Wortley Elizabeth, Hagell Ann
School of Public Health, Imperial College London, London, UK.
Association for Young People's Health, London, UK
Arch Dis Child Educ Pract Ed. 2021 Feb;106(1):53-59. doi: 10.1136/archdischild-2019-318251. Epub 2020 May 23.
There have been rising concerns in the UK about the levels of serious violence between young people, especially serious physical violence and knife crime. Interactions with young people in the emergency department (ED) at the time of injury provide an opportunity for screening and intervention in order to reduce the risk of repeat attendances. However, paediatricians and other healthcare workers can feel unsure about the best way to intervene. Embedding youth workers in EDs has started in some UK hospitals, making use of a potential 'teachable moment' in the immediate aftermath of an event to help change behaviour. Based on a rapid review of the literature, we summarise the evidence for these types of interventions and present two practice examples. Finally, we discuss how EDs could approach the embedding of youth workers within their department and considerations required for this.
英国对年轻人之间严重暴力行为的程度，尤其是严重身体暴力和持刀犯罪，越来越感到担忧。在受伤时于急诊科（ED）与年轻人互动，为筛查和干预提供了机会，以降低再次就诊的风险。然而，儿科医生和其他医护人员可能不确定最佳的干预方式。在英国的一些医院，已开始将青年工作者纳入急诊科，利用事件刚发生后的潜在“可教育时机”来帮助改变行为。基于对文献的快速回顾，我们总结了这类干预措施的证据，并给出两个实践案例。最后，我们讨论了急诊科应如何在其部门内引入青年工作者以及为此所需考虑的事项。
