Self-Harm in Children and Adolescents Who Presented at Emergency Units During the COVID-19 Pandemic: An International Retrospective Cohort Study.
Self-Harm in Children and Adolescents Who Presented at Emergency Units During the COVID-19 Pandemic: An International Retrospective Cohort Study.
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DOI：
10.1016/j.jaac.2022.11.016
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发表时间：
2023-09
影响因子：
13.3
通讯作者：
Ougrin, Dennis
中科院分区：
文献类型：
--
作者：
Wong, Ben Hoi-Ching;Cross, Samantha;Zavaleta-Ramirez, Patricia;Bauda, Ines;Hoffman, Pamela;Ibeziako, Patricia;Nussbaum, Laura;Berger, Gregor E.;Hassanian-Moghaddam, Hossein;Kapornai, Krisztina;Mehdi, Tauseef;Tolmac, Jovanka;Barrett, Elizabeth;Romaniuk, Liana;Davico, Chiara;Moghraby, Omer S.;Ostrauskaite, Giedra;Chakrabarti, Sulagna;Carucci, Sara;Sofi, Gyula;Hussain, Haseena;Lloyd, Alexandra S. K.;Mcnicholas, Fiona;Meadowcroft, Ben;Rao, Manish;Csabi, Gyorgyi;Gatica-Bahamonde, Gabriel;Ogutlu, Hakan;Skouta, Eirini;Elvins, Rachel;Boege, Isabel;Dahanayake, Dulangi M. A.;Anderluh, Marija;Chandradasa, Miyuru;Girela-Serrano, Braulio M.;Uccella, Sara;Stevanovic, Dejan;Lamberti, Marco;Piercey, Amy;Nagy, Peter;Mehta, Varun S.;Rohanachandra, Yasodha;Li, Jie;Tufan, Ali Evren;Mirza, Hassan;Rozali, Farah;Baig, Benjamin J.;Noor, Isa M.;Fujita, Saori;Gholami, Narges;Hangul, Zehra;Vasileva, Anna;Salucci, Katie;Bilac, Oznur;Yektas, Cigdem;Cansiz, Mehmet Akif;Aksu, Gulen Guler;Babatunde, Suleiman;Youssef, Fatima;Al-Huseini, Salim;Kilicaslan, Fethiye;Kutuk, Meryem Ozlem;Pilecka, Izabela;Bakolis, Ioannis;Ougrin, Dennis
关键词：
比较大流行一年后急诊科(ED)的精神突发事件和自残情况，与大流行早期和大流行前的情况进行比较，并检查自残表现特征的变化。这项回顾性队列研究扩展了与大流行相关的紧急精神病学陈述(PREP-CHILDS)研究。其中包括2019年3月至4月、2020年和2021年来自25个国家/地区62个急诊室的例行记录数据。分析了儿童和青少年因任何心理健康原因所作的ED陈述。总共记录了8174例精神病学陈述(63.5%为女性；平均年龄为14.3[2.6]岁)，其中3742例为自残陈述。2021年3月至4月精神科ED的发病率是2020年3月至4月的两倍(发病率比[IRR]，1.93；95%CI，1.60-2.33)，比2019年3月至4月高50%(IRR，1.51；95%CI，1.25-1.81)。在2020年3月至4月和2021年3月至4月期间，自残陈述的比率翻了一番(IRR，1.98；95%CI，1.68-2.34)，总体上是2019年3月至4月的1.7倍(IRR，1.70；95%CI，1.44-2.00)。比较2021年3月至4月与2019年3月至4月的自我伤害特征，自我伤害在所有精神疾病陈述中所占比例更高(优势比[OR]，1.30；95%CI，1.05-1.62)，而女性在自我伤害陈述中的比例翻了一番(OR，1.98；95%CI，1.45-2.72)，并且提供随访预约的频率是前者的4倍(OR，4.46；95%CI，2.32-8.58)。由于自我伤害和精神原因，儿科急诊室就诊人数增加，这表明儿童心理健康可能恶化。女孩的自我伤害可能会增加，需要优先考虑。临床服务应继续使用后续预约来支持急诊室出院。这篇论文的一位或多位作者自认为是科学界一个或多个历史上代表性不足的种族和/或民族群体的成员。我们积极推动将历史上代表性不足的种族和/或民族群体纳入我们的作者群体的科学中。在引用与这项工作具有科学相关性的参考文献的同时，我们还积极推动将历史上代表性不足的种族和/或民族群体纳入我们的参考文献清单。这篇论文的作者名单包括来自进行研究的地点和/或社区的贡献者，他们参与了作品的数据收集、设计、分析和/或解释。
To compare psychiatric emergencies and self-harm at emergency departments (EDs) 1 year into the pandemic, to early pandemic and pre-pandemic, and to examine the changes in the characteristics of self-harm presentations. This retrospective cohort study expanded on the Pandemic-Related Emergency Psychiatric Presentations (PREP-kids) study. Routine record data in March to April of 2019, 2020, and 2021 from 62 EDs in 25 countries were included. ED presentations made by children and adolescents for any mental health reasons were analyzed. Altogether, 8,174 psychiatric presentations were recorded (63.5% female; mean [SD] age, 14.3 [2.6] years), 3,742 of which were self-harm presentations. Rate of psychiatric ED presentations in March to April 2021 was twice as high as in March to April 2020 (incidence rate ratio [IRR], 1.93; 95% CI, 1.60-2.33), and 50% higher than in March to April 2019 (IRR, 1.51; 95% CI, 1.25-1.81). Rate of self-harm presentations doubled between March to April 2020 and March to April 2021 (IRR, 1.98; 95% CI, 1.68-2.34), and was overall 1.7 times higher than in March to April 2019 (IRR, 1.70; 95% CI, 1.44-2.00). Comparing self-harm characteristics in March to April 2021 with March to April 2019, self-harm contributed to a higher proportion of all psychiatric presentations (odds ratio [OR], 1.30; 95% CI, 1.05-1.62), whereas female representation in self-harm presentations doubled (OR, 1.98; 95% CI, 1.45-2.72) and follow-up appointments were offered 4 times as often (OR, 4.46; 95% CI, 2.32-8.58). Increased pediatric ED visits for both self-harm and psychiatric reasons were observed, suggesting potential deterioration in child mental health. Self-harm in girls possibly increased and needs to be prioritized. Clinical services should continue using follow-up appointments to support discharge from EDs. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.
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初级保健中的心理健康服务：COVID-19- 19日大流行期间远程医疗可行性的证据。
影响因子：
--
作者：
Frank HE;Grumbach NM;Conrad SM;Wheeler J;Wolff J
通讯作者：
Wolff J
影响因子：
13.8
作者：
Cummins TM;English O;Minnis H;Stahl D;O'Connor RC;Bannister K;McMahon SB;Ougrin D
通讯作者：
Ougrin D
DOI：
10.1016/s2214-109x(21)00566-0
发表时间：
2022-03
期刊：
The Lancet. Global health
影响因子：
--
作者：
Liu L;Villavicencio F;Yeung D;Perin J;Lopez G;Strong KL;Black RE
通讯作者：
Black RE
影响因子：
5.2
作者：
Mourouvaye M;Bottemanne H;Bonny G;Fourcade L;Angoulvant F;Cohen JF;Ouss L
通讯作者：
Ouss L
影响因子：
--
作者：
Odd D;Williams T;Appleby L;Gunnell D;Luyt K
通讯作者：
Luyt K