美国儿科急诊中，心理精神疾患约占5％。国内情况如何?儿童心理精神疾患的急诊处理如何应对?在这些方面，值得更多的关注。此外，在儿科急诊开展心理服务对增强患儿住院期间对诊治的理解、增进合作、减少抵触、减轻患儿和家长的焦虑很有益处。今天阅读的文献题目是《美国儿童急诊的精神心理疾患就诊趋势》。
文献摘要
急诊科数据来自2011-2015年美国医院门诊医疗调查，这是一项全国范围内急诊科就诊调查。急诊精神疾患是根据国际疾病分类法第九次修订和就诊原因代码确定的。采用调查加权逻辑回归分析，分析精神病急诊就诊的趋势及相关因素。
Emergency department data came from the 2011–2015 National Hospital Ambulatory Medical Care Survey, a national survey of emergency department visits across the United States. Psychiatric emergency department visits were identified by using the International Classification of Diseases, Ninth Revision and reason-for-visit codes. Survey-weighted logistic regression analyses were employed to examine trends in as well as correlates of psychiatric emergency department visits. Data from the US Census Bureau were used to examine population rates.
2011年至2015年期间，美国每1000例次儿科急诊中，从31.3例次增至40.2例次，年增长率28%。在青少年中，与自杀相关的就诊人数大幅增加（增加2.5倍）（每1000名美国青少年中有4.6-11.7次就诊）。
Between 2011 and 2015, there was a 28% overall increase (from 31.3 to 40.2) in psychiatric emergency department visits per 1000 youth in the United States. A large increase in suicide-related visits (by 2.5-fold) was observed among adolescents (4.6–11.7 visits per 1000 US youth).
尽管精神疾患急诊就诊时间较长（51%的患儿的就诊时间≥3小时），但很少（16%）患儿在就诊期间接受专业医生的救治。
Although psychiatric emergency department visits were long (51% were ≥3 hours in length), few (16%) patients were seen by a mental health professional during their visit.
