识别和描述跨性别和非二进制人口向儿童精神病学紧急服务提供服务
Wyatt Kim1, Kathleen R Donise2,3,4, Katherine A Brown5
1The Warren Alpert Medical School of Brown University, Providence, RI.
概括
跨性别和非二进制 (TGNB) 年轻人访问精神病急诊服务显示更高的重复高敏度访问和自杀想法评估率. 这突显了改善TGNB年轻人的心理健康服务获取和质量的迫切需要.
科学领域:
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
- 健康 公平 卫生 公平
背景情况:
- 变性人和非二进制 (TGNB) 个体面临心理健康问题的高风险,如抑郁症和自杀企图.
- 现有的研究往往排除了整个儿科年龄范围,或集中在急诊室 (ED) 外的设置.
- 了解TGNB青年在精神病治疗中心的心理健康护理需求至关重要.
研究的目的:
- 调查电子健康记录中性别认同的记录.
- 在精神病急诊服务中识别和描述儿科TGNB患者.
- 分析TGNB年轻人的心理健康结果和医疗保健利用模式.
主要方法:
- 电子健康记录的回顾性图表审查.
- 通过性别身份文件识别TGNB患者的身份.
- 在TGNB和非TGNB儿科患者之间比较精神病紧急服务的使用情况.
- 分析访问的敏度,重复访问,以及存在自杀念头.
主要成果:
- 与非TGNB患者相比,TGNB患者的比例更高,因为高度急性精神问题而重复访问ED.
- 较大比例的TGNB患者至少有一次评估,包括自杀念头.
- 在精神病急救服务人群中,TGNB年轻人代表了显著的人口统计.
结论:
- 在ED环境中,TGNB年轻人经历了不成比例的高急性精神问题和自杀念头的负担.
- 当前的精神卫生保健系统可能无法充分满足TGNB年轻人的需求.
- 迫切需要加强对TGNB年轻人的心理健康护理质量的关注,无论是在ED内还是在ED之外.
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