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首页> 外文期刊>Psychiatric services: a journal of the American Psychiatric Association >Connections to outpatient mental health care of youths with repeat emergency department visits for psychiatric crises
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Connections to outpatient mental health care of youths with repeat emergency department visits for psychiatric crises

机译：急诊科多次因精神病危机就诊的青少年与门诊心理健康的联系

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Objective: This study examined connections to outpatient mental health care before and between an initial and subsequent pediatric psychiatric emergency department visit. Methods: Data for an eight-year period were obtained from the Pediatric Psychiatry Emergency Evaluation Form (PPEEF), which is completed by a child psychiatrist. A total of 338 youths were identified who returned to the emergency department of an urban general hospital within six months of an index visit. Logistic regression models were used to examine the association between having a connection to outpatient mental health care and repeated use of the emergency department. Results: Behavior problems were the presenting complaint for more than 50% of youths at both the index and second visits. Sixty-five percent of youths reported a connection to an outpatient mental health provider at both visits; 9% did not identify a provider at either visit. Eight percent of the youths who reported a connection to community care at their first visit reported no such connection at their second visit. At the second visit, the likelihood of reporting a connection with outpatient care was nearly five times higher among youths who reported such a connection at the index visit. Conclusions: Continued use of the emergency department despite a connection with outpatient mental health care raises questions about the views of families and providers about the need for emergency services. More research is needed to better understand patterns of care seeking in order to fully inform policy and program development.
机译：目的：本研究检查了在儿科精神科急诊就诊初次和随后就诊之前和之后与门诊精神卫生服务的联系。方法：八年期间的数据来自儿童精神病学家填写的《儿童精神病学紧急评估表》（PPEEF）。总共确定了338名年轻人，他们在一次索引访问后的六个月内返回了城市综合医院的急诊科。使用逻辑回归模型检查与门诊精神卫生服务的联系与急诊科的重复使用之间的关联。结果：在索引访问和第二次访问中，行为问题是超过50％的年轻人的主诉。两次访问中，有65％的年轻人报告与门诊精神卫生服务提供者有联系; 9％的受访者在两次访问中均未找到提供者。在第一次访问时报告与社区护理有关的年轻人中，有8％的年轻人在第二次访问时未报告与这种情况有关。在第二次访视中，报告与门诊护理有关的可能性是在指数访视中报告有这种关系的年轻人的近五倍。结论：尽管与门诊精神卫生服务有联系，仍继续使用急诊科，这引起了有关家庭和提供者对急诊服务需求的看法的疑问。需要更多的研究来更好地理解就医模式，以便为政策和计划制定提供充分的信息。

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