在医疗住院患者中进行普遍自杀风险查的结果
概括
在医院进行普遍的自杀风险查是可行的,可能有助于更快地识别需要精神病治疗的患者. 这种做法可能会减少那些需要精神病医院住院的人的住院时间.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 医院管理局 医院管理局
背景情况:
- 普遍的自杀风险查在降低自杀率或可靠预测自杀方面缺乏经过证明的有效性.
- 很少有研究探讨了通用住院自杀风险查协议的其他潜在好处.
研究的目的:
- 评估实施通用住院患者自杀风险查协议的可行性.
- 为了确定一个积极的自杀屏幕是否预测了需要精神病医院的入院.
- 评估积极的自杀查是否会减少精神病医院入院前的入院时间.
主要方法:
- 一年来在高等学术医院的非精神病学入院情况的回顾性图表审查.
- 对自杀念头 (SI) 查结果呈阳性的患者比例的计算.
- 通过千平方和后勤回归分析,对呈阳性查的患者进行精神病学咨询,入院和住院时间的分析.
主要成果:
- 97.2%的患者进行了查,其中2.6%的患者出现了自杀念头.
- 在查结果呈阳性的人群中,44.6%接受了精神病学咨询,9.2%接受了精神病学治疗.
- 查阳性患者在精神病转移前的逗留时间较短 (5.7天),与查阴性患者 (17.9天) 相比.
结论:
- 普遍的自杀风险查在非精神病医院环境中是一个可行的做法.
- 该协议可能有助于更早地识别需要精神病治疗的患者.
- 实施可能会导致精神病医院住院的患者住院时间缩短.
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