Links P S, Balchand K, Dawe I, Watson W J
Department of Psychiatry, St Michael's Mental Health Services, University of Toronto, Ontario.
Can Fam Physician. 1999 Nov;45:2656-60.
To highlight recent empirical evidence for effective interventions that can guide family physicians in managing patients after suicide attempts.
Randomized control trials of psychosocial interventions for people after suicide attempts have provided some evidence for effective interventions.
Suicide attempts are more common than suicides; the number of attempts seen in a family practice is estimated to be 10 to 15 yearly. Up to two thirds of patients who take their lives by suicide have seen a family physician in the month before their death. Principles of care after a suicide attempt include actively engaging the patient, involving the family, restricting access to means of suicide, and developing intervention plans to deal with the psychopathology that has placed the patient at risk.
Family physicians have a crucial role in preventing suicide through aftercare and ongoing monitoring of patients who have attempted suicide.
强调近期关于有效干预措施的实证证据，以指导家庭医生对自杀未遂患者进行管理。
针对自杀未遂者的心理社会干预随机对照试验为有效干预措施提供了一些证据。
自杀未遂比自杀更为常见；据估计，家庭医疗中每年见到的自杀未遂病例数为10至15例。高达三分之二自杀身亡的患者在死前一个月内看过家庭医生。自杀未遂后的护理原则包括积极与患者互动、让家人参与、限制获取自杀手段，并制定干预计划以应对使患者处于风险中的精神病理学问题。
家庭医生在通过对自杀未遂患者的后续护理和持续监测来预防自杀方面发挥着关键作用。
