Knox Kerry L, Conwell Yeates, Caine Eric D
Department of Community and Preventive Medicine, University of Rochester, Rochester, NY 14642, USA.
Am J Public Health. 2004 Jan;94(1):37-45. doi: 10.2105/ajph.94.1.37.
Although not a disease, suicide is a tragic endpoint of complex etiology and a leading cause of death worldwide. Just as preventing heart disease once meant that specialists treated myocardial infarctions in emergency care settings, in the past decade, suicide prevention has been viewed as the responsibility of mental health professionals within clinical settings. By contrast, over the past 50 years, population-based risk reduction approaches have been used with varying levels of effectiveness to prevent morbidity and mortality associated with heart disease. We examined whether the current urgency to develop effective interventions for suicide prevention can benefit from an understanding of the evolution of population-based strategies to prevent heart disease.
自杀虽非一种疾病，却是病因复杂的悲剧性结局，也是全球主要死因之一。正如曾经预防心脏病意味着专科医生在急诊环境中治疗心肌梗死一样，在过去十年里，自杀预防一直被视为临床环境中心理健康专业人员的职责。相比之下，在过去50年里，基于人群的风险降低方法已被用于预防与心脏病相关的发病率和死亡率，且效果各异。我们研究了当前开发有效自杀预防干预措施的紧迫性是否能从对预防心脏病的基于人群策略的演变的理解中受益。
