Sex Differences in Suicides Among Children and Youth: The Potential Impact of Help-Seeking Behaviour
Sex Differences in Suicides Among Children and Youth: The Potential Impact of Help-Seeking Behaviour
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DOI：
10.1177/070674371305800504
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发表时间：
2013-05-01
影响因子：
4
通讯作者：
Manion, Ian
中科院分区：
文献类型：
--
作者：
Rhodes, Anne E.;Khan, Saba;Manion, Ian
目的：描述自杀死亡的儿童和青少年在卫生服务使用方面的性别差异。方法：本研究是对2003年4月1日至2007年12月31日期间安大略省自杀死亡的儿童和青少年（10至25岁）进行回顾性研究。验尸官记录分别与724人（192名女孩和532名男孩）的门诊医生访问、急诊科（ED）表现和住院行政卫生保健记录相关联。只有77例（10.6%）年龄在10 - 15岁之间。对男孩和女孩使用的保健服务类型、接触次数和最后一次接触进行了比较。结果：大约80%的受试者在死亡前一年与卫生保健系统有过接触，通常是门诊医生和（或）急诊科。然而，并非所有人都是因精神健康原因而就诊的。女孩比男孩有更多的门诊医生和急诊科就诊，而且离死亡时间更近。此外，女孩比男孩更有可能在不止一个环境中接触。然而，男孩和女孩在门诊精神病医生的使用、一些急诊科的介绍以及住院的性质和次数方面没有区别。结论：虽然大多数人在死前一年都看过门诊医生和（或）急诊科，但并不是所有人都接受过精神卫生保健。需要进一步的研究来确定死于自杀的男孩和女孩在使用卫生服务来指导预防干预方面是否与同龄人不同。
Objective: To describe sex differences in health service use among children and youth who died by suicide.Method: This is a retrospective study of children and youth (aged 10 to 25 years) living in Ontario who died by suicide between April 1, 2003, and December 31, 2007. Coroner records were individually linked to outpatient physician visit, emergency department (ED) presentation, and inpatient stay administrative health care records for 724 people (192 girls and 532 boys). Only 77 (10.6%) were aged 10 to 15 years. The health services types used, number of contacts made, and the last contact were compared in boys and girls.Results: About 80% of subjects had contact with the health care system in the year before their death, typically to an outpatient physician and (or) the ED. However, not all were seen for mental health reasons. Girls had more outpatient physician and ED contact than boys and closer in time to their death. Further, girls were more likely than boys to have contact in more than one setting, Still, boys and girls did not differ in their use of an outpatient psychiatrist, some ED presentations, and in the nature and number of inpatient stays.Conclusions: While most people were seen by an outpatient physician and (or) in the ED in the year before their death, not all received mental health care. Further research is needed to determine whether boys and girls who died by suicide differ from their peers in their health service use to guide preventive interventions.