儿童和年轻人自杀后自伤:全英连续发生的一系列案例
Shilpa Aggarwal1, Su-Gwan Tham2, Saied Ibrahim2
1Child and Youth Mental Health Service, Gold Coast Health, Gold Coast, Australia; School of Medicine, Deakin University, Geelong, Australia; and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia.
概括
几乎一半的自杀死亡的年轻人有自我伤害的历史,最近的自我伤害与精神疾病和虐待有关. 通过服务联系进行早期干预对于预防易受伤害的年轻人自杀至关重要.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 了解与青少年自杀自伤相关的因素对于有效的预防策略至关重要.
- 青少年和年轻人的自我伤害是一个重大问题,需要对其相关性进行研究.
- 识别风险因素可以指导有针对性的干预措施,以减少青年自杀率.
研究的目的:
- 描述与年轻自杀者自伤相关的社会人口统计学和临床因素.
- 为了检查那些死于自杀和自我伤害的年轻人中使用服务的模式.
- 在英国青少年自杀的背景下,为自我伤害提供全国概述.
主要方法:
- 一项描述性研究分析了英国2014-2016年间因自杀而死亡的544名年龄在10-19岁之间的全国连续病例系列.
- 数据来自官方来源,包括验尸官调查,儿童死亡调查,刑事司法报告和国家卫生服务严重事件报告.
- 该研究的重点是确定这种脆弱人群中自我伤害的流行率和特征.
主要成果:
- 几乎一半 (49%) 的年轻自杀死者有自我伤害的历史,其中26%的人在死亡3个月内自我伤害.
- 最近的自我伤害与精神疾病诊断 (63%),滥用酒精 (19%),滥用经历 (17%) 和最近的生活逆境 (95%) 有着显著的关联.
- 最近自我伤害的年轻人更有可能最近与心理健康服务 (60%) 或紧急部门/全科医生因心理健康原因 (52%) 接触.
结论:
- 自伤的年轻人与卫生服务的接触为干预提供了一个关键的窗口.
- 综合性心理社会评估和潜在疾病的治疗对于解决自我伤害和预防自杀至关重要.
- 早期识别和支持自我伤害的年轻人可以显著影响预防自杀的努力.
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