Phenotypic Characterization of Youth Admitted To Acute Psychiatric Inpatient Unit Following Self-Harm Behavior.
Phenotypic Characterization of Youth Admitted To Acute Psychiatric Inpatient Unit Following Self-Harm Behavior.
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急性精神病住院部青年自我伤害行为的表型特征
DOI：
10.1080/13811118.2020.1865223
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发表时间：
2022-07
影响因子：
2.8
通讯作者：
Barzilay, Ran
中科院分区：
文献类型：
--
作者：
Schwartz-Lifshitz, Maya;Ben-Dor, David H.;Bustan, Yael;Zalsman, Gil;Gothelf, Doron;Weizman, Abraham;Barzilay, Ran
故意自我伤害（DSH）是青少年的一个主要健康问题，通常与住院精神病住院治疗的需要有关。本研究的目的是确定临床和人口统计学特征与DSH行为的青少年收急性精神科住院单位。我们回顾性分析了一个急性青少年住院单位（N=703，平均年龄15.2）连续入院的电子病历数据。我们比较了DSH住院患者与非DSH住院患者，并根据自杀意图的存在进一步比较DSH组。与非DSH住院患者（N=497）相比，DSH后住院的年轻人（N=206）更可能是女性（OR=2.6，95%CI 1.7-4），目前处于抑郁加重期（OR=2.4，95%CI 1.6-3.6），同时伴有自杀意念（OR=3.9，95%CI 2.5-5.9）和饮酒史（OR=5.6，95%CI 3.2-9.5）。在DSH青少年中，与非自杀性自伤（N = 104）相比，在自杀未遂（N= 102）后入院的青少年中没有发现显著的临床差异，后者通常更年轻。研究结果表明，DSH和抑郁危机的早期检测和干预是必要的，无论自我伤害亚型。
Deliberate self-harm (DSH) is a major health concern among adolescents, and is often associated with the need for inpatient psychiatric hospitalization. The aim of this study was to identify clinical and demographic characteristics associated with DSH behavior among adolescents admitted to an acute psychiatric inpatient unit. We retrospectively analyzed data from the electronic medical records of consecutive admittances to a single acute adolescent inpatient unit (N=703, mean age 15.2). We compared inpatients with DSH to inpatients without DSH, and further compared within DSH group based on the presence of suicidal intent. Compared to Non-DSH inpatients (N=497), youths admitted following DSH (N=206) were more likely to be female (OR=2.6, 95%CI 1.7–4), currently in depressive exacerbation (OR=2.4, 95%CI 1.6–3.6), with concurrent suicidal ideation (OR=3.9, 95%CI 2.5–5.9), and history of alcohol use (OR=5.6, 95%CI 3.2–9.5). Within DSH youths, no significant clinical differences were identified between those admitted following suicide attempt (N=102) compared to non-suicidal-self-injury (N=104), who were generally younger. Findings suggest that early detection and intervention of DSH and depressive crisis is warranted, regardless of the self-harm subtype.
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影响因子：
17.7
作者：
Posner, Kelly;Oquendo, Maria A.;Davies, Mark
通讯作者：
Davies, Mark
影响因子：
6.7
作者：
Schwartz-Lifshitz, Maya;Zalsman, Gil;Oquendo, Maria A.
通讯作者：
Oquendo, Maria A.
影响因子：
105.7
作者：
Hawton, K;Rodham, K;Weatherall, R
通讯作者：
Weatherall, R
影响因子：
11.3
作者：
Dougherty, Donald M.;Mathias, Charles W.;Marsh-Richard, Dawn M.;Prevette, Kristen N.;Dawes, Michael A.;Hatzis, Erin S.;Palmes, Guy;Nouvion, Sylvain O.
通讯作者：
Nouvion, Sylvain O.
影响因子：
3.2
作者：
Chesin MS;Galfavy H;Sonmez CC;Wong A;Oquendo MA;Mann JJ;Stanley B
通讯作者：
Stanley B