影响台湾 COVID-19 大流行期间与自残或暴力相关的紧急精神科就诊的因素。

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychology Research and Behavior Management Pub Date : 2023-05-08 eCollection Date: 2023-01-01 DOI:10.2147/PRBM.S399242

Chung-Chen Yeh, Yu-Tung Lee, Cheng-Yu Chien, Po-Cheng Chen, Jian-Hong Chen, Chun-Hao Liu

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引用次数: 0

摘要

目的：在 COVID-19 大流行期间，人们寻求医疗保健的行为发生了很大变化。本研究评估了在大流行的不同阶段和不同级别医院的急诊科（ED）中与自残和暴力相关的紧急精神病咨询（UPC）的变化情况：我们招募了在COVID-19大流行期间同一时间窗口（第4-18日历周）的基线期（2019年）、高峰期（2020年）和低谷期（2021年）接受UPC的患者。我们还记录了年龄、性别和转诊类型（由警察/急诊医疗系统转诊）等人口统计学数据：结果：我们发现，女性性别和年轻与自残相关的 UPC 风险较高有关，而到地区医院就诊的患者、男性患者和由政策/紧急医疗系统转诊的患者与暴力相关的 UPC 风险较高。经过调整后，大流行的不同阶段与自残或暴力相关的 UPCs 没有明显关联：患者的人口统计学数据，而非大流行本身，可能是导致大流行期间自残和暴力相关 UPCs 发生变化的原因。

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Factors Affecting Self-Harm- or Violence-Related Urgent Psychiatric Consultation During the COVID-19 Pandemic in Taiwan.

Purpose: People's health-care-seeking behaviors considerably changed during the COVID-19 pandemic. This study evaluated the changes in self-harm- and violence-related urgent psychiatric consultation (UPC) in the emergency department (ED) during different stages of the pandemic and at different levels of hospitals.

Patients and methods: We recruited patients who received UPC during the baseline (2019), peak (2020), and slack (2021) periods of the same time window (calendar weeks 4-18) during the COVID-19 pandemic. Demographic data such as age, sex, and referral type (by the police/emergency medical system) were also recorded.

Results: We found female gender and younger age associated with higher risk of self-harm-related UPCs, whereas patients visiting regional hospitals, male patients, and patients referred by the policy/emergency medical system, had a higher risk of violence-related UPCs. After adjustment, the different pandemic stages were not significantly associated with self-harm- or violence-related UPCs.

Conclusion: Patient's demographic data, but not the pandemic itself, may be responsible for the changes in self-harm- and violence-related UPCs during the pandemic.

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来源期刊

Psychology Research and Behavior Management Multiple-

CiteScore

4.50

自引率

4.70%

发文量

341

审稿时长

16 weeks

期刊介绍： Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.