变性人和性别多元的年轻人使用精神病急救服务
Luis Martinez Agulleiro1, Mehmet Utku Kucuker1,2, Fei Guo1
1Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine.
Pediatric emergency care
|April 17, 2025
概括
寻求精神病紧急护理的跨性别和性别多样性 (TGD) 青年表现出更高的自杀风险和更多的诊断比 cisgender 同龄人. 这凸显了针对TGD年轻人量身定制的心理健康干预措施的迫切需要.
科学领域:
- 儿科精神病学 儿科精神病学
- 心理健康服务 心理健康服务
- 性别多样性研究研究
背景情况:
- 儿科精神病医疗急诊室 (ED) 服务于急性心理健康需求的年轻人.
- 了解跨性别和性别多样性 (TGD) 青年在这些环境中的特定需求至关重要.
- 现有的关于精神病ED的TGD年轻人的数据有限.
研究的目的:
- 确定TGD年轻人呈现给儿科精神科ED的比例.
- 为了比较TGD年轻人与cisgender年轻人的人口和临床特征.
- 为了确定TGD和cisgender年轻人之间精神病诊断和结果的差异.
主要方法:
- 对2728名青少年 (5-17岁) 的电子健康记录进行分析,这些青少年在专门的儿科精神科ED.
- 包括社会人口统计数据,性别认同,自杀风险和出院诊断.
- 使用千二测试,t测试,曼-惠特尼U测试和调整后的波桑回归进行统计比较.
主要成果:
- 在所有寻求紧急精神病治疗的青少年中,TGD青年占6%.
- 与 cisgender 年轻人相比,TGD 年轻人的自杀风险更高.
- TGD年轻人经历了更长的住院时间,并接受了更多的精神病诊断,包括自杀想法和行为 (PR:1.50,95%CI:1.16,1.90).
结论:
- 在精神科EDS中,TGD年轻人呈现出更严重的临床状况.
- 这些发现强调了对TGD年轻人的心理健康进行专业干预的需要.
- 进一步的研究对于开发和实施针对这一群体的有针对性的支持至关重要.
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