寻求治疗自杀思想和行为:COVID如何影响我们的儿科患者
Allison DeLetter1, Lindsay Stafford2, Adon F G Rosen1,3
1The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
JAACAP open
|December 10, 2025
概括
由于COVID-19大流行和社会隔离,青少年因自杀念头和自我伤害而访问急诊室的次数大幅增加. 这些高增长率持续了两年,突出了关键的心理健康准入和资源需求.
科学领域:
- 儿科心理健康 儿科心理健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 青少年自杀是一个重大的公共卫生问题.
- COVID-19大流行和社会隔离对儿科精神健康和自杀倾向的影响仍未得到充分研究.
研究的目的:
- 分析急诊室和医院住院的趋势,以分析儿科患者自杀念头和自我伤害的趋势.
- 评估COVID-19大流行对这些呈现率的影响.
主要方法:
- 从2012年1月到2022年7月,对4至17岁患者的回顾性图表审查.
- 利用变化点和自动回归移动平均线 (ARMA) 模型来分析演示数字.
- 与流行病前基线趋势相比,流行病期间的呈现率.
主要成果:
- 在整个研究期间,观察到自杀念头和自我伤害表现的持续增加.
- 两种分析模型都表明,在2020年4月左右,患者表现显著增加.
- 与大流行前预测相比,ARMA建模估计大流行期间平均每周增加1.67例患者病例.
结论:
- 在COVID-19大流行期间,自杀念头和故意自我伤害的患者表现明显高于基于历史模式的预期.
- 疫情宣布后的两年内,呈现率仍然很高.
- 调查结果强调了对青少年心理健康准入和资源分配的关键影响.
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