 包括使用哥伦比亚自杀严重性评分表 (CSSRS) 选的10-18岁患者.
- 数据收集包括人口统计,先前的ED访问,首席投诉和自杀风险评估结果 (轻度,中度,严重).
主要成果:
- 11,469名受试者进行了查;340名 (2.97%) 进行了自杀风险查,结果呈阳性.
- 在那些查结果呈阳性的人中,有116人 (34.5%) 提出了主要是医疗首席投诉.
- 在50.4%的阳性查中发现了严重的自杀风险;141名患者因心理健康问题而入院.
结论:
- 在儿科ED中进行的普遍自杀查有效地识别了未被认可的自杀风险的年轻人.
- 显著比例的查阳性患者没有明显的心理健康问题.
- 近一半的被录取的检查阳性儿童在一年内先前进行了ED访问,突出了干预的机会.
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