儿童急诊室自我伤害和自杀倾向的干预措施:一个元综述
Marcela Radunz1, Catherine Johnson2, Bridianne O'Dea2
1Flinders University Institute for Mental Health and Wellbeing, Adelaide, Australia. marcela.radunz@flinders.edu.au.
儿科急诊室 (ED) 看到自伤和自杀倾向的增加. 目前的干预措施由于试验挑战和缺乏青年/家庭投入,其有效性有限. 未来的研究必须优先考虑共同设计,以获得更好的结果.
科学领域:
- 儿科急救医学 儿科急救医学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生 公共卫生
背景情况:
- 儿童急诊室 (ED) 对自伤和自杀倾向的访问在全球范围内增加.
- 目前对干预措施的系统审查受到小样本规模和高异质性的限制.
- 紧急救护人员是面临自杀念头的年轻人的关键联系点.
研究的目的:
- 为临床实践和未来研究提供建议.
- 提高儿童ED中自我伤害和自杀相关行为干预措施的质量.
- 解决当前研究和临床方法的局限性.
主要方法:
- 一个对五项系统性审查的元综述,综合了14项基于ED的干预措施的个人研究.
- 包括到2022年5月发表的研究.
- 综合了主要主题和结论.
主要成果:
- 缺乏信息性试验,干预效率低,以及共同的干预元素被确定.
- 之前的试验受到小样本规模,缺乏全球相关性和利益相关方观点不足的限制.
- 共同元素包括ED后的随访,家庭参与和心理教育与安全规划.
结论:
- 改善干预措施的有限进展归因于开展严格的儿科ED试验的挑战.
- 研究历来忽视了年轻人和他们的家庭的关键观点.
- 未来的研究必须优先考虑与青年,家长和利益相关者共同设计,以获得有效的干预措施. 数字工具可以补充面对面的护理.
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