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大流行后时代的青少年健康:在抑郁症和自杀率不断上升的情况下,压力源、干预措施及预防策略的演变

Adolescent Health in the Post-Pandemic Era: Evolving Stressors, Interventions, and Prevention Strategies amid Rising Depression and Suicidality.

作者信息

Close Jeylan, Arshad Sarah H, Soffer Stephen L, Lewis Jason, Benton Tami D

机构信息

National Clinician Scholars Program, Department of Psychiatry and Behavioral Sciences, Child & Family Mental Health & Community Psychiatry Division, Duke University School of Medicine, 710 West Main Street, Durham, NC 27701, USA; Duke Margolis Center for Health Policy, Duke University, 710 West Main Street, Durham, NC 27701, USA.

Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine and UC Irvine School of Medicine, The Hub for Clinical Collaboration, DCAPBS, Floor 12, 3500 Civic Center Boulevard, Philadelphia, PA 19104, USA.

出版信息

Pediatr Clin North Am. 2024 Aug;71(4):583-600. doi: 10.1016/j.pcl.2024.04.002. Epub 2024 May 19.

Abstract

Prior to COVID-19, there were already increasing rates of youth with mental health concerns, including an increase in youth presenting to medical emergency departments (EDs) with mental health chief complaints and limited access to treatment. This trend worsened during the pandemic, and rates of youth presenting to medical EDs with suicidal ideation and self-harm increased 50% from 2019 to 2022. This resulted in a "boarding" crisis, in part, due to a lack of inpatient psychiatric hospitalization beds, and many youth were left without access to adequate treatment. Additional study of innovations in health care delivery will be paramount in meeting this need.

摘要

在新冠疫情之前,就已经有越来越多的年轻人存在心理健康问题,包括因心理健康问题前往急诊科就诊的年轻人增多,以及获得治疗的机会有限。在疫情期间,这一趋势恶化,2019年至2022年期间,因有自杀意念和自我伤害行为前往急诊科就诊的年轻人比例增加了50%。这导致了“住院难”危机,部分原因是缺乏住院精神科病床,许多年轻人无法获得足够的治疗。进一步研究医疗服务提供方面的创新对于满足这一需求至关重要。

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