Royal Darwin Hospital, Darwin, NT, Australia.
Global and Tropical Health Division, Menzies School of Health Research, Darwin, NT, Australia.
Med J Aust. 2013 Dec 16;199(11):776-8. doi: 10.5694/mja13.10447.
To describe the number and nature of emergency department (ED) attendances by immigration detainees in Darwin, in the Northern Territory, over a 12-month period.
Retrospective observational study of immigration detainees attending the Royal Darwin Hospital ED during the 2011 calendar year.
Number of ED attendances and primary diagnoses.
In 2011, there were 770 ED attendances by 518 individual detainees at Royal Darwin Hospital. Those who attended the ED had a mean (SD) age of 27.6 (12.2) years, and 112 of them (21.6%) were children. Most (413, 79.7%) were male, and Iran and Afghanistan were the two most common countries of birth. We estimate that 50.1% (95% CI, 47.0%-53.2%) of immigration detainees in Darwin (mean, 776 per month; total, 1034), attended the Royal Darwin Hospital ED at least once in 2011. The most common primary diagnosis was psychiatric problems (187 attendances, 24.3%), including self-harm (138 attendances, 17.9%).
In 2011, asylum seekers in immigration detention in Darwin had a high prevalence of unmet health needs and substantial levels of psychiatric morbidity. The primary health care provided to them was inadequate.
描述在北领地达尔文市，移民被拘留者在 12 个月内到急诊部（ED）就诊的人数和性质。
对 2011 年日历年内在皇家达尔文医院 ED 就诊的移民被拘留者进行回顾性观察研究。
ED 就诊次数和主要诊断。
2011 年，有 518 名被拘留者在皇家达尔文医院共就诊 770 次。这些到 ED 就诊的人平均（SD）年龄为 27.6（12.2）岁，其中 112 人（21.6%）为儿童。大多数（413 人，79.7%）为男性，伊朗和阿富汗是最常见的两个出生国。我们估计，2011 年达尔文市（平均值，776 人/月；总计 1034 人）的移民被拘留者中，有 50.1%（95%CI，47.0%-53.2%）至少有一次到皇家达尔文医院 ED 就诊。最常见的主要诊断是精神问题（187 次就诊，24.3%），包括自残（138 次就诊，17.9%）。
2011 年，达尔文市移民拘留所中的寻求庇护者有很高的未满足健康需求和大量的精神疾病发病率。为他们提供的初级保健不足。
