Greenfield B, Hechtman L, Tremblay C
Department of Psychiatry, Montreal Children's Hospital, Quebec.
Can J Psychiatry. 1995 Aug;40(6):320-4. doi: 10.1177/070674379504000607.
To determine the impact of an outpatient psychiatric Emergency Room Follow-up Team (ERFUT) on the hospitalization rate of youth in crisis (mostly suicidal adolescents).
The rate of psychiatric admissions of youth to a general pediatric hospital during a year prior to the ERFUT creation was compared to that same rate after the team's creation. The proportion of patients returning to the Emergency Room (ER) 2 or more times was also compared for those same years. Deaths were identified at 3-year follow-up for the experimental group.
A 16% reduction in the hospitalization rate followed the team's creation, without an increase in the proportion of patients returning to the ER. Also, none of the experimental group subjects had died at 3-year follow-up.
There is a subpopulation of previously hospitalized suicidal adolescents who can be effectively cared for as outpatients when treated rapidly and intensively.
确定门诊精神科急诊室后续跟踪团队（ERFUT）对处于危机中的青少年（主要是有自杀倾向的青少年）住院率的影响。
将ERFUT成立前一年青少年入住一家普通儿科医院的精神科住院率与该团队成立后的同一比率进行比较。还比较了同一年中返回急诊室两次或更多次的患者比例。对实验组进行了3年随访以确定死亡情况。
该团队成立后，住院率降低了16%，返回急诊室的患者比例没有增加。此外，在3年随访中，实验组没有受试者死亡。
有一部分曾住院治疗的自杀倾向青少年，若能得到迅速而密集的治疗，可作为门诊患者得到有效护理。
