McManus B L, Kruesi M J, Dontes A E, Defazio C R, Piotrowski J T, Woodward P J
Toxikon Consortium, Cook County Hospital, USA.
Am J Emerg Med. 1997 Jul;15(4):357-60. doi: 10.1016/s0735-6757(97)90124-8.
The study objectives were to ascertain whether caretakers of suicidal children and adolescents received emergency department (ED) injury prevention education and to determine if injury prevention education and the medical outcome after a drug overdose are associated with caretakers restricting access to means of suicide. Participants were adult caretakers of children and adolescents who deliberately ingested a drug and received ED evaluation. Information was obtained by poison center chart review and phone interview. Fourteen percent of caretaker reported receiving injury prevention education concerning restriction of access to potential means of suicide at home. ED injury prevention education is significantly associated with caretakers restricting access to suicidal means, even when controlling for medical outcome from the attempt. Because parents are less likely to restrict access to means of suicide without education, injury prevention education about restricting access to means of suicide should be given in the ED.
该研究的目的是确定自杀儿童和青少年的看护者是否接受了急诊科（ED）的伤害预防教育，并确定伤害预防教育以及药物过量后的医疗结果是否与看护者限制自杀手段的获取有关。参与者为故意摄入药物并接受急诊科评估的儿童和青少年的成年看护者。通过毒物中心图表审查和电话访谈获取信息。14%的看护者报告称接受了关于在家中限制获取潜在自杀手段的伤害预防教育。即使在控制了自杀未遂的医疗结果后，急诊科的伤害预防教育仍与看护者限制获取自杀手段显著相关。由于没有接受教育的父母限制获取自杀手段的可能性较小，因此应在急诊科开展关于限制获取自杀手段的伤害预防教育。
