儿童自杀未遂非披露:对不一致的查结果的分析
Anna Maria Ros1,2, Rachel Ballard3,4, Amanda Burnside3,4
1Northwestern Feinberg School of Medicine, Chicago, IL, USA. annaros@luriechildrens.org.
概括
儿科患者有时会否认过去的自杀企图,当使用问自杀查问题 (ASQ) 进行重新查时. 这种不披露在医疗访问期间更为常见,并可能导致错过的自杀风险评估.
科学领域:
- 儿科心理健康 儿科心理健康
- 临床心理学 临床心理学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 问自杀查问题 (ASQ) 是评估儿科自杀风险的验证工具.
- ASQ包括一个关于历史自杀企图的问题.
- 人们对青少年如何对重复的ASQ管理做出反应知之甚少.
研究的目的:
- 调查儿科患者对ASQ重复管理的反应,特别是关于历史的自杀企图.
- 确定与未披露此前披露的自杀企图相关的因素.
- 为了确定这种非披露的临床影响.
主要方法:
- 来自城市学术儿童医院的电子病历数据的回顾性分析 (2019年12月 - 2023年11月).
- 识别年轻人谁披露了自杀企图,但在随后的访问中否认它.
- 多变量回归和手动图表审查以确定与非披露相关的人口和临床变量.
主要成果:
- 在1861次与公开的历史性自杀企图相遇中,有503次进行了重新选.
- 在127个独特的患者中发现了140个不披露的情况.
- 不披露发生在医生提出投诉的遭遇中更频繁,并且与最近自杀念头问题的负面反应有关.
结论:
- 在重复ASQ给药后,否认历史性自杀企图在儿科患者中并不罕见.
- 不披露可能导致错过自杀风险评估,特别是在医疗环境中.
- 需要进一步的研究来了解保密的原因及其对患者护理的影响.
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