无家可归的年轻人的物质使用和精神病现象:一个集群分析
Colin W Burke1, Sylvia Lanni1, Bettina B Hoeppner1
1Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts, USA.
The American journal on addictions
|October 11, 2024
概括
在无家可归的年轻人中确定特定的心理健康和物质使用障碍表型至关重要. 同时出现的条件显著增加了自杀倾向和高风险行为风险,需要有针对性的干预措施.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 经历无家可归的过渡年龄青年 (TAY-EH) 面临着复杂的挑战.
- 鉴别高风险的TAY-EH组进行干预是很困难的,因为心理病理,压力和行为交叉.
研究的目的:
- 根据精神病和物质使用障碍 (SUD) 诊断,识别TAY-EH的不同表型组.
- 检查这些表型与诸如自杀倾向和高风险行为等负面结果之间的关系.
主要方法:
- 在美国东北部的140个TAY-EH (16-25岁) 的数据上进行了集群分析.
- 参与者接受了结构化评估,以收集诊断和结果数据.
- 双变量分析评估了已识别的集群和目标结果之间的关联.
主要成果:
- 出现了四个不同的TAY-EH集群:同时发生 (MDD,SUD,其他诊断),单独MDD,单独SUD和没有.
- 同时发生的群体表现出最高的并发病率,并且与自杀倾向和高风险行为最为密切相关.
- 在各个集群中发现了关于自杀倾向,不良童年经历和社会联系的显著差异.
结论:
- 该研究在TAY-EH中确定了特定的高风险精神病和心理社会现象型.
- 针对同时出现的大型抑郁症 (MDD) 和SUD的有针对性的干预措施对这一群体至关重要.
- 解决这些表型可以减轻TAY-EH的负面结果,包括早期死亡率.
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