评估普遍自杀查中的公平性:查接受度和结果中的种族/民族差异
Richelle L Clifton1, Kate Beemer2, Marybelle Camacho2
1Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
American journal of preventive medicine
|June 18, 2025
概括
青少年自杀查的接受度和结果因种族/种族而异. 白人和拉丁裔青年更有可能接受查,突出了不同人群中识别自杀风险的差异.
科学领域:
- 公共卫生 公共卫生
- 儿科医疗保健 儿科医疗保健
- 心理健康研究 心理健康研究
背景情况:
- 青少年自杀是一个重要的公共卫生问题,需要早期识别策略.
- 在医疗保健机构进行普遍的自杀风险查有助于评估自杀念头,并将年轻人与护理联系起来.
- 种族/种族群体之间自杀率的现有差异需要根据人口统计学来检查查参与率.
研究的目的:
- 调查参与全民自杀风险查是否因种族/种族而不同.
- 确定影响参与自杀风险查协议的人口因素.
主要方法:
- 来自儿童医院系统的电子医疗记录的回顾性分析 (2021年6月至2023年9月).
- 包括10岁及以上的患者,他们接受了普遍的自杀风险查 (问自杀查问题).
- 统计分析以确定查接受度和积极结果的预测因素,控制人口学变量.
主要成果:
- 分析了超过16万次访问,76.95%的查被接受,15.87%的检测结果呈阳性.
- 种族/种族,性别和年龄显著预测了查接受度和结果.
- 白人和拉丁裔年轻人对查的接受率更高,而白人和多种族的年轻人对查的阳性率更高. 亚洲,黑人和太平洋岛屿青年的接受率或积极率较低.
结论:
- 在查接受度和结果中观察到的种族/民族差异强调了青年自杀风险识别中的不平等.
- 进一步的研究至关重要,以了解查参与的障碍,并促进所有年轻人群中公平识别自杀风险.
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