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老年人的创伤性自我伤害:伦敦主要创伤中心的7年描述性分析

Joseph H S Thompson¹, Dhanupriya Sivapathasuntharam², Elaine Cole³

¹Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Garrod Building, Turner Street, London, E1 2AD, UK.

|July 1, 2025

概括

经历自我伤害的老年人通常是男性,使用暴力方法,并患有精神疾病. 大多数人需要在创伤后入住精神病医院,突出需要专业护理.

科学领域:

老年创伤患者的创伤
公共卫生公共卫生
精神病学紧急情况.

背景情况:

老年人的自杀率正在上升.
在这个人口群体中,对严重的自我伤害及其对主要创伤中心 (MTC) 的影响的理解有限.

研究的目的:

调查老年人因自我伤害而入住重大创伤中心 (MTC) 的人口统计数据,受伤机制和结果.
了解创伤性自我伤害的老年患者的特征和护理途径.

主要方法:

来自英国伦敦单一MTC的创伤登记数据的回顾性服务评估.
分析了2015年2月至2022年期间入院的65岁及以上的60名患者.
收集的数据包括人口统计,病史/精神病史,受伤细节,受伤严重程度得分 (ISS),重症监护入院,入院时间和出院状态.

主要成果:

在65岁以上的人群中,自我伤害占创伤病例的1.5%.
队列中80%是男性,平均年龄为73.
男人主要使用穿透伤害 (77.1%),而女性经常从高处跳下 (50.0%).
精神病史是常见的,特别是在女性 (91.7%).
中位数ISS为8.5,死亡率为13.3%.
大多数患者被送往精神病院 (50-58.3%).

结论:

患有创伤性自我伤害的老年人通常是男性,采用暴力方法,并具有显著的精神伴随性疾病.
这些患者经常需要随后的精神病学入院.
这些发现强调了对老年人的综合创伤和精神病治疗的需要.

关键词:

老年人,年长的人.自己伤害的自我伤害自杀自杀自杀自杀自杀自杀自杀自杀自杀自杀创伤是一个创伤.

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