在一个主要的创伤系统中,自我指导的暴力和不清楚的意图表现. 一个多站点分析分析
Joanne Lockwood-Smith1, Shehan Hettiaratchy2, Ross Davenport3
1Imperial College Healthcare Trust and Queen Mary University London, UK.
Injury
|January 17, 2025
概括
区分自主暴力 (SDV) 和不明确的故意伤害是困难的. 以前的心理健康问题与SDV有关,但许多患者,尤其是年长女性的意图仍然不清楚.
科学领域:
- 创伤护理的护理人员.
- 公共卫生 公共卫生
- 临床心理学 临床心理学
背景情况:
- 对临床医生来说,区分创伤与自我指导的暴力 (SDV) 或不清楚的意图 (UI) 是一个挑战.
- 患者的性别和受伤机制可以影响创伤的分类.
- 这项研究检查了区域创伤系统中SDV和UI组之间的特征和结果的差异.
研究的目的:
- 研究自主暴力 (SDV) 患者的特征和结果,与不清楚意图 (UI) 患者相比.
- 探索SDV和UI创伤队伍中呈现和结果的基于性别的差异.
- 确定与创伤患者不清楚意图相关的因素.
主要方法:
- 从2018年1月到2021年12月的回顾性数据收集.
- 包括被认定具有自主暴力 (SDV) 或不清楚意图 (UI) 行为的患者.
- 对人口统计,临床和伤害数据的分析,包括基于性别的比较.
主要成果:
- 分析了2760名患者,45%患有SDV,55%患有UI.
- 之前的心理健康诊断在SDV组 (42%) 与UI (13%) 相比显著更高.
- 患有UI的老年女性 (≥65岁) 更有可能遭受持续的高水平跌倒.
结论:
- 精神健康并发症与SDV有关,但超过一半的患者的意图仍然不清楚.
- 创伤临床医生应该评估伤害意图,并让心理健康专家参与其中.
- 老年女性和以前有不清楚意图的抑郁症患者需要进一步调查自杀预防策略.
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