为心理健康紧急情况住院的青少年的慢性自杀倾向:回顾性图表审查
Nazeen Morelli1,2, David Matuszewski1, Coral Walker1,3
1The University of Kansas School of Medicine-Wichita, Wichita, Kansas.
Kansas journal of medicine
|October 23, 2025
概括
患有慢性自杀倾向 (CS) 的年轻人面临更多的心理社会压力和心理健康问题. 早期识别这些因素可以帮助预防青少年的自杀企图,并改善心理健康护理的准入.
科学领域:
- 儿科健康 儿科健康
- 心理健康研究 心理健康研究
- 自杀学 自杀学
背景情况:
- 自杀是美国年轻人死亡的重要原因.
- 精神健康障碍在青少年试图自杀中很普遍,占儿科住院病例的10%.
- 年轻人的慢性自杀倾向 (CS) 可能与增加的风险因素和死亡率有关.
研究的目的:
- 为了比较患有慢性自杀倾向 (CS) 的年轻人与没有 (非CS) 的年轻人之间的风险因素,尝试死亡率和心理健康诊断.
- 确定儿童患者慢性自杀倾向的预测因素.
主要方法:
- 从2016年至2021年,回顾自杀相关行为的儿科住院情况.
- 自杀症的定义是因为与自杀相关的行为而有史以来或先前住院治疗.
- 利用哥伦比亚自杀严重性评级尺度 (C-SSRS) 来评估想法,行为,致命性和医疗损害.
主要成果:
- 在375名患者中,253人患有CS,122人患有非CS. 女性更有可能患有CS.
- CS患者经历的同行压力,虐待,法律和工作相关问题显著增加.
- 精神病患者有更多的先前心理健康治疗,并且更常被送往住院心理健康护理.
结论:
- 女性性别和心理社会压力因素与年轻人慢性自杀倾向的风险增加有关.
- 早期识别这些风险因素对于及时干预至关重要.
- 有针对性的干预措施可以帮助预防风险青少年的自杀相关行为.
更多相关视频
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
15.4K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.5K
相关概念视频
Stress and Mental Health
716
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
716
Depressive Disorders: Etiology
437
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
437
Psychological and Sociocultural Causes of Schizophrenia
466
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
466
Long-term Depression
3.1K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
3.1K
Long-term Depression
33.1K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
33.1K
Acute Coronary Syndrome IV: Interprofessional Care
216
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
216
