Adolescent Substance Use, and Related Emergency Room Visits, and Continuum of Care

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2024-07-22 DOI:10.2174/0122106766304121240718112939
Oluwadunni Adegbite, Andrew Enegela, Crystal Obiozor, Edore Onigu-Otite
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引用次数: 0

Abstract

Adolescence is a unique developmental period marked by biophysiological changes and psychosocial exploration. Risk-taking behaviors, including experimentation with psychoactive substances, are common during this period. Emergency room (ER) visits for adverse events related to adolescent substance use have increased over the last two decades. Without a continuum of care from the ER, significant opportunities to intervene are missed. The narrative review article aims to provide an overview of substance use during Adolescence in the United States, highlight related ER visits, and discuss extending care beyond the ER. A literature review was conducted to reveal historical and recent studies related to adolescent substance use trends, morbidity, and mortality patterns, as well as the much-needed continuum of care after the ER. Our approach prioritized capturing diverse perspectives and significant studies relevant to these themes, aiming for a thorough discussion without strict adherence to systematic review methodologies. The selection of studies involved a comprehensive search across multiple databases, including PubMed, Google Scholar, and relevant academic journals. Search terms were tailored to capture studies addressing adolescent substance abuse, ER visitation, and aftercare. Studies were screened based on title, abstract, and full-text review, with a focus on relevance and significance to the review's objectives. The strategy for this narrative review facilitated a detailed exploration of the selected themes while also allowing for flexibility in study selection and interpretation. National studies indicate an overall decline in the proportions of adolescents using substances compared to pre-COVID-19 levels. However, morbidity and mortality patterns have not mirrored this decline. Various factors, including gender, location, and specific mental health disorders, are associated with adolescent substance use presentations. Acute care providers in emergency settings, employing protocols like SBIRT, can significantly impact outcomes by facilitating appropriate screening and referral to aftercare treatment programs. Identification of barriers to care, such as stigma and social determinants of health, is important in formulating tailored interventions. While acute care provides an opportunity to intervene and initiate treatment, a continuum of care is essential to reduce morbidity and mortality patterns among adolescents with substance use.
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青少年药物使用、相关急诊室就诊和持续护理
青春期是一个独特的发育时期,其特点是生理变化和社会心理探索。在这一时期,冒险行为(包括尝试使用精神活性物质)很常见。在过去二十年里,因青少年使用药物导致不良事件而到急诊室(ER)就诊的人数不断增加。如果没有从急诊室开始的持续护理,就会错失重要的干预机会。这篇叙述性综述文章旨在概述美国青少年时期的药物使用情况,强调相关的急诊就诊情况,并讨论将护理延伸到急诊室之外的问题。我们进行了文献综述,以揭示与青少年药物使用趋势、发病率和死亡率模式相关的历史和最新研究,以及急诊室之后亟需的持续护理。我们的方法是优先捕捉与这些主题相关的不同观点和重要研究,旨在进行彻底讨论,而不严格遵循系统性综述方法。研究的选择涉及多个数据库的全面搜索,包括 PubMed、谷歌学术和相关学术期刊。检索词专门针对青少年药物滥用、急诊室探视和善后护理方面的研究。根据标题、摘要和全文综述对研究进行筛选,重点关注与综述目标的相关性和重要性。叙事性综述的策略有助于对所选主题进行详细探讨,同时也允许对研究进行灵活选择和解释。全国性研究表明,与 COVID-19 前的水平相比,青少年使用药物的比例总体有所下降。然而,发病率和死亡率的模式并没有反映出这种下降。包括性别、地点和特定心理健康疾病在内的各种因素都与青少年使用药物的情况有关。在急诊环境中,急诊护理人员采用 SBIRT 等方案,可以通过促进适当的筛查和转诊至后续护理治疗项目,对治疗结果产生重大影响。虽然急诊护理为干预和启动治疗提供了机会,但持续的护理对于降低药物滥用青少年的发病率和死亡率至关重要。
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
期刊最新文献
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