在急诊科发现的变性和性别多元化青少年中存在自杀风险(2019-2022 年)。

IF 3 3区 医学 Q1 PEDIATRICS
Amanda Burnside, Doug Lorenz, Michael Harries, Aron Janssen, Jennifer Hoffmann
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引用次数: 0

摘要

背景和目的:在医疗机构中通过普遍筛查发现的自杀风险与随后的自杀行为有关,是一项重要的预防策略。关于急诊科(ED)中变性和性别多元化(TGD)青年自杀风险筛查阳性的发生率还没有描述。本研究考察了性别认同与自杀风险筛查结果之间的关联,并对其他人口统计学和临床特征进行了调整:方法:对一家城市学术儿童医院 2019 年 11 月至 2022 年 8 月期间急诊科就诊的电子病历数据进行回顾性横断面研究。参与者为接受过 "自杀筛查问题 "自杀风险筛查工具的 8-25 岁青少年:在接受自杀风险筛查的 12112 次急诊就诊中(42% 为男性,中位年龄为 14 [12, 16]),24% 的筛查结果呈阳性。在 565 名 TGD 青少年就诊者中,78.1% 的筛查结果呈阳性,9.5% 有主动自杀倾向。与同性别的女性就诊者相比,TGD 青少年就诊者中筛查呈阳性的调整后几率要高出 5.35 倍(95% CI 3.99,7.18),而同性别的男性就诊者中筛查呈阳性的调整后几率要低 0.45 倍(95% CI 0.40,0.52)。与同性别的女性来访者相比,同性别的男性来访者主动产生自杀念头的调整后几率更高(aOR 1.34,95% CI 1.07,1.68),但在 TGD 青少年中并无显著差异:结论:在急诊室,TGD 青少年的自杀风险筛查阳性率很高,这表明他们有很大的心理健康需求。我们可能有机会改进对这一人群的检测、循证简短干预以及与心理健康服务的联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Suicide Risk Identified among Transgender and Gender Diverse Youth in the Emergency Department (2019-2022).

Background and objectives: Suicide risk identified via universal screening in healthcare settings is associated with subsequent suicidal behavior and is an important prevention strategy. The prevalence of positive suicide risk screening among transgender and gender diverse (TGD) youth in the emergency department (ED) has not been described. The current study examined the association between gender identity and suicide risk screening results, adjusted for other demographic and clinical characteristics.

Methods: Retrospective cross-sectional study of electronic medical record data from ED visits November 2019-August 2022 in an urban academic children's hospital. Participants were youth ages 8-25 who received the Ask Suicide-Screening Questions suicide risk screening tool.

Results: Of 12,112 ED visits with suicide risk screening performed (42% male, median age 14 [12, 16]), 24% had positive screens. Of 565 visits by TGD youth, 78.1% had positive screens and 9.5% had active suicidal ideation. Compared to visits by cisgender females, the adjusted odds of positive screens was 5.35 times higher (95% CI 3.99, 7.18) among visits by TGD youth and 0.45 times lower (95% CI 0.40, 0.52) among visits by cisgender males. Compared to visits by cisgender females, the adjusted odds of active suicidal ideation was higher for cisgender males (aOR 1.34, 95% CI 1.07, 1.68) but did not significantly differ for TGD youth.

Conclusions: TGD youth have high rates of positive suicide risk screening in the ED, demonstrating substantial mental health needs. Opportunities may be available to improve detection, evidence-based brief interventions, and linkage to mental health services for this population.

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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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