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自杀患者临床护理的当前证据基础:优势与不足。

The current evidence base for the clinical care of suicidal patients: strengths and weaknesses.

作者信息

Sakinofsky Isaac

机构信息

University of Toronto, Head, High Risk Consulation Clinic, Center for Addiction and Mental Health, Toronto, Ontario.

出版信息

Can J Psychiatry. 2007 Jun;52(6 Suppl 1):7S-20S.

Abstract

OBJECTIVE

To delineate the place of suicide as a public health problem, describe the methodology by which studies of care of suicidal persons have been assessed in this compendium of evaluative papers, and consider whether improved clinical care can reduce suicide.

METHOD

Systematic review according to the principles of evidence-based medicine. The limitations of the evidence are highlighted.

CONCLUSIONS

There is evidence that optimal clinical care can make a difference and reduce suicide. There is no magic clinical bullet currently available that could replace excellent clinical care, which remains the centrepiece of treatment of suicidal persons.

摘要

目的

明确自杀作为一个公共卫生问题的地位,描述在这本评估论文集中评估自杀者护理研究的方法,并探讨改善临床护理是否能降低自杀率。

方法

根据循证医学原则进行系统综述。强调了证据的局限性。

结论

有证据表明,最佳临床护理能够产生影响并降低自杀率。目前不存在能取代优质临床护理的神奇临床方法,优质临床护理仍是自杀者治疗的核心。

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