Incidence and Correlates of Emergency Department Visits for Deliberate Self-Harm Among Asian American Youth.
Incidence and Correlates of Emergency Department Visits for Deliberate Self-Harm Among Asian American Youth.
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亚裔美国青年因故意自残而去急诊室就诊的发生率和相关性。
DOI：
10.1016/j.jadohealth.2022.10.024
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Goldman-Mellor,Sidra
中科院分区：
文献类型：
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作者：
Yan,Yueqi;Leong,Frederick;Song,Anna;Goldman-Mellor,Sidra
目的本研究调查了亚裔美国人和太平洋岛民 (AAPI) 青少年自残急诊科 (ED) 就诊的流行病学以及相关因素。方法我们使用 2010 年和 2011 年加利福尼亚州急诊科就诊记录来计算 AAPI 与 10-29 岁非西班牙裔白人 (NHW) 患者自残急诊科就诊的发生率。对出现自残症状的 AAPI 和 NHW 患者的人口统计学和临床特征进行了比较。我们使用改良的泊松回归模型来估计 AAPI 与 NHW 患者反复进行急诊自残就诊的相对风险，并检查了 AAPI 患者中保险类型和性别与反复自残的关系。 结果年轻 AAPI 患者的自残急诊就诊率在女性和男性中分别为每 10 万人中 38 例和 26 例。尽管出现自残症状的 AAPI 患者在首次就诊时诊断出心理和药物滥用诊断共病的可能性与 NHW 患者相同或更低，但他们入院的可能性要高出 25%。然而，他们再次进行急诊自残就诊的可能性降低了 40%。在 AAPI 患者中，使用医疗补助的患者比使用其他保险的患者更有可能住院。讨论 与 NHW 患者相比，因故意自残而到急诊科就诊的年轻 AAPI 患者具有不同的社会人口统计学和临床特征。我们的研究还表明，AAPI 患者中不同性别和保险类型的反复自残风险存在显着异质性。该信息可能对未来针对自残 AAPI 青少年的干预计划有用。
PurposeThis study examined the epidemiology of self-harm emergency department (ED) visits among Asian American and Pacific Islander (AAPI) youth, and associated factors.MethodsWe used California ED visit records in 2010 and 2011 to calculate incidence rates of self-harm ED visits for AAPI versus non-Hispanic White (NHW) patients aged 10–29 years. Demographic and clinical characteristics were compared for AAPI versus NHW patients presenting with self-harm. We used modified Poisson regression models to estimate the relative risk of recurrent ED self-harm visits for AAPI versus NHW patients and examined the association of insurance type and gender with recurrent self-harm among AAPIs.ResultsRates of self-harm ED visits for young AAPI patients were 38 and 26 per 100,000 among females and males, respectively. Although AAPI patients presenting with self-harm were equally or less likely than NHW patients to have comorbid psychological and substance use diagnoses at their index visit, they were 25% more likely to be admitted to hospital. However, they were 40% less likely to have a recurrent ED self-harm visit. Among AAPI patients, those who used Medicaid were significantly more likely than those with other insurance to be admitted as inpatients.DiscussionYoung AAPI patients presenting to EDs with deliberate self-harm have different sociodemographic and clinical profiles compared to NHW patients. Our study also demonstrates significant heterogeneity in risk of recurrent self-harm by gender and insurance type among AAPI patients. This information may be useful for future intervention programs among self-harming AAPI youth.