Suicide and violence prevention: Parent education in the emergency department
Suicide and violence prevention: Parent education in the emergency department
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DOI：
10.1097/00004583-199903000-00010
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发表时间：
1999-03-01
影响因子：
13.3
通讯作者：
Hirsch, JG
中科院分区：
文献类型：
--
作者：
Kruesi, MJP;Grossman, J;Hirsch, JG
目的：前瞻性地确定父母接受伤害预防教育是否与限制使用致命手段的新行动有关，如果有，采取何种行动。方法：对103名儿童因心理健康评估或治疗急诊就诊的成人进行前瞻性随访。记录审查评估医院工作人员是否提供伤害预防教育。使用Logistic回归来确定新的看护行动限制获得以下潜在致命手段的可能性：枪支、酒精、处方药和非处方药。结果：暴露于伤害预防教育与限制接触行为之间存在显著相关性（校正后相加比= 3.6,95%可信区间= 1.1-12.1,p= 0.04）。在接受伤害预防教育后，8个拥有枪支的家庭中有5个采取了新的行动来限制获得枪支，而7个没有接受伤害预防教育的拥有枪支的家庭中没有一个采取新的行动来限制获得枪支。在其他方法中也发现了类似的模式。成年人更多的时候选择把犯人关起来，而不是用致命的手段来处理。结论：在儿童/青少年急诊科心理健康就诊时，应向家长提供伤害预防教育。预防暴力的潜力是真实存在的，因为当提供了限制手段的教育时，父母确实采取了新的行动来限制使用致命手段。
Objective: To determine prospectively whether parental receipt of injury prevention education is associated with new action limiting access to lethal means and if so, what action was taken for which means. Method: Prospective follow-up of 103 adults whose children made an emergency department visit for mental health assessment or treatment. Record review assessed whether hospital staff provided injury prevention education. Logistic regression was used to determine the likelihood of new caretaker action limiting access to the following potentially lethal means: firearms, alcohol, prescription medications, and over-the-counter medications. Results: Significant associations were found between exposure to injury prevention education and action to limit access (adjusted adds ratio = 3.6, 95% confidence interval = 1.1-12.1, p= .04). Five of 8 adults whose households contained firearms took new action to limit access after injury prevention education, whereas none of the 7 firearm-owning families who did not receive injury prevention education took new action to limit firearm access. Similar patterns were seen for other means. Adults more often chose to lock up rather than dispose of lethal means. Conclusions: Injury prevention education should be provided to parents during child/adolescent emergency department mental health-related visits. Potential for violence prevention is real because parents do take new action to limit access to lethal means when means restriction education is provided.