Trautman P D, Stewart N, Morishima A
Department of Psychiatry, Cornell University Medical College, New York, NY.
J Am Acad Child Adolesc Psychiatry. 1993 Jan;32(1):89-94. doi: 10.1097/00004583-199301000-00013.
The outpatient clinic attendance patterns of 115 consecutively referred 10- to 18-year-old suicide attempters and of 110 nonattempters were compared. The two groups did not differ in number of appointments scheduled or missed, but attempters kept significantly fewer appointments than did nonattempters. Seventy-seven percent of each group dropped out of treatment, but attempters dropped out significantly faster. Attendance and dropout were unrelated to age, reason for referral, or previous attempts. Girls missed more appointments than did boys, and Hispanic patients kept a smaller percentage of scheduled appointments than did other ethnic groups. We conclude that adolescent attempters are not more likely to drop out of treatment but keep fewer appointments and remain in care more briefly than do other outpatients. Recommendations for triage and brief case management are made.
对连续转诊的115名10至18岁自杀未遂者和110名未自杀者的门诊就诊模式进行了比较。两组在预约次数或错过的预约次数上没有差异，但自杀未遂者按时就诊的次数明显少于未自杀者。每组有77%的人退出治疗，但自杀未遂者退出的速度明显更快。就诊率和退出率与年龄、转诊原因或既往自杀未遂史无关。女孩错过的预约比男孩多，西班牙裔患者按时就诊的比例低于其他种族群体。我们得出结论，青少年自杀未遂者退出治疗的可能性并不更高，但与其他门诊患者相比，他们就诊次数更少，在治疗中停留的时间更短。文中还给出了分诊和简短病例管理的建议。
