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查和风险算法用于检测儿童自杀风险在急诊室

Robert H Aseltine^1,2, Shane J Sacco^2,3, Steven Rogers^2,4,5

¹Division of Behavioral Sciences and Community Health, UConn Health, Farmington, Connecticut.

JAMA network open

|September 24, 2025

概括

一个新的风险算法在识别儿科急诊室患者中自杀企图时,超过了标准查方法. 这个工具可以帮助医疗机构实现预防自杀的患者安全目标.

科学领域:

儿科急诊医学儿科急诊医学
心理健康研究心理健康研究
临床风险评估临床风险评估

背景情况:

医院必须根据联合委员会国家患者安全目标15.01.01.1确定有风险的患者.
使用自杀风险算法和面对面查,但对儿童的比较数据有限.

研究的目的:

为了比较自杀风险查工具和风险算法在儿童急诊室患者中识别自杀企图的性能.

主要方法:

在美国东北部的一个急诊室,对19,653名10-18岁的年轻人进行了回顾性队列研究.
使用了问自杀查问题和哥伦比亚简报自杀严重程度评分表进行查.
开发并验证了使用电子健康记录的风险算法,并对自杀企图进行了跟踪.

主要成果:

风险算法识别了50.7%的自杀企图,而查的36.5%.
该算法独特地发现,自杀未遂的年轻人比查多127%.
在接受查的患者中,8.1%的自杀风险测试呈阳性.

结论:

与标准查相比,风险算法在所有指标上都表现出卓越的表现.
该算法可以显著帮助医疗机构实现预防自杀的安全目标.
这项研究强调了先进算法在儿童自杀风险评估中的潜力.

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