青少年自我伤害和自杀企图:对新加坡急诊室演讲的分析
Darren Kai Siang Chong1, Vicknesan Jeyan Marimuttu2, Pei Shan Hoe3
1Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Annals of the Academy of Medicine, Singapore
|March 12, 2025
概括
新加坡急诊室的青少年自我伤害正在上升,主要影响女性. 大多数病例源于情绪困难,而不是严重的精神疾病,为目标干预提供了信息.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 精神病学是一个精神病学.
背景情况:
- 青少年自杀率上升和心理健康问题对新加坡的未来构成重大威胁.
- 了解自我伤害的青少年的风险概况和医疗保健使用情况至关重要.
研究的目的:
- 检查新加坡青少年因自杀或自我伤害行为向急诊室 (ED) 提出的风险概况.
- 分析这些青少年的医疗保健利用模式.
主要方法:
- 对10-19岁患者的病历进行回顾性审查.
- 数据收集于2021年1月至12月的KK妇女和儿童医院ED.数据.
- 分析人口统计,自我伤害方法,心理健康挑战和事先获得医疗保健.
主要成果:
- 确诊了221名患者,85.5%是女性,平均年龄为14.2岁.
- 蓄意过量服用药物是最常见的方法 (52.0%),而女性中偏偏使用过量服用片剂.
- 与压力相关的问题和情绪/焦虑症状是常见的;之前的医疗保健机会有所不同.
- 心理社会风险因素包括自我伤害和自杀行为史.
结论:
- 大多数青少年自我伤害案例涉及心理社会和情绪调节困难,一些性别特异性模式.
- 调查结果可以为新加坡的国家心理健康和福祉战略提供有针对性的干预措施.
- 干预措施应集中在学校和社区环境中,以实现跨诊断方法.
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