Ranney Megan L, Locci Natalie, Adams Erica J, Betz Marian, Burmeister David B, Corbin Ted, Dalawari Preeti, Jacoby Jeanne L, Linden Judith, Purtle Jonathan, North Carol, Houry Debra E
Injury Prevention Center, Department of Emergency Medicine, Brown University, Providence, RI; Alpert Medical School, Brown University, Providence, RI.
Acad Emerg Med. 2014 Dec;21(12):1395-402. doi: 10.1111/acem.12524. Epub 2014 Nov 20.
Mental illness is a growing, and largely unaddressed, problem for the population and for emergency department (ED) patients in particular. Extensive literature outlines sex and gender differences in mental illness' epidemiology and risk and protective factors. Few studies, however, examined sex and gender differences in screening, diagnosis, and management of mental illness in the ED setting. Our consensus group used the nominal group technique to outline major gaps in knowledge and research priorities for these areas, including the influence of violence and other risk factors on the course of mental illness for ED patients. Our consensus group urges the pursuit of this research in general and conscious use of a gender lens when conducting, analyzing, and authoring future ED-based investigations of mental illness.
精神疾病对于普通人群,尤其是急诊科患者来说,是一个日益严重且基本未得到解决的问题。大量文献概述了精神疾病流行病学以及风险和保护因素方面的性别差异。然而,很少有研究探讨急诊科环境中精神疾病筛查、诊断和管理方面的性别差异。我们的共识小组采用名义小组技术,概述了这些领域知识和研究重点方面的主要差距,包括暴力和其他风险因素对急诊科患者精神疾病病程的影响。我们的共识小组敦促开展此类研究,并在进行、分析和撰写未来基于急诊科的精神疾病调查时自觉运用性别视角。