Steele Margaret M, Doey Tamison
Department of Psychiatry, Schulich School of Medicine and Dentistry, The University of Western Ontario, London.
Can J Psychiatry. 2007 Jun;52(6 Suppl 1):35S-45S.
To systematically review the treatment of suicidal behaviour in children and adolescents.
After discussing the principles of treatment, we review the literature regarding adequate assessment, hospital-based services and their alternatives, and follow-up.
Treatment modalities (including psychotherapy) and preventive strategies (including school-based interventions, gatekeeper and primary practitioner training, and treatment of psychiatric disorders) are considered in the light of existing evidence.
The assessment of youth at risk for suicide should include attention to well-established risk factors, but prediction of risk remains difficult. Treatment of suicidal children and adolescents should be evidence-based and may include psychotherapy and psychopharmacology. Effective methods of prevention are emerging, but more research is needed.
系统回顾儿童和青少年自杀行为的治疗。
在讨论治疗原则后，我们回顾了有关充分评估、基于医院的服务及其替代方案以及随访的文献。
根据现有证据考虑了治疗方式（包括心理治疗）和预防策略（包括基于学校的干预、守门人和初级从业者培训以及精神疾病的治疗）。
对有自杀风险的青少年进行评估时应关注已明确的风险因素，但风险预测仍然困难。对有自杀行为的儿童和青少年的治疗应以证据为基础，可能包括心理治疗和精神药理学。有效的预防方法正在出现，但仍需要更多研究。
