在东澳大利亚地区绘制青少年自杀和非自杀自伤行为地图
Ryan Baldwin1,2,3, Glenn Melvin4, Michael McGrath5,6,7
1Eastern Health Clinical School, Monash University, Box Hill, VIC, Australia. ryan.baldwin@monash.edu.
Journal of community health
|November 19, 2025
概括
在澳大利亚,青少年自杀和非自杀自伤行为 (NSSI) 的救护车出勤率正在上升. 区域和较低社会经济水平的地区受到了不成比例的影响,这凸显了需要获得心理健康支持的需要.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 地理流行病学地理流行病学
背景情况:
- 青少年自杀和非自杀自伤行为 (NSSI) 在过去二十年中在澳大利亚呈现出令人担忧的增长.
- 现有的研究往往侧重于成年人,自杀或COVID-19前的数据,缺乏对青少年自我伤害的当前地理洞察力.
- 青少年因自杀和NSSI行为出现在救护车上的地理分布需要更新地图.
研究的目的:
- 绘制和描述地理区域的青少年自杀和NSSI行为体验救护车出席的地理区域.
- 分析新南威尔士州,维多利亚州和塔斯马尼亚州地方政府区域 (LGA) 最近 (2021-2023) 的救护车出勤数据.
- 确定这些关键心理健康服务需求的地理分布的差异.
主要方法:
- 利用了青少年 (12-17岁) 国家救护车监测系统的数据.
- 从2021年到2023年分析了三年平均和人均救护车出勤率.
- 在不同的LGA中比较利率,考虑社会经济地位 (SES) 和城市/区域分类等因素.
主要成果:
- 在新南威尔士州,维多利亚州和塔斯马尼亚州观察到青少年自杀和NSSI行为救护车出勤率的显著变化.
- 在区域和较低社会经济地位的LGA中发现了更高的比例,与主要城市和高SES地区形成鲜明对比.
- 近90%的出勤需要医院运输,超过50%的出勤发生在标准服务时间之外.
结论:
- 青少年自杀和NSSI需要救护车出勤的行为不成比例地影响了澳大利亚东部的区域和较低的SES地区.
- 迫切需要可访问的,工作时间后的心理健康服务,以应对日益增长的需求,并减少对紧急护理的依赖.
- 有针对性的,以数据为基础的干预措施对于改善青少年心理健康结果和缓解当前危机至关重要.
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