Youth suicide risk screening in an outpatient child abuse clinic.

Youth suicide risk screening in an outpatient child abuse clinic.
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DOI:
10.1111/jcap.12335
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发表时间:
2022-03
期刊:
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
影响因子:
--
通讯作者:
Horowitz LM
Horowitz LM
中科院分区:
其他
文献类型:
--
作者:
Ngai M;Delaney K;Limandri B;Dreves K;Tipton MV;Horowitz LM

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虐待儿童是自杀的一个重要独立危险因素。该项目的目的是评价在一个虐待儿童问题门诊评价诊所实施普遍自杀风险筛查和评估工具的情况。参与者包括所有10至18岁的患者,他们在3个月内在研究中心接受服务(n = 162)。该研究中心实施了一种仅用于检测自杀风险的工具,即自杀筛查问题(ASQ)工具。使用电子健康记录回顾性收集数据;计算筛查依从率和筛查阳性率。对90.7%(147)的患者进行了ASQ自杀风险筛查。43例(29.2%)患者的自杀风险筛查呈阳性。与实施前的基线数据相比,发现率有了显著提高。在接受筛查的67名10-12岁的青少年中,14.9%(10/67)的自杀风险筛查呈阳性,占阳性筛查的23%。实施通用自杀风险筛查工具是检测自杀风险的成功策略。四分之一在ASQ上呈阳性的青少年是青少年,这突出了对10至12岁奥尔兹进行自杀风险筛查的重要性。
Child abuse is an important independent risk factor for suicide. The purpose of the project was to evaluate the implementation of a universal suicide risk screening and assessment tool in an outpatient child abuse evaluation clinic. Participants consisted of all patients between the ages of 10 and 18 years who received services at the study site within a 3-month period (n = 162). The study site implemented a tool created for the sole purpose of detecting suicide risk, the Ask Suicide-Screening Questions (ASQ) tool. Data was retrospectively collected using electronic health records; rates of compliance with screening and screen positive rates were calculated. Suicide risk screening with the ASQ was conducted on 90.7% (147) of the patients. Forty-three (29.2%) patients screened positive for suicide risk. This is a significant increase in detection rates compared to baseline preimplementation data. Of the 67 preteens, 10–12 years of age, that were screened, 14.9% (10/67) screened positive for suicide risk, making up 23% of the positive screens. Implementing a universal suicide risk screening tool was a successful strategy for detecting suicide risk. A quarter of the youth who screened positive on the ASQ were preteens, highlighting the importance of screening the 10- to 12-year olds for suicide risk.
验证在门诊专科和初级保健诊所向年轻人询问自杀筛查问题(ASQ)。
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