在两个COVID-19警报状态期间,西班牙某省精神科急诊科儿童和青少年人群的紧急护理和自杀行为

IF 5.2 3区 医学 Q1 PSYCHIATRY
Vicent Llorca-Bofí, Marina Adrados-Pérez, Marta Sánchez-Cazalilla, Giovanni Torterolo, Laura Arenas-Pijoan, Esther Buil-Reiné, Eugènia Nicolau-Subires, Carla Albert-Porcar, Lucía Ibarra-Pertusa, Margarita Puigdevall-Ruestes, María Irigoyen-Otiñano
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引用次数: 2

摘要

2019冠状病毒病的爆发和封锁可能会对年轻人的心理健康产生影响,但关于西班牙年轻人在精神科急诊就诊的报道很少。本研究的目的是分析COVID-19大流行期间我院青少年精神科急诊的原因。材料和方法本横断面研究比较了莱伊达省年轻患者在大流行前后的精神病学急诊科就诊情况及其特点,特别关注了两种状态的报警和自杀行为。从电子病历中获得有关社会人口状况、主诉、诊断、自杀行为特征和其他数据的信息。结果在精神科急诊总人数中,青年患者在第二报警状态下增加了83.5% (p = 0.001)。这一时期患者年龄较轻(p = 0.006),精神病史较少(p = 0.017),其生活条件随与亲属同住人数的增加而改变(p = 0.004)。自杀意念护理增加,但无统计学意义(p = 0.073)。多元logistic回归分析发现,自杀行为的独立危险因素为女性(OR: 2.88[1.39-5.98])、与亲属同住(OR: 3.49[1.43-8.54])、患有抑郁症(OR: 6.34[3.58-11.24])。结论在疫情慢性期接受精神科急诊的青少年人数有所增加,且呈年轻化趋势,且无精神科接触史。自杀意念率上升的趋势表明,在这些时期,年轻人,特别是妇女,与亲戚住在一起并表现出抑郁症,经历了更大的痛苦。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Urgent care and suicidal behavior in the child and adolescent population in a psychiatric emergency department in a Spanish province during the two COVID-19 states of alarm

Introduction

The COVID-19 outbreak and lockdown may have an impact in mental health among youth, but reports of psychiatry emergency department encounters in young Spanish population are scarce. The aim of this study is to characterize the reasons for psychiatric urgent care of youth during COVID-19 pandemic in our hospital.

Material and methods

This cross-sectional study compare visits to the psychiatry emergency department and their characteristics in young patients in the province of Lleida before and after the pandemic with special attention to the two states of alarm and suicidal behavior. Information regarding sociodemographic status, chief complaints, diagnosis, characteristics of suicidal behavior, and other data were obtained from the electronic medical records.

Results

Within the total psychiatric emergency attendances, youth patients increased a 83.5% in the second state of alarm (p = 0.001). In this period patients were younger (p = 0.006), had less psychiatric history (p = 0.017) and their living conditions changed with an increase of those living with relatives (p = 0.004). Suicidal ideation care increased without statistical significance (p = 0.073). Multiple logistic regression identifies independent risk factors for suicidal behavior being female (OR: 2.88 [1.39–5.98]), living with relatives (OR: 3.49 [1.43–8.54]), and having a diagnosis of depression (OR: 6.34 [3.58–11.24]).

Conclusions

The number of young people seen in psychiatric emergencies during the chronic stage of the pandemic increased, and these were getting younger and without previous psychiatric contact. The trend to higher rates of suicidal ideation indicates that youth experienced elevated distress during these periods, especially women, living with relatives and presenting depression.

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来源期刊
自引率
3.30%
发文量
58
期刊介绍: The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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