无家可归的年轻人面临自杀风险:心理社会风险因素和服务使用模式
Laura J Chavez1, Kelly J Kelleher2, Alicia Bunger3
1Center for Child Health Equity and Outcomes Research, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. laura.chavez@nationwidechildrens.org.
BMC public health
|February 5, 2025
概括
经历无家可归的年轻人具有较高的自杀风险和低的服务使用率. 需要积极推广,在这个弱势群体中进行自杀预防干预.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究研究 心理健康服务研究
- 无家可归问题研究 无家可归问题研究
背景情况:
- 无家可归的年轻人面临着重大的心理健康挑战,自杀是死亡的主要原因.
- 了解服务利用率和风险因素对于在这个人口群体中制定有效的自杀预防策略至关重要.
研究的目的:
- 检查无家可归青年中服务使用和自杀的心理社会风险因素.
- 为参与高风险青年参与自杀预防服务的战略提供信息.
主要方法:
- 在支持性住房随机临床试验中对193名年轻人的横截面分析.
- 自杀风险的分类 (低,中等,高) 基于思想和过去一年的尝试.
- 评估服务使用和心理社会因素,包括精神病并发症,物质使用和睡眠障碍.
主要成果:
- 65.3%的低风险,16.6%的中等风险,18.1%的高自杀风险.
- 精神疾病 (57.5%) 和大麻使用的高患病率.
- 在过去3个月中,医疗 (40%) 和心理健康服务 (34%) 的使用率较低,高风险青年使用率最高 (34%用于心理/情绪健康服务).
结论:
- 对医疗和心理健康服务的参与度较低,需要积极推广无家可归青年预防自杀的措施.
- 有针对性的干预对于解决自杀风险的无家可归青年的独特需求至关重要.
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