与儿童急诊室持续积极的自杀屏幕相关的因素
Michael K Esson1, Sara Kohlbeck2,3, Alexis Ballew1
1Department of Pediatrics.
Pediatric emergency care
|July 15, 2025
概括
在重复的急诊期间,青少年持续进行积极的自杀风险查表明干预措施不足. 诸如女性性别和先前的心理健康访问等因素与持续的风险有关,需要改善护理连续性和有针对性的策略.
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10-24岁年轻人死亡的主要原因.
- 问自杀选问题 (ASQ) 工具识别了急诊室 (ED) 的自杀风险.
- 有限的研究存在于与持续的积极的ASQ屏幕在重复ED访问期间相关的因素.
研究的目的:
- 确定与儿童患者持续呈阳性ASQ查相关的社会人口统计学和访问相关因素.
- 了解青少年正在进行的自杀风险识别的预测因素.
- 在ED环境中为针对性自杀预防策略提供信息.
主要方法:
- 在索引访问和随后的ED访问 (>30天后) 时呈阳性ASQ的儿科患者 (11-18岁) 的回顾性图表审查.
- 纳入标准:在索引访问和至少一个随后的ED访问时具有积极的ASQ.
- 使用双变量分析和多变量逻辑回归来确定相关因素.
主要成果:
- 31%的遭遇显示持续的积极的ASQ反应.
- 女性持久阳性率更高 (OR = 2.84).
- 转移到另一个设施 (OR = 7.70) 和之前的心理健康跟踪访问 (OR = 2.30) 与持续的积极性有关.
结论:
- 持续的积极的ASQ查表明目前的干预措施可能不足.
- 改善护理连续性和减少系统性障碍至关重要.
- 针对高风险青年的有针对性的策略是有必要的,以加强预防自杀的努力.
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