在无意伤害和攻击后的心理健康诊断和成本
Christopher Dunphy1, Cora Peterson1, Marwa Rawy1
1National Center for Injury Control and Prevention, Centers for Disease Control and Prevention (all).
American journal of preventive medicine
|February 16, 2026
概括
伤害和攻击显著增加患精神疾病的风险,增加医疗保健成本. 这凸显了将心理健康支持纳入伤害和暴力护理的必要性.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 卫生经济学 卫生经济学
背景情况:
- 不故意的伤害和攻击导致每年有数以百万计的急诊室 (ED) 访问.
- 这些事件可能导致严重的,长期的身体和心理后果.
- 这项研究调查了伤害与随后的心理健康结果和支出之间的联系.
研究的目的:
- 确定非故意的伤害和攻击是否会增加心理健康障碍的发生率.
- 评估这些伤害对精神卫生保健支出的影响.
- 量化伤害类型与心理健康诊断和治疗成本之间的关联.
主要方法:
- 分析2022年美国市场Scan对1910万雇主赞助保险注册者的数据进行分析.
- 匹配的队列研究比较了因对照对象的意外 (n=105,389) 或攻击 (n=1,986) 伤害而访问ED的个人.
- 评估新的心理健康诊断,精神药物处方和医疗支出 (可归因于伤害和特定于心理健康) 在ED访问后的12个月.
主要成果:
- 被ED治疗的无意伤害的个体患上新精神健康诊断的可能性增加了34%;袭击伤害增加了98%.
- 新的精神药物处方增加了50%的无意伤害和71%的攻击.
- 平均过度的心理健康支出为302美元的无意伤害和711美元的袭击在伤害后的一年.
结论:
- 不故意的伤害和攻击显著增加了对心理健康障碍的脆弱性.
- 这些事件导致精神卫生保健支出显著增加.
- 有效地获得心理健康服务至关重要,心理健康成本应该被认为是受伤和暴力造成的经济负担的一部分.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
1.3K
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
1.3K
Stress and Mental Health
974
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
974
Introduction to Psychological Disorders
1.4K
Abnormal behavior, often referred to as mental illness, results from changes in brain function that influence thought patterns, behaviors, and social interactions. Psychologists and psychiatrists typically assess abnormal behavior using three primary criteria: deviance, maladaptation, and personal distress, particularly when these traits persist over long periods.
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
1.4K
Post-traumatic Stress Disorder
603
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
603
Self-Presentation: Self-Monitoring and Self-Handicapping
44.8K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
44.8K
Dissociative Disorders
655
Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
655


