Carrigan Catherine Goertemiller, Lynch Denis J.
Department of Family Medicine, The Medical College of Ohio, Toledo.
Prim Care Companion J Clin Psychiatry. 2003 Aug;5(4):169-174. doi: 10.4088/pcc.v05n0405.
The management of patients who have made suicide attempts is a responsibility that frequently falls to the primary care physician. For this reason, it is important that the physician have a clear strategy for dealing with the suicidal patient in the office, hospital, and emergency room. In the acute situation, the first priority is to stabilize the patient and ensure his or her medical safety. Once this is accomplished, history and circumstances of the attempt can be assessed, along with likelihood of recurrence of the attempt. This article reviews guidelines for evaluating suicide risk. The importance of the patient-physician relationship is noted, particularly in regard to prevention of future suicide attempts. With a focused, thorough approach to the suicidal patient, which incorporates both medical and psychiatric considerations, the primary care physician can ameliorate the patient's acute situation and facilitate the coordination of care with appropriate psychiatric resources.
对有自杀未遂经历的患者进行管理，这一责任常常落在初级保健医生身上。因此，医生在诊所、医院和急诊室应对自杀患者有清晰的策略，这一点很重要。在紧急情况下，首要任务是稳定患者状况并确保其医疗安全。一旦做到这一点，就可以评估自杀未遂的病史和情况，以及再次尝试自杀的可能性。本文回顾了评估自杀风险的指南。文中指出了医患关系的重要性，尤其是在预防未来自杀未遂方面。通过对自杀患者采取专注、全面的方法，将医学和精神病学方面的考虑都纳入其中，初级保健医生可以改善患者的紧急状况，并促进与适当的精神科资源进行护理协调。
