Danton Matheus de Souza, Carlos Alberto Dos Santos Treichel, Lucca Garcia Moreira Ribeiro, Gabriella de Andrade Boska, Lisabelle Mariano Rossato
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引用次数: 0
Abstract
Aim: To assess the proportions and associated factors of different post-discharge referrals among adolescents treated in the emergency department after a suicide attempt.
Methods: We conducted a study using the medical records of 140 adolescents treated for a suicide attempt between January 2015 and May 2023 in a Brazilian emergency department, focusing on post-discharge referrals, defined as discharge without referral, unaddressed referral and referral addressed to the network. Associations between the outcomes and other variables were analysed using a Poisson regression model.
Results: Discharges without referrals prevailed, followed by addressed and unaddressed referrals. Regression models showed associations between post-discharge and age, prior continuous use of psychotropic medications, location of care, continued suicidal ideation at discharge and evaluation by a multi-professional team.
Conclusion: A high number of adolescents were discharged from emergency departments without co-ordination with the mental health network, and the involvement of the multi-professional team was positively associated with addressed referrals.
Implications for the profession and/or patient care: This study informs healthcare professionals by raising awareness of their practices in discharging adolescents after suicide attempts in emergency departments, with the possibility of improving care quality and reducing the likelihood of readmission.
Reporting method: STrengthening the Reporting of OBservational studies in Epidemiology (STROBE).
Patient or public contribution: No patient or public contribution.
目的：评估自杀未遂后在急诊科接受治疗的青少年出院后转诊的比例和相关因素：观察性、横断面回顾研究：我们利用巴西一家急诊科在2015年1月至2023年5月期间收治的140名自杀未遂青少年的病历进行了一项研究，重点关注出院后转诊情况，即出院时未转诊、未处理转诊和处理后转诊至网络。采用泊松回归模型分析了结果与其他变量之间的关联：结果：无转诊的出院病人居多，其次是有转诊地址和无转诊地址的病人。回归模型显示，出院后与年龄、之前连续使用精神药物、护理地点、出院时是否仍有自杀意念以及多专业团队评估之间存在关联：结论：大量青少年从急诊科出院时未与心理健康网络进行协调，而多专业团队的参与与转诊呈正相关：本研究通过提高医护人员对急诊科在处理自杀未遂青少年出院时的做法的认识，为医护人员提供了信息，从而有可能提高护理质量，降低再次入院的可能性：报告方法：STrengthening the Reporting of OBservational studies in Epidemiology (STROBE)：无患者或公众贡献。
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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