儿童福利系统中的青少年故意自我伤害
Mica Goulbourne1, Farah W Brink1,2, Xueting Xia1
1Nationwide Children's Hospital, Columbus, Ohio.
JAACAP open
|September 9, 2025
概括
在儿童福利的年轻人处于自我伤害的高风险. 青少年,女孩,以及那些先前有自我伤害或精神健康障碍的人在儿童保护服务调查后面临最大的风险.
科学领域:
- 儿童福利研究 儿童福利研究
- 心理健康研究 心理健康研究
- 公共卫生 公共卫生
背景情况:
- 在儿童福利系统中的年轻人面临自我伤害和自杀企图的高风险.
- 在初步儿童保护服务 (CPS) 调查后,了解与故意自我伤害 (DSH) 相关的因素对于干预至关重要.
研究的目的:
- 为了检查与故意自伤 (DSH) 相关的人口和临床因素在他们的第一个儿童保护服务 (CPS) 调查后,年轻人.
主要方法:
- 对俄俄州医疗补助申请和儿童福利数据 (2010-2020年) 的回顾性纵向队列分析.
- 包括年龄在5-17岁的青少年,他们第一次进行CPS调查 (N = 104,700).
- 考克斯的比例危险分析在CPS调查后一年内评估了DSH的风险因素.
主要成果:
- 青少年 (13-17岁) 与较小的儿童相比,患DSH的风险明显更高.
- 对于女孩,年轻人以前患有DSH,ADHD,焦虑,抑郁,物质使用障碍和思维障碍,观察到DSH的风险增加.
- 对DSH的最高风险发生在CPS调查后的15天内.
结论:
- 之前的DSH,心理健康障碍,女性性别和年龄较大是DSH后CPS调查的重要风险因素.
- 在CPS调查后的前两周,青少年特别容易受到伤害.
- 识别这些风险因素和高风险时期可以指导早期干预,以减少该群体的DSH.
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