Adolescents with suicidal ideation: health care use and functioning.
Adolescents with suicidal ideation: health care use and functioning.
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DOI：
10.1016/j.acap.2011.01.004
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发表时间：
2011-09
影响因子：
3.1
通讯作者：
Richardson, Laura
中科院分区：
文献类型：
--
作者：
McCarty, Carolyn A.;Russo, Joan;Grossman, David C.;Katon, Wayne;Rockhill, Carol;McCauley, Elizabeth;Richards, Julie;Richardson, Laura
为了提高我们对青年自杀意念（SI）的临床需求的理解，我们研究了卫生保健利用模式，功能障碍和并发症的青年谁赞同SI，相比，没有SI的青年对照组。这项研究包括99名在过去一年中患有SI的青年和99名匹配的对照。参与者是13-17岁的青年，他们参加了一个大型综合护理提供系统，在过去一年中至少看过一次提供者。比较两组在卫生保健利用、功能障碍和共病心理健康症状方面的差异，同时调整抑郁严重程度、抑郁或焦虑的终身诊断和医学共病。在基线（84%对60%“明确受损”）和6个月随访（57%对39%“明确受损”）时，与无SI的青年相比，SI青年的平均功能受损显著更高。在基线前后的12个月内，两组中不到15%的人参加了心理健康专业访问，不到10%的人接受了抗抑郁或抗焦虑药物治疗。家庭报告数据表明，与没有SI的青年相比，SI青年从其医疗保健系统以外的来源获得心理健康护理的比例更高。SI的存在与更严重的功能障碍、合并症和抑郁严重程度相关。然而，只有少数患有SI的青少年接受心理健康服务，临床检测率很低。这项研究表明，更好的筛查，识别和治疗SI是需要解决的临床损害的青年SI。虽然大多数患有SI的青少年正在接受医疗门诊护理，但接受精神卫生保健的比例非常低，尽管SI的存在与更严重的功能障碍和合并症有关。
To improve our understanding of the clinical needs among youth with suicidal ideation (SI), we examined health care utilization patterns, functional impairment and co-morbidity among youth who endorsed SI, compared to a control group of youth without SI. This study included 99 youth with SI in the past year and 99 matched controls. Participants were 13–17 year old youth who were enrolled in a large integrated care delivery system who had seen a provider at least one time in the past year. The two groups were compared with regard to health care utilization, functional impairment, and co-morbid mental health symptoms, while adjusting for depression severity, lifetime diagnosis of depression or anxiety, and medical co-morbidity. Youth with SI had a significantly higher mean functional impairment compared to youth without SI, both at baseline (84% versus 60% “definitely impaired”) and six-month follow up (57% versus 39% “definitely impaired”). Less than 15% in either group attended a mental health specialty visit in the 12 months before or after baseline, and under 10% received antidepressant or anxiolytic medication. Family-report data suggested that a higher proportion of youth with SI received mental health care from sources outside their healthcare system compared to youth without SI. The presence of SI is associated with more severe functional impairment, comorbidity, and depression severity. Yet, only a minority of adolescents with SI receive mental health services and clinical detection is low. This study suggests that better screening, recognition, and treatment of SI is needed to address the clinical impairment of youth with SI. While most youth with SI were receiving medical ambulatory care visits, a very low percentage received mental health care, despite the fact that the presence of SI was associated with more severe functional impairment and co-morbidity.
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影响因子：
8
作者：
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通讯作者：
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影响因子：
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