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焦虑和工作年龄段人群中的酒精滥用导致心理健康相关急诊就诊人数上升:西澳大利亚州急诊就诊 15 年趋势。

Anxiety and alcohol in the working-age population are driving a rise in mental health-related emergency department presentations: 15 year trends in emergency department presentations in Western Australia.

机构信息

Division of General Practice, School of Medicine, Faculty of Health Sciences, The University of Western Australia, Perth, Western Australia, Australia.

出版信息

Emerg Med Australas. 2020 Feb;32(1):80-87. doi: 10.1111/1742-6723.13342. Epub 2019 Jul 1.

DOI:10.1111/1742-6723.13342
PMID:31264385
Abstract

OBJECTIVE

To evaluate age, gender and disease-specific trends in ED for mental health presentations over 15 years.

METHODS

The study population consisted of residents of metropolitan Perth, Western Australia, presenting to Perth ED between 1 July 2002 and 30 June 2017. Population rates of mental health-related ED presentations per year were calculated.

RESULTS

Rates of mental health ED presentations are significantly increasing in the working-age population for those with stress and anxiety-related diagnoses, particularly in younger females, and also for alcohol-related presentations for those aged 10-49 years, particularly in males.

CONCLUSION

The present study demonstrates that increased rates of mental health-related ED presentations are driven by increased rates of presentation for stress and anxiety-related and alcohol-related presentations in both genders across the working-age population.

摘要

目的

评估 15 年来,心理健康问题在急症室就诊中因年龄、性别和疾病的变化趋势。

方法

研究人群为 2002 年 7 月 1 日至 2017 年 6 月 30 日期间,在澳大利亚西部城市珀斯急症室就诊的居民。每年计算心理健康相关急症室就诊的人口比例。

结果

对于压力和焦虑相关诊断的处于工作年龄段的人群,精神健康急症室就诊的比例明显呈上升趋势,尤其是年轻女性;对于 10-49 岁人群的与酒精相关的就诊比例,也呈上升趋势,尤其是男性。

结论

本研究表明,心理健康相关急症室就诊率的增加是由于工作年龄段的男女压力和焦虑相关以及酒精相关的就诊率增加所致。

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