...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Standardized screening for suicidal adolescents in primary care.
【24h】

Standardized screening for suicidal adolescents in primary care.

机译：初级保健中自杀青少年的标准化筛查。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To determine if brief standardized screening for suicide risk in pediatric primary care practices will increase detection rates of suicidal youth, maintain increased detection and referral rates, and be replicated in other practices. PATIENTS AND METHODS: Physicians in 3 primary care practices received brief training in suicide risk, and 2 standardized questions were inserted into their existing electronic medical chart psychosocial interview. The questions automatically populated for all adolescents aged 12.0 to 17.9 years. Deidentified data were extracted during both intervention trials and for the same dates of the previous year. Referral rates were extracted from social work records. RESULTS: The rates of inquiry about suicide risk increased 219% (clinic A odds ratio [OR]: 2.04 [95% confidence interval (CI): 1.56-2.51]; clinic B OR: 3.20 [95% CI: 2.69-3.71]; clinic C OR: 1.85 [95% CI: 1.38-2.31]). The rate of case detection increased in clinic A (OR: 4.99 [95% CI: 4.20-5.79]), was maintained over 6 months after the intervention began (OR: 4.38 [95% CI: 3.74-5.02]), and was replicated in both clinic B (OR: 5.46 [95% [CI: 3.36-7.56]) and clinic C (OR: 3.42 [95% CI: 2.33-4.52]). The increase in case detection was 392% across all 3 clinics. Referral rates of suicidal youth to outpatient behavioral health care centers increased at a rate equal to that of the detection rates. CONCLUSIONS: Standardized screening for suicide risk in primary care can detect youth with suicidal ideation and prompt a referral to a behavioral health care center before a fatal or serious suicide attempt is made.
机译：目的：确定在儿科基层医疗实践中对自杀风险进行简短的标准化筛查是否可以提高自杀青年的检出率，维持增加的检出率和转诊率，并在其他实践中重复使用。患者和方法：3种初级保健实践中的医师接受了自杀风险的简要培训，并且在他们现有的电子医学图表社会心理访谈中插入了2个标准化问题。该问题自动填充给所有12.0至17.9岁的青少年。在两次干预试验期间以及上一年的相同日期均提取了不确定的数据。从社会工作记录中提取推荐率。结果：自杀风险的查询率增加了219％（诊所A的比值比[OR]：2.04 [95％可信区间（CI）：1.56-2.51];诊所B OR：3.20 [95％CI：2.69-3.71] ;诊所C OR：1.85 [95％CI：1.38-2.31]。诊所A的病例检出率有所提高（OR：4.99 [95％CI：4.20-5.79]），并在干预开始后的6个月内保持不变（OR：4.38 [95％CI：3.74-5.02]），在诊所B（OR：5.46 [95％[CI：3.36-7.56]）和诊所C（OR：3.42 [95％CI：2.33-4.52]）中复制。在所有3家诊所中，病例发现的增加都是392％。自杀青年到门诊行为保健中心的转诊率与检出率相同。结论：对初级保健机构中自杀风险的标准筛查可以发现有自杀意念的年轻人，并在尝试致命或严重自杀之前提示转诊至行为保健中心。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号