在儿科门诊环境中进行青少年前自杀风险查:临床途径
Laura Hennefield1, Ellen-Ge Denton2, Peggy G Chen3
1Department of Psychiatry, Washington University School of Medicine, St Louis, MO.
概括
儿科医生缺乏用于青少年前自杀风险查的工具. 该项目开发了一种基于证据的途径,用于识别8-11岁的有风险的年轻人,帮助在医疗保健访问期间进行早期干预.
科学领域:
- 儿童和青少年精神病学
- 儿科医疗保健 儿科医疗保健
- 心理健康服务研究 心理健康服务研究
背景情况:
- 年轻人面临着心理健康危机,青少年前期的自杀想法和行为率不断上升.
- 目前的指导方针建议对青少年 (12+) 进行普遍的自杀风险查,但对于未成年人 (8-11) 缺乏系统的方法.
- 儿科医生往往缺乏特定年龄的工具和明确的指标来评估幼儿的自杀风险.
研究的目的:
- 为门诊患者的儿科从业者开发一个基于证据的自杀风险查途径.
- 解决对青少年自杀风险评估的年龄适当资源的需求.
- 提供指导,以查更年轻的儿童 (<8岁),以及.
主要方法:
- 召集了青春期前自杀,儿科,初级保健行为健康和儿童发展方面的专家.
- 审查经验文献和现有实践指南.
- 在涉及护理人员和青少年的多信息者选途径上代,开发工作流工具和脚本.
主要成果:
- 开发了一种针对青少年 (8-11岁) 的综合性自杀风险查途径.
- 创建了用于查工作流程,风险确定和与患者和护理人员沟通的工具和指南.
- 包括对8岁以下儿童自杀风险评估的考虑.
结论:
- 开发的途径为儿科从业人员提供了适合年龄的,基于证据的方法来选青少年前自杀风险.
- 实施这一途径可以改善风险高的青春期青少年的早期识别和干预.
- 标准化查和明确的指导对于解决青年心理健康危机至关重要.
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