Health Care Contacts in the Year Before Suicide Death
Health Care Contacts in the Year Before Suicide Death
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DOI：
10.1007/s11606-014-2767-3
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发表时间：
2014-06-01
影响因子：
5.7
通讯作者：
Solberg, Leif I.
中科院分区：
文献类型：
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作者：
Ahmedani, Brian K.;Simon, Gregory E.;Solberg, Leif I.
背景：自杀预防是一项公共卫生优先事项，但没有从具有代表性的美国人口大样本中获得关于个人生前接受的卫生保健的数据。目的：调查自杀前一年接受卫生服务的类型和时间的差异，并确定是否诊断为精神健康状况。设计：2000年至2010年在八个州服务的八个精神卫生研究网络卫生保健系统内的纵向研究。伙伴：总共5894人死于自杀，并在死亡前一年是卫生计划成员。医疗记录、保险索赔和死亡记录通过虚拟数据仓库联系在一起，虚拟数据仓库是每个站点的联合数据系统。KEY结果：几乎所有人在死亡前一年都得到了医疗保健(83%)，但有一半人没有精神健康诊断。只有24%的人在死亡前4周内被诊断为精神健康。无精神健康诊断的专科和初级保健就诊是最常见的就诊类型。更有可能在死亡前一年内探视的个人(p
BACKGROUND: Suicide prevention is a public health priority, but no data on the health care individuals receive prior to death are available from large representative United States population samples.OBJECTIVE: To investigate variation in the types and timing of health services received in the year prior to suicide, and determine whether a mental health condition was diagnosed.DESIGN: Longitudinal study from 2000 to 2010 within eight Mental Health Research Network health care systems serving eight states.PARTICIPANTS: In all, 5,894 individuals who died by suicide, and were health plan members in the year before death.MAIN MEASURES: Health system contacts in the year before death. Medical record, insurance claim, and mortality records were linked via the Virtual Data Warehouse, a federated data system at each site.KEY RESULTS: Nearly all individuals received health care in the year prior to death (83 %), but half did not have a mental health diagnosis. Only 24 % had a mental health diagnosis in the 4-week period prior to death. Medical specialty and primary care visits without a mental health diagnosis were the most common visit types. The individuals more likely to make a visit in the year prior to death (p