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青少年故意服药行为特征及相关影响因素的临床研究

Clinical study on the characteristics and related influencing factors of deliberate drug ingestion in adolescents.

作者信息

Ma Jiangtao, Zhao Yanli, Li Jing, Zhang Ying, Chen Jie

机构信息

Jiangtao Ma, Department of Urology Surgery, Baoding Hospital of Beijing Children's Hospital Affiliated to Capital Medical University, Baoding 071000, Hebei, China.

Yanli Zhao, Department of Urology Surgery, Baoding Hospital of Beijing Children's Hospital Affiliated to Capital Medical University, Baoding 071000, Hebei, China.

出版信息

Pak J Med Sci. 2024 Sep;40(8):1825-1830. doi: 10.12669/pjms.40.8.8828.

Abstract

OBJECTIVE

To analyze the characteristics of deliberate drug ingestion in adolescents and its related influencing factors.

METHOD

This was a retrospective study. A total of 158 cases of deliberate drug ingestion as observation group and 160 cases of other diseases in adolescents as control group were treated in the Emergency Department of Baoding Hospital of Beijing Children's Hospital Affiliated to Capital Medical University from January 2020 to December 2022. The clinical characteristics of adolescents who engaged in deliberate drug ingestion were analyzed, and various factors that could potentially influence deliberate drug ingestion in adolescents were subjected to both univariate and multivariate analysis.

RESULT

There was a progressive increase in the number of patients presenting with mental health issues year by year. Univariate analysis showed that family type, guardian's education level, place of residence, whether they were only children, parents' knowledge of medication, awareness of medication safety, depression/anxiety, negative life events, and social support were risk factors for deliberate drug ingestion in adolescents (all p<0.05). Logistic regression analysis showed that family type, parents' knowledge of medication, awareness of medication safety, whether they were depressed/anxious, negative life events, and social support were independent risk factors for deliberate drug ingestion in adolescents (p<0.05).

CONCLUSION

The incidence of deliberate drug ingestion in adolescents is increasing year by year, and their behavior is influenced by multiple factors. Interventions should be targeted at controllable influencing factors to prevent or reduce deliberate drug ingestion in adolescents.

摘要

目的

分析青少年故意服药行为的特点及其相关影响因素。

方法

本研究为回顾性研究。选取2020年1月至2022年12月在首都医科大学附属北京儿童医院保定医院急诊科就诊的158例青少年故意服药病例作为观察组,160例青少年其他疾病病例作为对照组。分析青少年故意服药的临床特征,并对可能影响青少年故意服药的各种因素进行单因素和多因素分析。

结果

出现心理健康问题的患者数量逐年递增。单因素分析显示,家庭类型、监护人教育程度、居住地、是否为独生子女、父母对药物的了解程度、用药安全意识、抑郁/焦虑情绪、负性生活事件及社会支持是青少年故意服药的危险因素(均p<0.05)。Logistic回归分析显示,家庭类型、父母对药物的了解程度、用药安全意识、是否抑郁/焦虑、负性生活事件及社会支持是青少年故意服药的独立危险因素(p<0.05)。

结论

青少年故意服药的发生率逐年上升,其行为受多种因素影响。应针对可控的影响因素进行干预,以预防或减少青少年故意服药行为。

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