在小学年龄的儿科患者中,自杀念头的相关性
Nora Satybaldiyeva1,2, Karen Ferran2, Fareed Saleh3,4
1Herbert Wertheim School of Public Health, University of California San Diego, La Jolla.
Pediatric emergency care
|April 30, 2025
概括
在寻求紧急护理的幼儿中,自杀念头很常见. 抑郁症,家庭精神病史,欺凌,虐待和年龄较大等因素与这个年龄组的自杀想法有关.
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
- 公共卫生 公共卫生
背景情况:
- 自杀是10-14岁儿童死亡的主要原因,但对年轻儿童的因素尚未得到充分研究.
- 紧急诊所 (ED) 是儿童行为健康问题的关键接入点.
研究的目的:
- 为了调查与自杀念头相关的特征与其他行为健康问题在小学年龄的儿童 (5-11岁) 呈现给ED.
- 确定需要紧急医疗护理的幼儿自杀念头的危险因素.
主要方法:
- 对393名5至11岁儿童进行了回顾性分析,这些儿童在一年内因行为健康问题向儿科ED提出申请.
- 从电子医疗记录中抽取数据,包括人口统计,医疗和行为健康史.
- 多变量逻辑回归用于识别患者特征与自杀念头之间的关联.
主要成果:
- 超过一半 (56.7%) 的儿童出现在ED的行为健康问题被认为是自杀的想法.
- 有自杀念头的孩子更有可能患有抑郁症 (aOR=2.88),有精神疾病家族史 (aOR=2.03),经历过欺凌 (aOR=2.82),并成为虐待的受害者 (aOR=2.01).
- 在5-11岁的年龄也与自杀念头有关 (aOR=1.33).
结论:
- 自杀念头是小学年龄儿童急诊的常见原因之一.
- 诸如抑郁症,家庭精神病史,欺凌,虐待和年龄等因素是这种年轻人群中自杀念头的重要相关因子.
- 在多样化的环境中进行进一步的研究和积极的心理健康干预措施对于在ED出现之前解决儿科行为健康需求至关重要.
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