Rapid Response Unit for Children and Adolescents at Risk of Suicide: Promoting Therapeutic Linkage and Reducing the Risk of Relapse.

IF 1 4区医学 Q4 NEUROSCIENCES

Actas espanolas de psiquiatria Pub Date : 2024-04-01 DOI:10.62641/aep.v52i2.1620

Anna Butjosa, Daniel Cruz, Teresa Richart, Maria Ruiz Terradas, Fernando Lacasa

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引用次数: 0

Abstract

Introduction: The increase in suicidal behavior among adolescents under 17 years of age in Catalonia between 2019 and 2022 has gone from 473 to 1425 cases, which entails a new healthcare challenge. The objective of the article is to explain the procedure and intervention of the Rapid Response Unit (RRU) for children and adolescents at risk of suicide. The RRU is a multidisciplinary unit designed to prevent relapse and increase link-up to treatment. The cases attended in its 14 months of operation are described.

Methodology: 24 patients, 18 females and 6 males aged between 12 and 17 years, attended for the first time at the Child and Adolescent Health Centre of Cornellà for activation of the Suicide Risk Code (CRS) in hospital emergency departments during the period studied.

Results: After the intervention, high suicidal risk decreased from 29.17% to 0%, medium risk decreased from 37.5% to 20.83% and low risk increased from 33.33% to 79.17%. In addition, there was only one new CRS activation in the 3 months following the first activation. In the RRU, care was intensive: 52.7% of cases with visits once a week and more than once a week in 24.9%. During the intervention months 100% of cases were linked and no interruptions occurred.

Conclusions: Rapid Response Unit (RRU) decreases the risk of recurrence of suicidal behavior and ensures therapeutic linkage.

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自杀风险儿童和青少年快速反应小组：促进治疗联系和降低复发风险。

导言2019 年至 2022 年期间，加泰罗尼亚 17 岁以下青少年的自杀行为从 473 例增加到 1425 例，这给医疗保健带来了新的挑战。本文旨在介绍针对有自杀风险的儿童和青少年的快速反应小组（RRU）的程序和干预措施。快速反应小组是一个多学科小组，旨在防止复发并加强治疗联系。方法：在研究期间，24 名患者（18 名女性和 6 名男性，年龄在 12 至 17 岁之间）首次到康奈拉儿童与青少年健康中心就诊，在医院急诊科启动自杀风险代码（CRS）：干预后，高自杀风险从29.17%降至0%，中自杀风险从37.5%降至20.83%，低自杀风险从33.33%增至79.17%。此外，在首次启动 CRS 后的 3 个月内，只有一次新的 CRS 启动。重症监护室的护理强度较大：52.7%的病例每周探视一次，24.9%的病例每周探视一次以上。在干预的几个月中，100%的病例都有联系，没有发生中断的情况：快速反应小组（RRU）降低了自杀行为复发的风险，并确保了治疗联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Actas espanolas de psiquiatria 医学-精神病学

CiteScore

1.70

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Actas Españolas de Psiquiatría publicará de manera preferente trabajos relacionados con investigación clínica en el área de la Psiquiatría, la Psicología Clínica y la Salud Mental.