智利一家公立医院住院青少年自杀未遂严重程度的特征。

L. Barriga
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摘要

在美洲,青少年自杀现象有所增加。在智利,青少年的自杀倾向是一个亟待解决的公共卫生问题。我们开展了一项定量、比较和回顾性研究,为医院提供干预策略,并与地区心理健康网络衔接。该研究对2017年1月至2018年12月期间因自杀未遂住院的96份青少年病历的社会人口学和临床方面进行了回顾、比较和关联。组成了两个研究小组:第一组是曾在重症治疗病房住院的14名青少年,第二组是不需要该病房的82名青少年。研究对象包括性别、年龄、教育程度、性虐待史、精神障碍诊断、并发症、既往心理健康咨询以及有精神障碍的照顾者。研究使用了描述性统计和几率比率。在第一组中,92%的男性青少年患有严重抑郁症,57%的病例中发现了严重抑郁症,100%的成员遭受过性虐待;在第二组中,91%的女性青少年患有中度抑郁症,79%的病例中发现了中度抑郁症,85.3%的病例中发现了人格发展异常,70%的成员遭受过性虐待。性虐待解释了最高百分比的方差(29%)。结论是,医院必须考虑到各研究小组的不同特点,并与地区心理健康网络协调,在其干预措施中保持护理的连续性。
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Caracterización de la gravedad del intento de suicidio en adolescentes hospitalizados en un hospital público de Chile.
Adolescent suicide has increased in the Americas. In Chile, at-tempted suicide in adolescents is a public health problem that needs an urgent solution. A quantitative, comparative and retrospective study was conducted to provide the hospital with intervention strategies and articulation with the territorial mental health network. The sociodemographic and clinical aspects of 96 records of adolescents hospitalized for attempted suicide between Janu-ary 2017 and December 2018 were reviewed, compared, and related. Two study groups were formed: Group I, 14 adolescents previously hospitalized in the Intensive Treatment Unit and Group II, 82 adolescents who did not require this unit. Gender, age, education, history of sexual abuse, diagnoses of mental disorders, co-morbidities, previous mental health consultations, and caregivers with mental disorders were studied. Descriptive statistics and odds ratios were used. In group I, with 92% male adolescents, severe depression was observed in 57% of cases, and 100% of its members suffered sexual abuse; in group II, with 91% female adolescents, 79% moderate depression was found, 85.3% ab-normal personality development and 70% of its members suffered sexual abuse. Sexual abuse explained the highest percentage of the variance (29%). It is con-cluded that the hospital must consider the distinctive characteristics of the study groups and coordinate with the territorial network of mental health the continuity of care in its interventions.
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