Are adolescent suicide attempters noncompliant with outpatient care?
Are adolescent suicide attempters noncompliant with outpatient care?
复制标题
青少年自杀未遂者是否不遵守门诊治疗？
DOI：
10.1097/00004583-199301000-00013
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发表时间：
1993
影响因子：
13.3
通讯作者：
Morishima,A
中科院分区：
文献类型：
--
作者：
Trautman,PD;Stewart,N;Morishima,A
对 115 名连续转诊的 10 至 18 岁自杀企图者和 110 名未自杀者的门诊就诊模式进行了比较。两组已安排或错过的预约数量没有差异，但尝试者保留的预约数量明显少于未尝试者。每组中有 77% 的人退出治疗，但尝试者退出的速度明显更快。出勤率和辍学率与年龄、转诊原因或之前的尝试无关。女孩比男孩错过了更多的预约，而西班牙裔患者比其他族裔群体保留预定预约的比例更小。我们的结论是，与其他门诊患者相比，青少年尝试者退出治疗的可能性并不大，但预约次数较少，且接受护理的时间也较短。提出了分类和简案管理的建议。
The outpatient clinic attendance patterns of 115 consecutively referred 10− to 18-year-old suicide attempters and of 110 nonattempters were compared. The two groups did not differ in number of appointments scheduled or missed, but attempters kept significantly fewer appointments than did nonattempters. Seventy-seven percent of each group dropped out of treatment, but attempters dropped out significantly faster. Attendance and dropout were unrelated to age, reason for referral, or previous attempts. Girls missed more appointments than did boys, and Hispanic patients kept a smaller percentage of scheduled appointments than did other ethnic groups. We conclude that adolescent attempters are not more likely to drop out of treatment but keep fewer appointments and remain in care more briefly than do other outpatients. Recommendations for triage and brief case management are made.