Fortune Sarah A, Hawton Keith
Centre for Suicide Research, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.
Curr Opin Psychiatry. 2005 Jul;18(4):401-6. doi: 10.1097/01.yco.0000172059.55778.c9.
We outline research developments in 2004 and early 2005 published in English language journals on deliberate self-harm among children and adolescents up to the age of 18 years.
The main issue of concern in recent times has been the risk/benefit profile of using antidepressants, especially selective serotonin reuptake inhibitors, in depressed children and adolescents. Other important topics include treatment approaches, particularly cognitive behaviour therapy, dialectical behaviour therapy and multisystemic therapy, barriers to help seeking, the Internet and prevention.
Rates of deliberate self-harm appear to be rising among young people. Risk factors associated with deliberate self-harm are becoming clearer and the evaluation of treatments is progressing. However, the recent conflicting evidence and guidelines regarding selective serotonin reuptake inhibitors and suicidality are presenting major difficulties for clinicians. The role of the Internet and initiatives to prevent suicidal behaviour in adolescents require further research.
我们概述了2004年及2005年初发表在英文期刊上的关于18岁及以下儿童和青少年故意自伤的研究进展。
近期关注的主要问题一直是在抑郁的儿童和青少年中使用抗抑郁药，尤其是选择性5-羟色胺再摄取抑制剂的风险/益处情况。其他重要主题包括治疗方法，特别是认知行为疗法、辩证行为疗法和多系统疗法、寻求帮助的障碍、互联网和预防。
故意自伤率在年轻人中似乎呈上升趋势。与故意自伤相关的风险因素越来越清晰，治疗评估也在推进。然而，近期关于选择性5-羟色胺再摄取抑制剂和自杀倾向的相互矛盾的证据和指南给临床医生带来了重大困难。互联网的作用以及预防青少年自杀行为的举措需要进一步研究。
