Ms. Teich, Dr. Mutter, Dr. Lynch, and Dr. Ali are with the Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, Rockville, Maryland. Dr. Gibbons and Ms. Miller are with Truven Health Analytics, an IBM Watson Health Company, Bethesda, Maryland.
Psychiatr Serv. 2018 Sep 1;69(9):1036-1039. doi: 10.1176/appi.ps.201700493. Epub 2018 Jun 20.
This study examined trends in hospitalizations of youths for behavioral health conditions in acute care hospital nonpsychiatric beds, acute care hospital psychiatric and detoxification beds, and specialty psychiatric hospitals.
Using data on hospitalizations for behavioral health conditions in 2009 (N=21,805) and 2014 (N=27,550) from the MarketScan Commercial Claims and Encounters database, this study examined the percentage of youths (ages two to 18) with one or more hospitalizations, by demographic characteristic and bed type, and the behavioral health diagnoses for which patients were hospitalized.
The greatest increase in hospitalizations of youths occurred in acute care hospital psychiatric and detoxification beds. The percentage of hospitalizations for suicidal ideation or self-harm injuries increased by 17.8 (N=526) to 30.0 (N=1,249) percentage points, depending on bed type.
The continued trend of rising hospitalizations of youths is consistent with recent studies showing a doubling of hospitalizations of youths for suicide and self-harm.
本研究调查了急症护理医院非精神科病床、急症护理医院精神科和戒毒病床以及专业精神科医院中，因行为健康问题住院的青少年人数的趋势。
本研究使用 MarketScan 商业索赔和就诊数据库中 2009 年（N=21805）和 2014 年（N=27550）因行为健康问题住院的数据，根据人口统计学特征和床位类型，调查了有一次或多次住院经历的青少年（2 至 18 岁）的百分比，以及患者住院的行为健康诊断。
青少年在急症护理医院精神科和戒毒病床的住院人数增加最多。根据床位类型，自杀意念或自伤伤害住院的百分比从 17.8（N=526）增加到 30.0（N=1249），增加了 17.8 个百分点。
青少年住院人数持续上升的趋势与最近的研究结果一致，这些研究表明，青少年因自杀和自残而住院的人数增加了一倍。
