Predictors and Outcomes of Psychiatric Hospitalization in Youth Presenting to the Emergency Department with Suicidality
Predictors and Outcomes of Psychiatric Hospitalization in Youth Presenting to the Emergency Department with Suicidality
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DOI：
10.1111/sltb.12271
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发表时间：
2017-04-01
影响因子：
3.2
通讯作者：
Asarnow, Joan R.
中科院分区：
文献类型：
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作者：
Hughes, Jennifer L.;Anderson, Nicholas L.;Asarnow, Joan R.
到急诊科(ED)就诊的青少年自杀未遂者经常被送往精神科住院医院，但对于临床医生如何决定哪些青少年应该入院还是出院到门诊护理，人们知之甚少。我们检验住院治疗的预测因素，并描述181名因自杀而连续接受急诊治疗的年轻人的住院服务使用结果。住院的预测因素包括ED地点、自杀计划和父母对问题的报告。住院治疗与改善与门诊治疗的联系和更密集的服务使用有关。未来需要进行研究，以了解为这些高危青年提供的最佳服务和治疗方法。
Youth suicide attempters presenting to the emergency department (ED) are frequently admitted to psychiatric inpatient hospitals, yet little is known about how clinicians decide which youths to admit versus discharge to outpatient care. We examine predictors of inpatient hospitalization and describe service use outcomes associated with hospitalization in 181 youths drawn from consecutive ED admissions for suicidality. Predictors of hospitalization include ED site, suicide plan, and parent report of problems. Hospitalization was associated with improved linkage to outpatient treatment and more intensive service use. Future research is needed to understand the best service delivery and treatments for these high-risk youth.