在第一次注册自杀企图或自我伤害之前和之后,医疗保健中的接触模式:全国性的注册研究
Sarah Grube Jakobsen1, Mette Reilev2, Jens Lauritsen3
1Department of Regional Health Research, University of Southern Denmark, Unit of Mental Health Services, Aabenraa, Denmark; Centre for Suicide Research, Odense, Denmark.
试图自杀或自伤 (SA/SH) 的人在事件发生前的几个月里,他们的医疗保健联系模式发生了显著的变化. 这凸显了医疗保健系统内预防自杀的潜在错失机会.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 医疗保健研究 医疗保健研究
背景情况:
- 自杀预防仍然是一个关键的公共卫生挑战.
- 了解自杀未遂或自我伤害 (SA/SH) 之前的医疗保健利用模式,可以揭示干预机会.
- 之前的研究还没有完全阐明SA/SH之前的医疗保健接触的详细变化.
研究的目的:
- 调查自杀或自我伤害 (SA/SH) 的第一次记录前两年和之后的医疗保健利用模式.
- 通过分析医疗保健接触频率和原因的变化,识别预防自杀的潜在错失机会.
- 为医疗保健专业人员提供关于根据其寻求医疗保健行为的风险个人识别的见解.
主要方法:
- 采用了匹配的队列研究设计,在2010-2021年期间确定了29439名SA/SH患者.
- 风险组抽样将SA/SH组与基于性别,出生年份和诊断时间的参考组进行了1:10的匹配.
- 负二项回归分析了三个月间的医疗保健联系人 (全科医生,体科医院,精神病医院) 的发病率比率,将SA/SH组与事件前的基线进行比较,并检查了接触的潜在原因.
主要成果:
- 在SA/SH之前的三个月里,医疗保健接触模式发生了显著的变化.
- 这些前SA / SH医疗保健遭遇的常见潜在原因包括中毒,伤害,未指定的健康状况问题以及神经质,压力相关和体形疾病.
- 该研究确定了导致SA/SH事件的医疗保健利用类型和频率的明显变化.
结论:
- 该研究强调了在SA/SH之前增加医疗保健接触的关键时期,为干预提供了潜在的窗口.
- 识别医疗保健利用和相关诊断的特定模式可以改善及时识别SA/SH风险的个体.
- 调查结果强调了综合医疗保健方法预防自杀的重要性,利用常规的健康联系来早期发现和支持.
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