Everly George S
Int J Emerg Ment Health. 2003 Fall;5(4):179-84.
The second Gulf War and liberation of Iraq have spawned new fears of domestic terrorism. There have been numerous calls for the integration of disaster mental health services into extant public health and national defense policies (Holloway, Norwood, Fullerton, Engel & Ursano, 1997; DiGiovanni, 1999; Susser, Herman, & Aaron, 2002, August). While most agree that such a strategy is warranted, questions abound as to how the tactical components should be implemented. Furthermore, concern has been raised regarding the importance of "doing no harm" (NIMH, 2002), i.e., the risk of iatrogenic harm. This article, while acknowledging the potential value of early psychological intervention, acknowledges the potential risks associated with the form of emergency mental health intervention, often referred to as crisis intervention. The article also provides suggestions for reducing the risks for iatrogenic harm associated with crisis intervention.
第二次海湾战争及伊拉克解放引发了对国内恐怖主义的新担忧。已有众多呼声要求将灾难心理健康服务纳入现有的公共卫生和国防政策（霍洛韦、诺伍德、富勒顿、恩格尔和乌尔萨诺，1997年；迪乔瓦尼，1999年；苏瑟、赫尔曼和亚伦，2002年8月）。虽然大多数人都认为这样的策略是必要的，但对于战术组成部分应如何实施，问题却层出不穷。此外，人们还对“不造成伤害”（美国国立精神卫生研究所，2002年）的重要性提出了关注，即医源性伤害的风险。本文在承认早期心理干预潜在价值的同时，也承认与紧急心理健康干预形式（通常称为危机干预）相关的潜在风险。本文还提供了一些建议，以降低与危机干预相关的医源性伤害风险。
