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城市急诊科受伤患者暴力史的相关因素:性别、物质使用与抑郁。

Correlates of violence history among injured patients in an urban emergency department: gender, substance use, and depression.

作者信息

Walton Maureen A, Cunningham R M, Chermack S T, Maio R, Blow F C, Weber J

机构信息

Department of Psychiatry and Addiction Research Center, University of Michigan, Ann Arbor, MI 48108, USA.

出版信息

J Addict Dis. 2007;26(3):61-75. doi: 10.1300/J069v26n03_07.

Abstract

This study surveyed consecutive injured patients (n = 320) in an urban emergency department (ED) regarding past year violence, substance use, and depression. Victimization and aggression variables (none = N, partner only = P, non-partner only = NP, and generalized/both partner and non-partner = G) were compared on gender, depression, and substance use/consequences. Findings were similar for victimization and aggression variables. Depression was significantly related to violence for women but not for men; women in the P group reported the most depression. Substance variables were significantly related to violence by gender groups. Men in NP and G groups reported the most binge drinking; men in the G group reported the most consequences and drug use. Women in P and G groups reported the most binge drinking and consequences; women in the P group reported the most drug use. Screening urban ED patients for violence is warranted, with interventions addressing both partner and non-partner violence.

摘要

本研究对一家城市急诊科连续收治的320名受伤患者进行了调查,内容涉及过去一年的暴力情况、物质使用情况和抑郁情况。对受害和攻击变量(无 = N、仅伴侣 = P、仅非伴侣 = NP、普遍/伴侣和非伴侣均有 = G)在性别、抑郁以及物质使用/后果方面进行了比较。受害和攻击变量的研究结果相似。抑郁与女性的暴力行为显著相关,但与男性无关;P组中的女性报告的抑郁情况最为严重。物质变量与不同性别组的暴力行为显著相关。NP组和G组中的男性报告的暴饮情况最为严重;G组中的男性报告的后果和药物使用情况最为严重。P组和G组中的女性报告的暴饮和后果情况最为严重;P组中的女性报告的药物使用情况最为严重。对城市急诊科患者进行暴力筛查是有必要的,干预措施应同时针对伴侣暴力和非伴侣暴力。

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