儿童和青少年心理健康住院服务中使用强制措施的比率和风险因素:系统综述和叙述性综述。

IF 30.8 1区 医学 Q1 PSYCHIATRY
Lancet Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-08-06 DOI:10.1016/S2215-0366(24)00204-9
Astrid Moell, Maria Smitmanis Lyle, Alexander Rozental, Niklas Långström
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引用次数: 0

摘要

要减少住院儿童和青少年心理健康服务(CAMHS)中强制措施的使用,就必须了解当前的使用率和相关因素。我们对 2010 年 1 月 1 日至 2024 年 1 月 10 日期间发表的研究进行了系统性回顾,这些研究涉及住院儿童青少年心理健康服务中机械、物理或药物约束、隔离或强制管饲的使用率和风险因素。我们确定了 30 项偏倚风险较低的研究(包括 39027 名患者或入院治疗)。任何强制措施的发生率中位数为 17-5%,任何约束措施的发生率中位数为 27-7%,隔离措施的发生率中位数为 6-0%。年轻、男性、白人以外的民族或种族、住院时间较长、重复入院等因素经常与强制措施的使用有关。不同的比例和相互矛盾的风险因素表明,仅凭病人的特征不太可能决定强制措施的使用。需要进行更多的研究,尤其是全国性的研究,以阐明护理和工作人员因素的影响。最后,我们提出了报告指南,以改进不同时间和环境下的比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rates and risk factors of coercive measure use in inpatient child and adolescent mental health services: a systematic review and narrative synthesis.

Reducing the use of coercive measures in inpatient child and adolescent mental health services (CAMHS) requires an understanding of current rates and associated factors. We conducted a systematic review of research published between Jan 1, 2010, and Jan 10, 2024, addressing rates and risk factors for mechanical, physical, or pharmacological restraint, seclusion, or forced tube feeding in inpatient CAMHS. We identified 30 studies (including 39 027 patients or admissions) with low risk of bias. Median prevalence was 17·5% for any coercive measure, 27·7% for any restraint, and 6·0% for seclusion. Younger age, male sex, ethnicity or race other than White, longer stay, and repeated admissions were frequently linked to coercive measure use. Variable rates and conflicting risk factors suggest that patient traits alone are unlikely to determine coercive measure use. More research, especially in the form of nationwide studies, is needed to elucidate the impact of care and staff factors. Finally, we propose reporting guidelines to improve comparisons over time and settings.

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来源期刊
Lancet Psychiatry
Lancet Psychiatry PSYCHIATRY-
CiteScore
58.30
自引率
0.90%
发文量
0
期刊介绍: The Lancet Psychiatry is a globally renowned and trusted resource for groundbreaking research in the field of psychiatry. We specialize in publishing original studies that contribute to transforming and shedding light on important aspects of psychiatric practice. Our comprehensive coverage extends to diverse topics including psychopharmacology, psychotherapy, and psychosocial approaches that address psychiatric disorders throughout the lifespan. We aim to channel innovative treatments and examine the biological research that forms the foundation of such advancements. Our journal also explores novel service delivery methods and promotes fresh perspectives on mental illness, emphasizing the significant contributions of social psychiatry.
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