服务利用和青年自杀中的未满足需求：轨迹研究。
Service use and unmet needs in youth suicide: a study of trajectories.
机构信息
Child and Adolescent Psychiatrist and Associate Professor, Department of Psychiatry, McGill University, Montreal, Quebec; Medical Chief-Youth Section Outpatient Clinic of Depressive and Suicidal Disorders, Douglas Mental Health University Institute, Montreal, Quebec; Standard Life Senior Fellow, Standard Life Centre for Breakthroughs in Teen Depression and Suicide Prevention, Douglas Mental Health University Institute, McGill University, Montreal, Quebec; Researcher, McGill Group for Suicide Studies, McGill University, Montreal, Quebec.
Psychologist, Université du Québec en Outaouais, Gatineau, Quebec; Professor, Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Gatineau, Quebec; Researcher, McGill Group for Suicide Studies, Douglas Mental Health University Institute, McGill University, Montreal, Quebec.
出版信息
Can J Psychiatry. 2014 Oct;59(10):523-30. doi: 10.1177/070674371405901005.
OBJECTIVE
While 90% of suicide victims have suffered from mental health disorders, less than one-half are in contact with a mental health professional in the year preceding their death. Service use in the last year of life of young suicide victims and control subjects was studied in Quebec. We wanted to determine what kinds of health care services were needed and if they were actually received by suicide victims.
METHOD
We recruited 67 consecutive suicide victims and 56 matched living control subjects (aged 25 years and younger). We evaluated subjects' psychopathological profile and determined which services would have been indicated by conducting a needs assessment. We then compared this with what services were actually received.
RESULTS
Suicide victims were more likely than living control subjects to have a psychiatric diagnosis. They were most in need of services to address substance use disorder, depression, interpersonal distress, and suicide-related problems. There were significant deficits in the domains of coordination and continuity of care, mental health promotion and training, and governance.
CONCLUSIONS
Our results show that we need to urgently take action to address these identified deficits to prevent further loss of life in our young people.
目的
虽然 90%的自杀者患有精神健康障碍，但在他们去世前的一年中，只有不到一半的人接触过心理健康专业人员。本研究在魁北克对年轻自杀者和对照者在生命的最后一年中使用的服务进行了研究。我们想确定需要哪些类型的医疗保健服务，以及自杀者实际上是否接受了这些服务。
方法
我们招募了 67 名连续的自杀者和 56 名匹配的存活对照者（年龄在 25 岁及以下）。我们评估了受试者的精神病理特征，并通过需求评估确定了哪些服务是必要的。然后，我们将这与实际接受的服务进行了比较。
结果
自杀者比存活的对照者更有可能被诊断出患有精神疾病。他们最需要解决物质使用障碍、抑郁、人际困扰和与自杀相关的问题的服务。在协调和医疗保健连续性、精神健康促进和培训以及治理方面存在明显的缺陷。
结论
我们的研究结果表明，我们需要紧急采取行动，解决这些已确定的缺陷，以防止我们的年轻人进一步丧失生命。
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