紧急情况部门的全国趋势 自杀未遂和故意自伤的访问
Tanner J Bommersbach1, Mark Olfson1, Taeho Greg Rhee1
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minn. (Bommersbach); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, and New York State Psychiatric Institute, New York (Olfson); Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., New England Mental Illness Research, Education, and Clinical Center, VA Connecticut Healthcare System, West Haven, Conn., and Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington (Rhee).
自杀企图和自我伤害的紧急部门访问在2011-2020年期间在全国范围内激增. 这凸显了对有自杀念头的个体加强心理健康护理和服务的关键需求.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 紧急医疗 紧急医疗
背景情况:
- 紧急诊所 (ED) 是经历急性心理健康危机的个体的关键接入点.
- 自杀企图和故意自我伤害是一个重大的公共卫生问题,需要持续的监测和干预.
研究的目的:
- 估计2011年至2020年美国自杀企图和故意自伤的ED访问的国家年度趋势和特征.
- 分析十年来这些访问的比例和人均率的变化.
主要方法:
- 利用了2011-2020年国家医院门诊医疗调查 (NHAMCS) 的数据.
- 使用国际疾病分类 (ICD-9-CM和ICD-10-CM) 诊断代码和访问理由代码识别的访问.
- 为自杀企图和故意自伤的ED访问的估计年份比例和人均比率.
主要成果:
- 针对自杀企图和故意自伤的ED访问量大幅增加,从2011-2012年的143万 (0.6%的ED访问量) 增加到2019-2020年的537万 (2.1%).
- 人均访问量显著增加,每年从每10万人中261人增加到871人.
- 这一增长在人口统计学中普遍存在,65岁或以上的成年人中增长最为显著. 与药物相关的诊断很常见,不到16%的访问包括心理健康专业人员的评估.
结论:
- 自杀企图和故意自我伤害的ED访问在2011年至2020年之间发生了显著的国家增长.
- 这些不断升级的趋势强调,迫切需要改善心理健康护理连续性,以帮助那些有自杀症状的人.
- 加强对心理健康服务和干预措施的准入对于应对这种日益严重的公共卫生挑战至关重要.
相关概念视频
Current Trends in Nursing II
Current Trends in Nursing I
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Types of Reports II: Incident or Occurrence Report
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Bystander Effect
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...


