在COVID-19大流行期间检查有自杀念头的青少年的替代治疗环境
Jennifer Combs1, Ping-I Lin2, Melissa P DelBello3
1Cincinnati Children's Hospital, Cincinnati, Ohio.
JAACAP open
|September 9, 2025
概括
远程医疗危机干预服务和面对面的门诊诊所与有自杀念头的青少年住院治疗一样安全和有效. 这些替代设置为治疗青少年心理健康问题提供了可行的选择.
科学领域:
- 青少年精神病学 青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 公共卫生 公共卫生
背景情况:
- 自杀是美国青少年死亡的主要原因.
- 需要为青少年自杀念头 (SI) 提供替代治疗环境.
- 当前的护理标准往往涉及住院精神病患者住院治疗.
研究的目的:
- 评估远程医疗危机干预服务 (CIS) 和临床门诊危机干预诊所 (OCIC) 的安全性和有效性.
- 将这些替代设置与SI青少年住院精神病医院的住院精神病医院进行比较.
- 评估患者和家长对自杀念头和治疗满意度的变化.
主要方法:
- 一项长度观察性研究,涉及249名12-18岁自杀倾向的患者.
- 患者被转介到住院治疗,OCIC或远程医疗CIS.
- 包括重复的急救诊所,住院,自杀企图和生活满意度在内的结果被追踪了24周.
主要成果:
- 在三个治疗组中,没有发现自杀企图,第一次尝试的时间,急救诊所访问,住院治疗或生活满意度的统计学上显著差异.
- 治疗满意度结果在治疗臂之间也没有显著差异.
- 该研究包括根据年龄,性别和基线自杀倾向的严重程度进行调整.
结论:
- 面对面的OCIC和远程医疗CIS证明了与中度自杀念头的青少年住院精神病医院住院的安全性和有效性相似.
- 这些发现支持扩大针对青少年心理健康危机的替代性,不那么密集的服务.
- 建议进行进一步的研究,包括随机对照试验,以确认因果关系.
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