Rives W
Department of Psychiatry, New York University School of Medicine, New York, USA.
Psychiatr Clin North Am. 1999 Dec;22(4):779-87, viii. doi: 10.1016/s0193-953x(05)70125-8.
Despite advances in the treatment of depression and increasing awareness of mental illness, suicide remains a significant public health problem. Individuals presenting to the emergency department with suicidal ideation are uniquely challenging to assess and treat because prediction of this lethal act is not yet possible. Clinicians need to take careful histories along with their direct exam in order to identify patients with true suicidal intent. Safety issues and medico-legal concerns are addressed as well as critical aspects of the suicidal ideation.
尽管在抑郁症治疗方面取得了进展，且人们对精神疾病的认识有所提高，但自杀仍然是一个重大的公共卫生问题。因有自杀意念而前往急诊科就诊的患者在评估和治疗方面极具挑战性，因为目前尚无法预测这种致命行为。临床医生需要仔细询问病史并进行直接检查，以便识别有真正自杀意图的患者。文中还讨论了安全问题、法律问题以及自杀意念的关键方面。
