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Increase in Mental Health Diagnoses Among Youth With Nonfatal Firearm Injuries
Academic Pediatrics ( IF 3.1 ) Pub Date : 2021-06-10 , DOI: 10.1016/j.acap.2021.06.003
Elizabeth R Oddo 1 , Lizmarie Maldonado 2 , Ashley B Hink 3 , Annie N Simpson 4 , Annie L Andrews 5
Affiliation  

Background and Objectives

Firearm injury is a leading cause of mortality for US youth. For every youth who dies from a firearm injury, at least 4 more survive. Little is known about the mental health consequences of non-fatal firearm injury in youth. Our objective was to quantify new mental health diagnoses after nonfatal firearm injury.

Methods

MarketScan Medicaid and commercial data were used to identify youth age 0 to 17 years with an initial encounter for a nonfatal firearm injury in 2016 to 2017. The International Classification of Diseases, Tenth Revision codes determined the presence of mental health conditions in the 12 months preinjury, during the index encounter, and in the 12 months postinjury. Logistic regression analysis was performed to determine factors associated with new mental health diagnoses during the 12 months postinjury.

Results

About 2178 patients (1769 Medicaid, 409 commercial) were identified for inclusion. 844 (38.8%) patients had a mental health diagnosis identified during the 12-month preinjury period. During the index encounter, 184 (8.5%) patients had a newly diagnosed mental health disorder. In the 12 months postinjury, 559 (25.7%) patients had a newly diagnosed mental health disorder. The most common new diagnosis categories were trauma disorders, substance abuse, and disruptive disorders. Medicaid insurance and a prior complex chronic condition were predictors of new mental health diagnosis.

Conclusion

Over a quarter of youth with nonfatal firearm injury were diagnosed with a new mental health condition in the 12 months after their injury. Health care providers should be vigilant about mental health screening and ensuring access to mental health care services in this population.



中文翻译:

非致命性枪伤青少年的心理健康诊断增加

背景和目标

枪伤是美国青年死亡的主要原因。每一名死于枪伤的青年,至少还有 4 人幸存。对青少年非致命性枪支伤害的心理健康后果知之甚少。我们的目标是量化非致命性枪伤后新的心理健康诊断。

方法

MarketScan 医疗补助和商业数据用于识别 0 至 17 岁在 2016 年至 2017 年首次遭遇非致命枪伤的青年。国际疾病分类第十次修订版代码确定了在受伤前 12 个月内是否存在心理健康状况,在指数遭遇期间,以及在受伤后的 12 个月内。进行逻辑回归分析以确定与受伤后 12 个月内新的心理健康诊断相关的因素。

结果

大约 2178 名患者(1769 名医疗补助,409 名商业患者)被确定纳入。844 (38.8%) 名患者在 12 个月的伤前期间进行了精神健康诊断。在索引遭遇期间,184 (8.5%) 名患者有新诊断的精神健康障碍。在受伤后的 12 个月内,559 名 (25.7%) 患者患有新诊断的精神健康障碍。最常见的新诊断类别是创伤性障碍、药物滥用和破坏性障碍。医疗补助保险和先前的复杂慢性病是新的心理健康诊断的预测因素。

结论

超过四分之一的非致命枪伤青少年在受伤后的 12 个月内被诊断出患有新的心理健康状况。卫生保健提供者应警惕心理健康筛查,并确保该人群获得精神卫生保健服务。

更新日期:2021-06-10
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