Mitchell Kimberly J, Nolte Kerry, Turner Heather A, Hamby Sherry, Jones Lisa M
Crimes against Children Research Center, University of New Hampshire, Durham, NH, USA.
Department of Nursing, University of New Hampshire, USA.
J Pediatr Nurs. 2018 Jan-Feb;38:127-132. doi: 10.1016/j.pedn.2017.09.006. Epub 2017 Sep 27.
To determine the prevalence of youth exposure to medication or pill overdose by someone close to them, as well as how common this is within the spectrum of major stressful events and child victimization experienced by youth.
Data were collected as part of the Third National Survey of Children's Exposure to Violence, a nationally representative telephone survey of youth, ages 2-17years (N=3738) conducted in 2013. The analytical subset for the current paper is youth ages 10-17years (n=1959).
Estimates indicate that approximately 1 in 12 youth (8%), ages 10-17 have been exposed to medication overdose by someone close to them in their lifetimes. Overdose exposure is related to recent trauma symptoms, alcohol and other substance use. However, these relationships appear to be largely driven by the co-existence of major stressful events these youth are experiencing. Alcohol use is the exception; exposure to medication overdose continues to be related to past year personal alcohol use even after adjusting for other lifetime stressful events.
Having a close family member or friend overdose on a medication is a common experience among U.S. youth and related to high rates of co-occurring stressful events.
Health care providers should be aware that youth exposure to medication overdoses likely indicates exposure to other recognized adversities. Youth with a caregiver who has had an overdose may require an urgent response including referral to crisis intervention through child and family services.
确定青少年接触身边亲近之人药物或药丸过量服用情况的普遍性，以及在青少年经历的重大压力事件和儿童受侵害范围内这种情况的常见程度。
数据收集于2013年开展的第三次全国儿童暴力接触情况调查，这是一项针对2至17岁青少年的具有全国代表性的电话调查（N = 3738）。本文的分析子集为10至17岁的青少年（n = 1959）。
估计表明，在10至17岁的青少年中，约十二分之一（8%）的人在其一生中接触过身边亲近之人的药物过量服用情况。过量服用接触与近期创伤症状、酒精及其他物质使用有关。然而，这些关系似乎很大程度上是由这些青少年正在经历的重大压力事件共同存在所驱动的。酒精使用是个例外；即使在调整了其他一生的压力事件后，药物过量服用接触仍与过去一年的个人酒精使用有关。
在美国青少年中，有亲近的家庭成员或朋友药物过量服用是一种常见经历，且与同时发生的高压力事件发生率相关。
医疗保健提供者应意识到，青少年接触药物过量服用情况可能表明其接触了其他公认的逆境。有照顾者药物过量服用的青少年可能需要紧急应对措施，包括通过儿童和家庭服务机构转介至危机干预。
