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对有自杀风险的患者进行简短的预防干预是否有效?

Do Brief Preventive Interventions for Patients at Suicide Risk Work?

机构信息

Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

出版信息

JAMA Psychiatry. 2020 Oct 1;77(10):997-999. doi: 10.1001/jamapsychiatry.2020.1287.

Abstract

Suicide is the 10 leading cause of death in the United States and the 2 leading cause among youth and young adults, aged 10–34 years. There has been an alarmingly increased trend in suicide rates in the US over the past decades from 10.5 to 14.0 per 100,000 or a 33% increase between 1999 and 2017. Studies show that 91.7% of people who die by suicide had a health care contact with an emergency room visit, primary care, or outpatient specialty setting within a year prior to suicide, 54% within 30 days, and 29.6% within one week prior to suicide. Thus, the need for effective brief interventions that could be easily applied by a range of clinicians at each one of these settings to reduce risk for suicide is now more important than ever. We thank Doupnik and colleagues for their important contribution conducting a meta-analysis on studies addressing brief preventive interventions for acute suicide risk. The results provide valuable information for clinicians, researchers, and health policy makers about whether these interventions work in order to determine if these strategies should be implemented to reduce the public health burden of suicidal behavior.

摘要

自杀是美国的第 10 大主要死因,也是 10-34 岁青年和年轻成年人的第 2 大主要死因。在过去几十年中,美国的自杀率呈惊人上升趋势,从每 10 万人 10.5 人上升到 14.0 人,在 1999 年至 2017 年间增长了 33%。研究表明,自杀身亡者中有 91.7%在自杀前一年曾有过与急诊室、初级保健或门诊专科就诊的医疗保健接触,其中 54%在自杀前 30 天内,29.6%在自杀前一周内。因此,现在比以往任何时候都更需要有效的简短干预措施,这些措施可以由这些环境中的各种临床医生轻松应用,以降低自杀风险。我们感谢 Doupnik 及其同事在对急性自杀风险的简短预防干预措施进行的研究进行元分析方面的重要贡献。这些结果为临床医生、研究人员和卫生政策制定者提供了有关这些干预措施是否有效的有价值信息,以确定是否应实施这些策略来减轻自杀行为的公共卫生负担。

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