打破循环:预测儿童和青少年住院精神病学中的激发危机
Ricky Burns1,2, Sean T Lynch3, Paige Staudenmaier3,4
1Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA. ricky.burns@mountsinai.org.
Child psychiatry and human development
|May 16, 2025
概括
这项研究确定了预测儿童精神病医院住院患者应急药物使用的因素. 以前的儿童保护服务参与,暴力史和多种药物增加了可能性,而女性性别降低了它.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 精神病学住院护理 精神病学住院护理
- 临床心理学 临床心理学
背景情况:
- 儿童和青少年精神病医院住院患者的激动症对患者和工作人员构成重大安全风险.
- 紧急药物,特别是肌内 (IM) 注射,有时是必要的,以管理急性激动.
- 了解IM药物使用的预测因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 确定与使用肌内刺激 (IM) 紧急药物相关的生物心理社会因素,在儿童和青少年精神病医院住院患者中.
- 确定增加或减少在住院期间接受IM药物的可能性的预测因素.
主要方法:
- 在2018年6月至2021年11月期间住院的1,101名儿童和青少年精神病患者的回顾性评估.
- 线性回归分析被用来确定IM药物管理的预测因素.
主要成果:
- 在1,101名患者中,196人接受了IM药物治疗.
- 女性性别与IM药物使用的可能性较低有关.
- 增加IM药物使用可能性的因素包括先前的儿童保护服务参与,暴力史,先前的精神病医院住院和多药性 (使用多种家庭精神病药物).
结论:
- 生物心理社会因素显著影响儿童精神病医院住院患者需要紧急IM动荡药物的需要.
- 识别较高风险的患者可以为主动管理策略提供信息,以减少激动和依赖药理干预的依赖.
- 进一步的研究应该集中在完善预测模型和探索激发管理的非药物方法.
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