HOSPITALIZATION IN A PEDIATRIC WARD OF ADOLESCENT SUICIDE ATTEMPTERS ADMITTED TO GENERAL HOSPITALS
HOSPITALIZATION IN A PEDIATRIC WARD OF ADOLESCENT SUICIDE ATTEMPTERS ADMITTED TO GENERAL HOSPITALS
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DOI：
10.1016/1054-139x(94)90267-4
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发表时间：
1994-07-01
影响因子：
7.6
通讯作者：
CHOQUET, M
中科院分区：
文献类型：
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作者：
GASQUET, I;CHOQUET, M
目的：考虑到儿科医生对青少年患者越来越感兴趣，人们可能会假设青少年自杀企图者在儿科病房可能会比在其他住院环境中接受更好的治疗。方法：为了检验这一假设，我们根据对 430 名 13-19 岁自杀后住院的青少年的调查数据，比较了儿科病房 (n = 174) 与其他科室 (n = 251) 收治的患者的社会人口学和心理社会特征结果：儿科病房收治的患者往往更年轻，并且更常被描述为表现出抑郁和睡眠障碍。然而，两组调查的其他因素（性别、父母的社会职业类别、学业水平、家庭状况、精神问题、社会问题等）之间没有发现差异。然后，我们检查了两组在医院护理（住院时间、精神科咨询）和随访过程（与家庭医生和/或社会服务的协调、建议的术后护理）方面的差异。我们的研究结果表明，对于类似的社会心理状况，儿科单位会更频繁地联系家庭医生，并建议进行更广泛的随访。还讨论了患者管理抑郁症、家庭、社会和学校问题的作用。结论：与可以收治青少年自杀未遂者的其他科室相比，儿科病房似乎表现出更好的表现。
Purpose: Considering the growing interest of pediatricians in the adolescent patient, one might hypothesize that adolescent suicide attempters might receive superior treatment in a pediatric unit than in other in-patient settings.Methods: In order to examine this hypothesis, we compared sociodemographic and psychosocial characteristics of patients admitted to pediatric wards (n = 174) with those admitted to other departments (n = 251), based on data from a survey of 430 adolescents aged 13-19 years hospitalized following a suicide attempt.Results: Patients admitted to pediatric units tended to be younger and were more often described as manifesting depression and sleep disturbances. However, no differences were found between the two groups for the other factors investigated (sex, socio-professional category of parents, academic level, family situation, psychiatric problems, social problems, etc.). We then examined differences between the two groups with respect to hospital care (length of stay, psychiatric consultations) and follow-up course (coordination with the family doctor and/or social services, recommended after-care). Our findings showed that for a similar psychosocial profile, pediatric units contact the family doctors more often and proposed a more extensive follow-up. The role in patient management of depression, family, social and school problems is also discussed.Conclusion: Compared with other departments to which adolescent suicide attempters could be admitted, pediatric wards appear to show better performance.