患有口唇裂和/或口腔裂的患者的患者报告结果有助于识别面临自杀倾向风险的年轻人
Dominic J Romeo1, Theodor Lenz1, Patrick Akarapimand1
1Division of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
概括
患有唇裂和/或裂 (CLP) 患者经历自杀念头或行为报告更糟糕的患者报告结果 (PROs) 在CLEFT-Q. 较低的CLEFT-Q心理功能得分可以帮助识别需要心理健康支持的人.
科学领域:
- 心理学和精神病学 心理学和精神病学
- 面外科手术 面外科手术
- 公共卫生 公共卫生
背景情况:
- 裂唇和/或 palatal (CLP) 可以导致显著的心理社会挑战.
- 现有的医疗保健实践可能会忽视CLP患者的心理健康问题.
- 患者报告的结果 (PROs) 提供了对患者福祉的宝贵见解.
研究的目的:
- 为了研究CLEFT-Q得分和CLP患者的自杀倾向之间的关联.
- 确定通过CLEFT-Q测量的PRO是否可以识别有自杀念头或行为风险的个人.
主要方法:
- 在第三级护理中心进行的前性研究.
- 包括305名6岁及以上的CLP患者.
- 接受了CLEFT-Q和哥伦比亚自杀严重性评级表 (C-SSRS) 的终身版本.
主要成果:
- 16.7%的患者报告了终身自杀念头,1.3%的自杀行为.
- 具有自杀念头的患者在12/13个CLEFT-Q类别中显著降低了PROs.
- 一个CLEFT-Q心理功能得分≤70表明适度的灵敏度和特异性来识别自杀倾向.
结论:
- 患有CLP的患者面临心理社会问题的高风险,包括自杀倾向.
- 在CLEFT-Q上更糟糕的PRO与这个人群中的自杀念头和行为相关.
- 建议对具有较低CLEFT-Q分数的CLP患者进行自杀倾向的查.
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