Risk mitigation strategies for children and young people admitted with mental health crisis to acute paediatric care: A systematic review with narrative synthesis.

IF 1.6 4区 医学 Q3 NURSING
Takawira C Marufu, Aikaterina Kaltsa, Zaki Albelbisi, Timothy Carter, Jane Coad, Sarah J Bolton, Philip Breedon, Michael P Craven, Kate Frost, Anthony Harbottle, Elizabeth Hendron, Julian Patel, Laura Rad, Peter White, Damian Wood, Joseph C Manning
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引用次数: 0

Abstract

Globally, the number of Children and Young People (CYP) that experience mental health crisis and access paediatric acute hospital settings continues to increase. Many of these CYP present with thoughts and behaviours of self-harm and/or suicide and often experience severe and fluctuating emotional states. It is therefore important that the risk of self-harm/suicide is assessed during an inpatient admission and strategies implemented to mitigate risk. This study aimed to identify self-harm and suicidality risk management pathways that have been developed and evaluated for use with CYP admitted to acute hospital settings with mental health crisis. A systematic review was conducted. Eight online academic database were searched up to February 2022. The critical appraisal skills programme tool was used to assess the methodological rigour of included studies. Online searches identified 120 potential studies. Five studies met the predefined inclusion criteria. Six risk mitigation strategies were identified; safety huddles, urgent full mental psychiatric review within 2-h of assessment, feedback on screening responses, motivational and barrier-reducing intervention, 1:1 constant observations and environmental safety. All included strategies targeted environmental, family, and individual CYP involving modifications to equipment, surveillance, and communication to enhance safety.

因精神健康危机入院接受急性儿科护理的儿童和青少年的风险缓解策略:一项具有叙事综合的系统综述。
在全球范围内,经历精神健康危机并进入儿科急性医院的儿童和青年(CYP)人数继续增加。这些CYP中的许多人都有自残和/或自杀的想法和行为,并且经常经历严重和波动的情绪状态。因此,在住院期间评估自我伤害/自杀的风险并实施减轻风险的策略是很重要的。本研究旨在确定自我伤害和自杀风险管理途径,这些途径已被开发和评估用于急性住院环境中有精神健康危机的CYP。进行了系统评价。截至2022年2月,对8个在线学术数据库进行了检索。关键评估技能项目工具用于评估纳入研究的方法学严谨性。在线搜索确定了120项潜在研究。5项研究符合预定的纳入标准。确定了六项风险缓解战略;安全会议,评估后2小时内紧急全面精神病学审查,筛选反应反馈,动机和减少障碍的干预,1:1持续观察和环境安全。所有这些策略都是针对环境、家庭和个人的CYP,包括修改设备、监控和通信以提高安全性。
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
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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