在大型卫生系统中不同种族和种族的人群中预防自杀:对实践的影响
Karen J Coleman1,2, Christine Stewart3, Brian K Ahmedani4,5
1Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena.
Psychiatric services (Washington, D.C.)
|November 6, 2025
概括
在自杀护理中存在种族差异. 白人患者需要更多的查,而AI/AN患者需要更好的干预,以改善自杀预防工作.
科学领域:
- 医疗保健中的差异
- 自杀预防 自杀预防
- 心理健康服务 心理健康服务
背景情况:
- 国家零自杀模式旨在通过综合保健来减少自杀死亡.
- 了解在获取自杀预防服务方面的种族种族差异对于健康公平至关重要.
研究的目的:
- 在"零自杀"模型中,检查不同种族族群中接受自杀查,风险评估和干预的情况.
- 为了确定在不同患者群体中提供这些自杀护理组件的差异.
主要方法:
- 从2019年开始,对门诊精神病学和成医学访问的大量数据集 (N=4,682,918) 的分析.
- 利用电子健康记录数据来定义接受自杀查 (PHQ-9),风险评估 (C-SSRS) 和干预 (致命手段咨询,危机资源,安全规划) 的情况.
主要成果:
- 黑人患者不太可能接受查,而亚洲患者更有可能接受自杀念头查.
- 与白人患者相比,其他种族的患者更有可能接受风险评估.
- 亚洲人和黑人患者接受干预的可能性更高,而美洲印第安人/阿拉斯加土著患者的干预率最低 (65.8%).
结论:
- 需要有针对性的努力来加强基于人口的自杀念头查,特别是在白人患者中.
- 进一步的研究和改进的策略是必要的,以提高美国印第安人/阿拉斯加土著患者的自杀预防干预交付.
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