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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >A Description of Emergency Care Received by Children and Youth with Mental Health Presentations for Alcohol and Other Drug use in two Alberta Emergency Departments
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A Description of Emergency Care Received by Children and Youth with Mental Health Presentations for Alcohol and Other Drug use in two Alberta Emergency Departments

机译：阿尔伯塔省两个急诊科的儿童和青少年接受心理健康介绍的酒精和其他毒品使用情况的急诊说明

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Objective: This paper describes patient and treatment characteristics of pediatric mental health Emergency Department (ED) visits associated with alcohol and other drug (AOD) use. Method: A medical record and administrative database review was conducted. Proportional allocation random stratified sampling identified a representative sample of pediatric (≤18 years) mental health presentations to two tertiary care EDs between April 2004 and March 2006. Descriptive statistics were used to summarize data from 161 patients with associated AOD use. Results: More females (56.5%) and youth aged 15 to 18 years (70.8%) attended the ED for mental health complaints associated with AOD use. Alcohol (48.4%) and over-the-counter or prescription medications (25.5%) were the most commonly used substances. Twenty-four percent of patients had a documented psychiatric history. The most common psychiatric assessments provided were for suicidality (31.1%) and mood (18.0%). Brief counselling was provided in 31.7% of visits. Consultation with psychiatry occurred less than 20% of the time. Most patients were discharged from the ED (65.2%). Sixty-eight percent of patient records did not have documented discharge planning. Conclusions: When youth present to the ED for mental health concerns related to AOD use, mental health assessments and follow-up care are not occurring in all cases and reasons for this oversight need to be explored.
机译：目的：本文描述了与酒精和其他药物（AOD）使用相关的儿科精神卫生急诊（ED）探访的患者和治疗特点。方法：进行病历和行政数据库审查。按比例分配的随机分层抽样确定了2004年4月至2006年3月期间向两个三级急诊室急诊科的儿科（≤18岁）精神健康表现的代表性样本。描述性统计数据用于汇总161例有AOD相关使用的患者的数据。结果：更多的女性（56.5％）和15至18岁的青年（70.8％）参加了急诊室，以应对与使用AOD有关的精神健康投诉。酒精（48.4％）和非处方药或处方药（25.5％）是最常用的物质。 24％的患者有精神病史记录。提供的最常见的精神病学评估为自杀（31.1％）和情绪（18.0％）。在31.7％的访问中提供了简短的咨询。少于20％的时间与精神病学咨询。大多数患者从急诊室出院（65.2％）。 68％的患者记录没有记录的出院计划。结论：当青年因需要使用AOD而出现在急诊室的精神健康问题时，并非在所有情况下都进行精神健康评估和后续护理，因此有必要探讨这种监督的原因。

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