Terra Jean-Louis
Service de psychiatrie, centre hospitalier Le Vinatier, 69677 Bron (Lyon) Cedex.
Rev Prat. 2008 Feb 29;58(4):385-8.
Suicide occurs 20.4times more frequently in patients with major depression than in the general population. About 60% of the approximately 11,000 deaths from suicide each year in France occur in people with major depression. Assessment of suicide risk is one of the most challenging and important task for the clinician to continually perfect. According to the French consensus conference on the topic of the suicidal crisis, the assessment process includes the risk, the emergency and the dangerousness. The 8 steps of the crisis intervention are described. The strategies to ask how severe is the suicidal ideation is one of the most important point in an assessment interview.
重度抑郁症患者的自杀发生率比普通人群高20.4倍。在法国,每年约11000例自杀死亡案例中,约60%发生在重度抑郁症患者身上。评估自杀风险是临床医生不断完善的最具挑战性和重要的任务之一。根据法国关于自杀危机主题的共识会议,评估过程包括风险、紧急情况和危险性。文中描述了危机干预的8个步骤。询问自杀意念严重程度的策略是评估访谈中最重要的要点之一。