J Am Acad Child Adolesc Psychiatry. 2001 Jul;40(7 Suppl):24S-51S. doi: 10.1097/00004583-200107001-00003.
These guidelines review what is known about the epidemiology, causes, management, and prevention of suicide and attempted suicide in young people. Detailed guidelines are provided concerning the assessment and emergency management of the children and adolescents who present with suicidal behavior. The guidelines also present suggestions on how the clinician may interface with the community. Crisis hotlines, method restriction, educational programs, and screening/ case-finding suicide prevention strategies are examined, and the clinician is advised on media counseling. Intervention in the community after a suicide, minimization of suicide contagion or imitation, and the training of primary care physicians and other gatekeepers to recognize and refer the potentially suicidal child and adolescent are discussed.
这些指南回顾了关于青少年自杀及自杀未遂的流行病学、成因、管理和预防方面的已知信息。针对出现自杀行为的儿童和青少年的评估及应急处理,提供了详细的指南。指南还就临床医生如何与社区互动提出了建议。对危机热线、方法限制、教育项目以及筛查/病例发现等自杀预防策略进行了研究,并就媒体咨询向临床医生提供了建议。讨论了自杀事件发生后在社区的干预措施、将自杀传染或模仿降至最低,以及培训初级保健医生和其他把关人以识别并转诊有潜在自杀倾向的儿童和青少年。