社会人口学对住院青少年自杀风险查和管理的影响
Alexandra L Johnson1, Kelsey Porada2, Sarah H Vepraskas2
1Medical College of Wisconsin, Milwaukee, Wisconsin.
Hospital pediatrics
|March 18, 2025
概括
医院的自杀风险查发现了年轻人之间的差异,黑人或非洲裔美国患者和女孩的比例更高. 阳性查在西班牙裔/拉丁裔/拉丁裔患者和女孩中更为常见,影响出院和再接收.
科学领域:
- 公共卫生 公共卫生
- 儿科医疗保健 儿科医疗保健
- 心理健康服务研究 心理健康服务研究
背景情况:
- 了解与青年自杀风险相关的社会人口因素对于有效的预防和干预策略至关重要.
- 基于医院的自杀风险查是识别危险年轻人在急性护理接触期间的关键工具.
研究的目的:
- 检查基于医院的自杀风险查和青少年患者的社会人口统计特征之间的关系.
- 分析具有阳性自杀风险查的年轻人中出院处置和医院重复使用率.
主要方法:
- 从2021年5月到2022年5月,对5,261名儿科医院接触者 (10-17岁) 的回顾性研究.
- 通过基平方测试和后勤回归来比较种族/族群,性别,年龄和社会经济地位的查率和结果.
主要成果:
- 黑人或非洲裔美国患者,女孩和年长的青少年 (13-17岁) 的查率更高.
- 在西班牙裔/拉丁裔/拉丁裔患者和女孩中,积极的自杀风险结果最常见.
- 黑人或非裔美国患者更频繁地被送回家;那些被送回家,检查结果呈阳性的人与那些被转移到住院精神病学 (2,4%) 相比,他们有更高的7天ED复诊率 (6.1%).
结论:
- 自杀风险查发生率和基于种族/种族,性别和年龄的积极结果存在显著差异.
- 退院处置和医院重复使用模式在黑人或非裔美国青年和在阳性查后退院回家的年轻人之间有所不同.
- 该研究强调,需要将健康的社会决定因素纳入住院青年的护理,以解决发现的不平等问题.
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