Multicenter study of predictors of suicide screening in emergency departments.
Multicenter study of predictors of suicide screening in emergency departments.
复制标题
急诊科自杀筛查预测因素的多中心研究。
DOI：
10.1111/j.1553-2712.2011.01272.x
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
EmergencyDepartmentSafetyandFollow-upEvaluation(ED-SAFE)Investigators
中科院分区：
文献类型：
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作者：
Ting,SarahA;Sullivan,AshleyF;Miller,Ivan;Espinola,JaniceA;Allen,MichaelH;CamargoJr,CarlosA;Boudreaux,EdwinD;EmergencyDepartmentSafetyandFollow-upEvaluation(ED-SAFE)Investigators
目的：目的是提供估计和预测因素的筛选自杀在急诊科（EDs）。方法：8个地理位置不同的美国ED每个进行图表审查的100名随机选择的患者，年龄18岁或以上，在2009年10月访问。 经过培训的图表摘要收集有关患者人口统计学、表现、出院诊断、自杀筛查和其他心理健康指标的信息。单变量Logistic回归分析，以确定与自杀screening.Results：800例患者的队列中位年龄为41岁（四分位数范围= 27至53岁），57%的女性，16%的西班牙裔，58%的白色，23%的黑人或非洲裔美国人，和10%的其他种族。 记录了39例患者的自杀筛查（4.9%; 95%置信区间[CI]= 3.4%-6.4%）。 在筛选的受试者中，23例（占总样本的2.9%; 95% CI = 1.7%至4.0%）自杀意念或行为呈阳性。 大约90%的筛查者在分诊时有精神病性质的投诉记录。大约三分之一的人有酗酒（33%）或故意非法或处方药滥用（36%）的记录。结论：存在已知的精神问题和物质使用与自杀筛查有最强的关联，但即使是这些指标的患者也没有进行自杀筛查。了解目前影响艾德自杀筛查的因素将指导设计和实施改进的自杀筛查方案和相关干预措施。学术急诊医学2012; 1-5 © 2012由学术急诊医学学会
Objectives:The objective was to provide estimates and predictors of screening for suicide in emergency departments (EDs).Methods:Eight geographically diverse U.S. EDs each performed chart reviews of 100 randomly selected patients, ages 18 years or older, with visits in October 2009. Trained chart abstractors collected information on patient demographics, presentation, discharge diagnosis, suicide screening, and other mental health indicators. Univariate logistic regression was used to determine factors associated with suicide screening.Results:The cohort of 800 patients had a median age of 41 years (interquartile range = 27 to 53 years) with 57% female, 16% Hispanic, 58% white, 23% black or African American, and 10% other race. Suicide screenings were documented for 39 patients (4.9%; 95% confidence interval [CI] = 3.4% to 6.4%). Of those screened, 23 (2.9% of total sample; 95% CI = 1.7% to 4.0%) were positive for suicidal ideation or behavior. Approximately 90% of those screened had documented complaints of a psychiatric nature at triage. About one‐third had either documentation of alcohol abuse (33%) or intentional illegal or prescription drug misuse (36%).Conclusions:The presence of known psychiatric problems and substance use had the strongest associations with suicide screening, yet even patients presenting with these indicators were not screened for suicide. Understanding factors that currently influence suicide screening in the ED will guide the design and implementation of improved suicide screening protocols and related interventions.ACADEMIC EMERGENCY MEDICINE 2012; 1–5 © 2012 by the Society for Academic Emergency Medicine
影响因子：
4.5
作者：
Harris PA;Taylor R;Thielke R;Payne J;Gonzalez N;Conde JG
通讯作者：
Conde JG
影响因子：
10.5
作者：
Gairin, I;House, A;Owens, D
通讯作者：
Owens, D