药物使用和心理健康障碍在儿童枪支创伤中
Nicholas J Iglesias1, Ana M Reyes1, Nora Siegler2
1Dewitt Daughtry Department of Surgery, University of Miami.
Journal of pediatric surgery
|January 31, 2026
概括
儿童枪支伤害增加了精神健康障碍 (MHD) 和物质使用障碍 (SUD) 的风险. 住院期间的并发症,女性性行为和自我伤害预测了这些结果,表明需要早期干预.
科学领域:
- 儿科创伤儿童创伤
- 公共卫生 公共卫生
- 心理健康流行病学 心理健康流行病学
背景情况:
- 枪支伤害是美国儿科发病率和心理痛苦的重要原因之一.
- 识别心理健康障碍 (MHD) 和物质使用障碍 (SUD) 的预测因子,对于这一群体来说至关重要.
研究的目的:
- 在枪支伤害后的儿童和青少年中,确定发展新的心理健康障碍 (MHD) 和物质使用障碍 (SUD) 的临床预测因素.
- 分析医疗/手术并发症与MHD/SUD发展之间的关联.
主要方法:
- 国家再接收数据库 (2016-2022) 的回顾性队列分析.
- 包括因枪支伤害而入院的18岁以下的患者.
- 多变量回归分析以确定重新入院期间新的MHD/SUD的预测因素,控制基线条件.
主要成果:
- 总共分析了35,733例入院病例;6.4%的死亡率.
- 新的MHD/SUD发生在2.2%的患者身上.
- 新的MHD/SUD风险增加与女性性别,自我伤害,手术程序和医疗/手术并发症有关.
结论:
- 在儿童枪支伤害后,精神健康障碍和物质使用障碍很常见.
- 在枪支伤害后经历复杂的医院疗程的儿科患者需要早期心理健康查和干预.
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