青春期前因自杀想法和行为住院的流行病学
Laura M Prichett1,2, Yu Bin Na2,3, Susan De Luca4,5
1Department of Pediatrics, Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland.
Hospital pediatrics
|December 2, 2025
概括
青春期前青少年的自杀想法和行为 (STB) 正在增加,女孩的急诊室访问率更高. 迫切需要在医院之外提供易于获得的,文化敏感的护理至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 儿童精神病学 儿童精神病学
背景情况:
- 自杀的想法和行为 (STBs) 在美国青春期前的青少年中正在增加.
- 存在显著的种族,民族和性别差异,但在这个年龄组中,非致命的性传播疾病未得到充分研究.
研究的目的:
- 分析与性病相关的急诊室 (ED) 在青春期前 (6-12岁) 遇到的趋势和特征.
- 确定与该人口中的性病相关的人口和临床因素.
主要方法:
- 美国医院数据的回顾性分析 (2020-2022) 来自医疗保健成本和利用项目.
- 使用国际疾病分类,第十次修订代码对性传播疾病的分类.
- 按人口分组计算国家和区域的比率.
主要成果:
- 自杀念头是遭遇最常见的原因 (78.9%).
- 与男孩相比,女孩在性病 (2.10倍) 和处方药过量 (9.14倍) 的ED遭遇率更高.
- 所有群体都显示出增长趋势,少数群体女孩的增长最为显著.
结论:
- 迫切需要一个护理安全网,为儿童自杀念头和行为提供医院治疗的替代方案.
- 要有效应对这一公共卫生危机,文化敏感的服务是必不可少的.
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