儿童和青少年自杀风险快速反应单元：促进治疗联系，降低复发风险。
Rapid Response Unit for Children and Adolescents at Risk of Suicide: Promoting Therapeutic Linkage and Reducing the Risk of Relapse.
机构信息
Child and Adolescent Mental Health Research Group, Sant Joan Research Institute de Déu, 08950 Esplugues de Llobregat, Spain; Department of Child and Adolescent Mental Health, Hospital Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain; Etiopathogenesis and Treatment of Gray Mental Disorders (MERITT), Institute of Recerca Sant Joan de Déu, Fundació Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain; Biomedical Research Networking Center in Mental Health (CIBERSAM), 28029 Madrid, Spain.
Department of Child and Adolescent Mental Health, Hospital Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
出版信息
Actas Esp Psiquiatr. 2024 Apr;52(2):72-82. doi: 10.62641/aep.v52i2.1620.
INTRODUCTION
The increase in suicidal behavior among adolescents under 17 years of age in Catalonia between 2019 and 2022 has gone from 473 to 1425 cases, which entails a new healthcare challenge. The objective of the article is to explain the procedure and intervention of the Rapid Response Unit (RRU) for children and adolescents at risk of suicide. The RRU is a multidisciplinary unit designed to prevent relapse and increase link-up to treatment. The cases attended in its 14 months of operation are described.
METHODOLOGY
24 patients, 18 females and 6 males aged between 12 and 17 years, attended for the first time at the Child and Adolescent Health Centre of Cornellà for activation of the Suicide Risk Code (CRS) in hospital emergency departments during the period studied.
RESULTS
After the intervention, high suicidal risk decreased from 29.17% to 0%, medium risk decreased from 37.5% to 20.83% and low risk increased from 33.33% to 79.17%. In addition, there was only one new CRS activation in the 3 months following the first activation. In the RRU, care was intensive: 52.7% of cases with visits once a week and more than once a week in 24.9%. During the intervention months 100% of cases were linked and no interruptions occurred.
CONCLUSIONS
Rapid Response Unit (RRU) decreases the risk of recurrence of suicidal behavior and ensures therapeutic linkage.
简介
2019 年至 2022 年期间，加泰罗尼亚 17 岁以下青少年的自杀行为增加了 1425 例，这带来了新的医疗保健挑战。本文的目的是解释儿童和青少年自杀风险快速反应小组（RRU）的程序和干预措施。RRU 是一个多学科小组，旨在预防复发和增加与治疗的联系。描述了其 14 个月运作期间接待的病例。
方法
在研究期间，24 名 12 至 17 岁的女性 18 名和男性 6 名首次在科洛尼亚的儿童和青少年健康中心就诊，以激活医院急诊部门的自杀风险代码（CRS）。
结果
干预后，高自杀风险从 29.17%降至 0%，中风险从 37.5%降至 20.83%，低风险从 33.33%增至 79.17%。此外，在首次激活后的 3 个月内，仅激活了一个新的 CRS。在 RRU 中，护理强度大：每周就诊一次以上的病例占 52.7%，每周就诊一次以上的病例占 24.9%。在干预期间，100%的病例都有联系，没有中断。
结论
快速反应小组（RRU）降低了自杀行为复发的风险，并确保了治疗联系。
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