年轻人的自杀：筛查、风险评估和干预。
Suicide in young people: screening, risk assessment, and intervention.
机构信息
Big Lots Behavioral Health Services at Nationwide Children's Hospital, Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine, Columbus, OH, USA.
Office of the Clinical Director, Intramural Research Program, National Institutes of Mental Health, NIH, Bethesda, MD, USA.
出版信息
BMJ. 2023 Apr 24;381:e070630. doi: 10.1136/bmj-2022-070630.
Suicide is the fourth leading cause of death among young people worldwide and the third leading cause of death among those in the US. This review outlines the epidemiology of suicide and suicidal behavior in young people. It discusses intersectionality as an emerging framework to guide research on prevention of suicide in young people and highlights several clinical and community settings that are prime targets for implementation of effective treatment programs and interventions aimed at rapidly reducing the suicide rate in young people. It provides an overview of current approaches to screening and assessment of suicide risk in young people and the commonly used screening tools and assessment measures. It discusses universal, selective, and indicated evidence based suicide focused interventions and highlights components of psychosocial interventions with the strongest evidence for reducing risk. Finally, the review discusses suicide prevention strategies in community settings and considers future research directions and questions challenging the field.
自杀是全球年轻人的第四大死因，也是美国年轻人的第三大死因。本综述概述了年轻人自杀和自杀行为的流行病学。它讨论了交叉性作为指导年轻人预防自杀研究的新兴框架，并强调了几个临床和社区环境，这些环境是实施旨在迅速降低年轻人自杀率的有效治疗计划和干预措施的主要目标。它概述了目前年轻人自杀风险筛查和评估的方法，以及常用的筛查工具和评估措施。它讨论了普遍、选择性和针对性的基于证据的自杀干预措施，并强调了具有最强降低风险证据的心理社会干预措施的组成部分。最后，该综述讨论了社区环境中的自杀预防策略，并考虑了未来具有挑战性的研究方向和问题。
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