在急诊室提供急性自杀倾向的近期干预措施:一个范围审查
Alex P Hood1,2, Lauren M Tibbits1, Juan I Laporta1
1University of Texas Health Science Center at San Antonio, Department of Emergency Medicine, San Antonio, Texas.
The western journal of emergency medicine
|December 3, 2024
概括
紧急部门可以使用胺和危机应对计划 (CRP) 来治疗急性自杀倾向. 需要更多的研究来证实它们的有效性和适合ED设置.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 临床药理学 临床药理学
背景情况:
- 自杀在美国是一个重大挑战,急诊室 (ED) 作为急性自杀患者的关键护理点.
- 由于急诊医生管理急性自杀倾向缺乏确定的干预措施,因此需要对最近的进展进行审查.
- 本范围审查旨在识别和评估EDS最近的干预措施,以管理和治疗急性自杀倾向.
研究的目的:
- 系统地审查最近描述的干预措施的文献,适用于急性自杀倾向的ED环境.
- 在ED环境中确定可以减少症状和稳定急性自杀患者的干预措施.
主要方法:
- 在PubMed,SCOPUS和CINAHL进行了全面的文献搜索,搜索了2013年至2023年间发表的研究.
- 在评估了16篇全文文章后,有9篇原创研究文章符合纳入标准.
- 包括的研究被评估为干预特征,ED环境适应性和疗效.
主要成果:
- 四项研究检查了胺,麻醉剂/止痛剂的疗效.
- 三项研究评估了简短的心理社会干预,两项研究包括后续护理 (明信片联系,病例管理).
- 两项研究测试了基于激励面试的干预措施;胺和危机应对计划 (CRP) 显示出对ED的适当性和有效性最有前途.
结论:
- 该审查确定了一种药物 (胺) 和四种心理/行为干预措施,用于ED中急性自杀倾向.
- 目前的证据不足以证实这些干预措施对常规ED治疗的有效性和适用性.
- 进一步的研究对于确定这些干预措施在ED环境中的可行性和有效性至关重要.
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