急诊科对青少年进行自杀风险筛查的重要性。
The Importance of Screening Preteens for Suicide Risk in the Emergency Department.
作者信息
Lanzillo Elizabeth C, Horowitz Lisa M, Wharff Elizabeth A, Sheftall Arielle H, Pao Maryland, Bridge Jeffrey A
机构信息
Office of the Clinical Director, National Institute of Mental Health, Bethesda, Maryland.
Office of the Clinical Director, National Institute of Mental Health, Bethesda, Maryland;
出版信息
Hosp Pediatr. 2019 Apr;9(4):305-307. doi: 10.1542/hpeds.2018-0154. Epub 2019 Mar 11.
OBJECTIVES
To describe the prevalence of screening positive for suicide risk in a sample of 10- to 12-year-olds presenting to the emergency department (ED).
METHODS
Patients presenting to the ED were administered a battery of measures, including the Ask Suicide-Screening Questions and the criterion-standard Suicidal Ideation Questionnaire. Answering affirmatively to any of the 4 Ask Suicide-Screening Questions and/or scoring above the Suicidal Ideation Questionnaire cutoff score was considered a positive screen result for suicide risk.
RESULTS
The sample included 79 preteen patients. The overall positive screen result rate was 29.1% (23 of 79). More than half (54.1%) of patients presenting with psychiatric chief complaints screened positive for suicide risk, and 7.1% of preteens presenting with chief medical complaints screened positive. Of preteens, 17.7% (14 of 79) reported previous suicidal behavior.
CONCLUSIONS
Preteens think about suicide and engage in suicidal behavior at rates that warrant further study. Notably, 7% of preteens presenting with chief medical complaints screened positive, highlighting the importance of screening all preteen patients as young as 10 years old for suicide risk in the ED.
目的
描述在前往急诊科（ED）就诊的10至12岁儿童样本中自杀风险筛查呈阳性的患病率。
方法
对前往急诊科就诊的患者进行了一系列测量，包括询问自杀筛查问题和标准的自杀意念问卷。对4个询问自杀筛查问题中的任何一个回答为肯定，和/或得分高于自杀意念问卷的临界分数，被视为自杀风险筛查呈阳性结果。
结果
样本包括79名青春期前儿童患者。总体筛查呈阳性结果率为29.1%（79例中的23例）。超过一半（54.1%）以精神科主诉就诊的患者自杀风险筛查呈阳性，7.1%以主要医疗主诉就诊的青春期前儿童筛查呈阳性。在青春期前儿童中，17.7%（79例中的14例）报告有过自杀行为。
结论
青春期前儿童存在自杀想法并实施自杀行为的比例值得进一步研究。值得注意的是，7%以主要医疗主诉就诊的青春期前儿童筛查呈阳性，这凸显了在急诊科对所有10岁的青春期前儿童进行自杀风险筛查的重要性。
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