Mann J John
Columbia University, New York, New York, USA.
Ann Intern Med. 2002 Feb 19;136(4):302-11. doi: 10.7326/0003-4819-136-4-200202190-00010.
Suicide and suicide attempts are a major cause of death and morbidity worldwide. Suicide is generally a complication of a psychiatric disorder, but it requires additional risk factors because most psychiatric patients never attempt suicide. This review includes a hypothesized stress-diathesis model, which has implications for detection of high-risk patients and treatment interventions, and discusses promising treatment approaches that have been recently identified.
自杀及自杀未遂是全球范围内死亡和发病的主要原因。自杀通常是精神障碍的一种并发症,但它需要额外的风险因素,因为大多数精神疾病患者从未尝试过自杀。本综述包括一个假设的应激易感性模型,该模型对高危患者的检测和治疗干预具有启示意义,并讨论了最近发现的有前景的治疗方法。