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利用报告的自杀意念和行为以及非自杀性自伤的潜在类别分析筛查以识别儿科急诊科患者群体

Screening to Identify Groups of Pediatric Emergency Department Patients Using Latent Class Analysis of Reported Suicidal Ideation and Behavior and Non-Suicidal Self-Injury.

作者信息

Herres Joanna, Kodish Tamar, Fein Joel, Diamond Guy

出版信息

Arch Suicide Res. 2018 Jan-Mar;22(1):20-31. doi: 10.1080/13811118.2017.1283264. Epub 2017 Feb 22.

DOI:10.1080/13811118.2017.1283264
PMID:28121237
Abstract

Latent class analysis of medical records data from 3,523 emergency department (ED) patients (ages 14-24; 31% Caucasian; 67% female) distinguished 6 groups with varying histories of suicidal ideation and behavior based on items endorsed on the Behavioral Health Screen, a web based, nurse-initiated screening tool. As expected, the more severe suicidality groups reported higher levels of depressive symptoms, traumatic distress, and substance abuse symptoms. Findings support the validity of the BHS and its utility as a medical decision tool to help ED staff evaluate the severity of patients' suicidality.

摘要

对3523名急诊科(ED)患者(年龄14 - 24岁;31%为白种人;67%为女性)的病历数据进行潜在类别分析,根据基于网络的、由护士发起的筛查工具“行为健康筛查”中认可的项目,区分出了6组有不同自杀意念和行为史的人群。正如预期的那样,自杀倾向越严重的组报告的抑郁症状、创伤困扰和药物滥用症状水平越高。研究结果支持了“行为健康筛查”(BHS)的有效性及其作为医疗决策工具的实用性,以帮助急诊科工作人员评估患者自杀倾向的严重程度。

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