National study of US emergency department visits for attempted suicide and self-inflicted injury, 1997-2001
National study of US emergency department visits for attempted suicide and self-inflicted injury, 1997-2001
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DOI：
10.1016/j.annemergmed.2005.04.018
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发表时间：
2005-10-01
影响因子：
6.2
通讯作者：
Camargo, CA
中科院分区：
文献类型：
--
作者：
Doshi, A;Boudreaux, ED;Camargo, CA
研究目的：我们描述的流行病学急诊科（艾德）访问企图自杀和自伤injure.Methods：数据来自全国医院门诊医疗调查，全国概率样本的艾德访问。在1997年至2001年期间，所有的访问企图自杀或自伤（E950至E959）被列入这些analysis.Results：在5年期间，每年约有412,000次艾德访问企图自杀和自伤，或0.4%的所有艾德访问。年访问率为每1，000名美国公民1.5次（1.3至1.7次）访问。患者平均年龄为31岁，15 - 19岁患者的访视最常见，访视率为3.3（95%置信区间为2.1 - 4.4）。女性患者（1.7）的艾德就诊率高于男性患者（1.3），黑人患者（1.9）高于白人患者（1.5）。访问率没有因大都市地位或美国地区而异。最常见的伤害方法是中毒（68%），其次是切割或刺穿（20%）。三分之一的来访病人被送进医院，31%的病人被送进ICU。结论：艾德因自杀未遂和自伤就诊的比例较高，且以青少年和青壮年最为常见。自我中毒是最常见的方法。精神和药物滥用障碍在这一人群中的高患病率表明，这些问题应考虑在管理和处置。
Study objective: We describe the epidemiology of emergency department (ED) visits for attempted suicide and self-inflicted injury.Methods: Data were obtained from the National Hospital Ambulatory Medical Care Survey, a national probability sample of ED visits. All visits for attempted suicide or self-inflicted injury (E950 to E959) during 1997 to 2001 were included in these analyses.Results: During the 5-year period, there were approximately 412,000 annual ED visits for attempted suicide and self-inflicted injury, or 0.4% of all ED visits. The annual visit rate was 1.5 (1.3 to 1.7) visits per 1,000 US citizens. The mean patient age was 31 years, and visits were most common among patients aged 15 to 19 years, at a rate of 3.3 (95% confidence interval 2.1 to 4.4). ED visit rates were higher among female patients (1.7) than male patients (1.3) and among blacks (1.9) than whites (1.5). Visit rates did not differ by metropolitan status or US region. The most common method of injury was poisoning (68%), followed by cutting or piercing (20%). One third of visiting patients were admitted to the hospital, with 31% of admissions going to the ICU. A psychiatric disorder was coded for 55% of visits, with depressive disorder accounting for 34% and alcohol abuse for 16%.Conclusion: ED visits for attempted suicide and self-inflicted injury are relatively common, serious, and most frequent among adolescents and young adults. Self-poisoning is the most common method. The high prevalence of psychiatric and substance abuse disorders in this population suggests these issues should be considered during management and disposition.