老年人自杀未遂时对急诊服务的使用情况。
ED use by older adults attempting suicide.
作者信息
Carter Mary W, Reymann Megan R
机构信息
College of Health Professions, Towson University, Towson, MD.
Applied Gerontology Program, Towson University, Towson, MD.
出版信息
Am J Emerg Med. 2014 Jun;32(6):535-40. doi: 10.1016/j.ajem.2014.02.003. Epub 2014 Feb 10.
OBJECTIVE
The objective of this study was to describe patterns of older adult patient visits to emergency departments (EDs) for self-harm and suicide-related injuries.
METHODS
A retrospective, secondary data analysis of the Nationwide Emergency Department Sample was conducted. Nationally representative estimates of patient visits by older adults attempting suicide were calculated using available sampling weights. Population estimates were calculated using estimates from the US Census Bureau.
RESULTS
Findings suggest that 22,444 ED patient visits were made by adults aged 65 years and older for suicide-related injuries, representing an estimated population rate of 63 ED patient visits per 100000 adults aged 65 years and older, with nearly half of all visits involving substance use. Total ED and hospital charges exceeded $353.9 million.
CONCLUSIONS
Effort is needed to better integrate and deliver suicide screening and support services in the ED, while also connecting at-risk older adults with mental health services before and after the ED encounter.
目的
本研究的目的是描述老年患者因自残和自杀相关伤害前往急诊科就诊的模式。
方法
对全国急诊科样本进行回顾性二次数据分析。使用可用的抽样权重计算了全国范围内老年自杀未遂患者就诊情况的代表性估计值。人口估计数使用美国人口普查局的估计值计算得出。
结果
研究结果表明，65岁及以上成年人因自杀相关伤害前往急诊科就诊的次数为22444次，估计每100000名65岁及以上成年人中，有63人次前往急诊科就诊，其中近一半的就诊涉及药物使用。急诊科和医院的总费用超过3.539亿美元。
结论
需要做出努力，以便在急诊科更好地整合并提供自杀筛查和支持服务，同时在急诊科就诊前后将有风险的老年人与心理健康服务联系起来。
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