药物自杀未遂后急诊收治患者的暴力行为：一种特定的工作人员教育危机干预措施。
Violent behavior of patients admitted in emergency following drug suicidal attempt: a specific staff educational crisis intervention.
作者信息
Cailhol Lionel, Allen Michael, Moncany Anne-Hélène, Cicotti Andrei, Virgillito Salvatore, Barbe Rémy P, Lazignac Coralie, Damsa Cristian
机构信息
Service d'accueil d'urgence et de liaison psychiatrique, Cantonal University Hospital Geneva, 24 rue Micheli-du-Crest, Universitary Hospital Geneva 24, 1211 Geneva, Switzerland.
出版信息
Gen Hosp Psychiatry. 2007 Jan-Feb;29(1):42-4. doi: 10.1016/j.genhosppsych.2006.10.007.
OBJECTIVE
In spite of much effort to create guidelines on the management of violent behavior (VB) in emergency departments, little is known about the impact of such guidelines on a real-life emergency environment. The aim of this study is to investigate the impact of a staff educational crisis intervention (SECI) on the reduction of VB in patients admitted to emergency departments following drug suicidal attempt.
METHOD
The impact of a SECI on VB of patient consulting the ER following a drug suicide attempt was assessed by comparing the occurrence of VB before (5 months) and after (5 months) the introduction of a SECI.
RESULTS
A significant reduction in VB (from 17.32% to 7.14%) was found with the comparison of two 5-month periods: before (254 patients) and after (224 patients) the introduction of a SECI program (chi(2)=11.238; P=.0008).
CONCLUSION
These preliminary data suggest the need for further prospective randomized studies aiming to prevent VB in emergency departments by developing specific SECI programs.
目的
尽管为制定急诊科暴力行为（VB）管理指南付出了诸多努力，但对于此类指南在现实生活中的急诊环境中的影响却知之甚少。本研究的目的是调查工作人员教育危机干预（SECI）对药物自杀未遂后入住急诊科患者VB减少的影响。
方法
通过比较引入SECI之前（5个月）和之后（5个月）VB的发生情况，评估SECI对药物自杀未遂后到急诊科就诊患者VB的影响。
结果
在两个5个月期间进行比较时发现VB显著减少（从17.32%降至7.14%）：引入SECI计划之前（254例患者）和之后（224例患者）（χ²=11.238；P=0.0008）。
结论
这些初步数据表明，需要进一步开展前瞻性随机研究，旨在通过制定特定的SECI计划来预防急诊科的VB。
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