自伤的想法和行为是联系挪威急救初级保健中心的原因:一项观察性研究
Anita Hunsager1, Fredrik A Walby2, Vivian Midtbø3
1National Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre AS, Bergen, Norway and Department of Global Public Health and Primary Care, University of Bergen, Norway.
Scandinavian journal of primary health care
|September 12, 2024
概括
自伤的想法和行为在急诊初级保健中很少见,但是紧急的. 许多患者有类似接触的病史,需要更广泛的医疗帮助和医疗人员的专业培训.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 自伤的想法和行为 (SITB) 是一个重要的公共卫生问题.
- 紧急初级保健机构遇到各种患者需求,包括与心理健康危机相关的需求.
研究的目的:
- 描述和比较与自我伤害思想和行为 (SITB) 相关的患者接触与急诊初级保健中其他类型的接触.
- 在这种环境中识别SITB相关联系的特征和模式.
主要方法:
- 通过使用挪威七个急诊初级保健中心的哨兵网络数据进行了一项观察性研究.
- 分析了12个月 (2021年11月至2022年10月) 的初始患者接触 (10岁及以上) 情况.
- 特别是由于自我伤害思想和行为的联系是主要的结果指标.
主要成果:
- 在77344名患者中,自我伤害的想法和行为占初始接触的0.6% (n=478).
- 与其他接触者相比,SITB接触者与女性性别,年龄较小,夜间发生,紧急情况更高,医生咨询/调用次数增加有关.
- 在SITB接触者中,58.2%涉及思想,41.8%涉及行为,75.0%有类似接触的历史. 自杀意图在行为接触中与更高的紧迫性和更多的呼叫有关.
结论:
- 虽然很少见,但自我伤害的想法和行为在紧急初级保健中被认为是紧急的,需要更广泛的医疗援助.
- 由于之前的类似接触,该服务已知道有很大一部分患有SITB的患者.
- 这些遭遇的频率和严重性突显出需要加强医疗人员的培训,决策支持和协议.
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