Moskos Michelle Ann, Achilles Jennifer, Gray Doug
Univ. of Utah School of Medicine, Department of Pediatrics, Intermountain Injury Control Research Center, Salt Lake City, UT, USA.
Crisis. 2004;25(4):176-82. doi: 10.1027/0227-5910.25.4.176.
In the United States, teen suicide rates tripled over several decades, but have declined slightly since the mid-1990s. Suicide, by its nature, is a complex problem. Many myths have developed about individuals who complete suicide, suicide risk factors, current prevention programs, and the treatment of at-risk youth. The purpose of this article is to address these myths, to separate fact from fiction, and offer recommendations for future suicide prevention programs. Myth #1: Suicide attempters and completers are similar Myth #2: Current prevention programs work. Myth #3: Teenagers have the highest suicide rate. Myth #4: Suicide is caused by family and social stress. Myth #5: Suicide is not inherited genetically. Myth #6: Teen suicide represents treatment failure. Psychiatric illnesses are often viewed differently from other medical problems. Research should precede any public health effort, so that suicide prevention programs can be designed, implemented, and evaluated appropriately. Too often suicide prevention programs do not use evidence-based research or practice methodologies. More funding is warranted to continue evidence-based studies. We propose that suicide be studied like any medical illness, and that future prevention efforts are evidence-based, with appropriate outcome measures.
在美国,青少年自杀率在几十年间增长了两倍,但自20世纪90年代中期以来略有下降。自杀,就其本质而言,是一个复杂的问题。关于自杀者、自杀风险因素、当前的预防项目以及对有自杀风险青少年的治疗,产生了许多误解。本文的目的是解决这些误解,分清事实与虚构,并为未来的自杀预防项目提供建议。误解1:自杀未遂者和自杀成功者相似。误解2:当前的预防项目有效。误解3:青少年的自杀率最高。误解4:自杀是由家庭和社会压力导致的。误解5:自杀不会遗传。误解6:青少年自杀代表治疗失败。精神疾病常常与其他医疗问题被区别看待。在任何公共卫生工作之前都应该进行研究,以便能够适当地设计、实施和评估自杀预防项目。自杀预防项目常常不采用基于证据的研究或实践方法。需要更多资金来继续开展基于证据的研究。我们建议像研究任何疾病一样研究自杀,并且未来的预防工作要基于证据,有适当的结果衡量标准。