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精神科患者自杀倾向的定义与管理。

Definition and management of suicidality in psychiatric patients.

作者信息

Fawcett Jan A, Baldessarini Ross J, Coryell William H, Silverman Morton M, Stein Dan J

机构信息

University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

出版信息

J Clin Psychiatry. 2009 Oct;70(10):e38. doi: 10.4088/JCP.8145tx1c.

DOI:10.4088/JCP.8145tx1c
PMID:19906337
Abstract

The US Food and Drug Administration warnings that psychotropic medications may increase the risk of suicidality have generated concern about prescribing these agents to patients with psychiatric disorders, many of whom are already at increased risk for suicide. To effectively prevent suicidal behaviors and suicide in clinical practice, clinicians must understand the dangers and benefits associated with psychotropic medications. In addition, they must learn how to identify and manage suicidal risk during treatment.

摘要

美国食品药品监督管理局警告称,精神类药物可能会增加自杀倾向风险,这引发了人们对于给患有精神疾病的患者开具此类药物的担忧,而这些患者中的许多人本身就已经面临更高的自杀风险。为了在临床实践中有效预防自杀行为和自杀事件,临床医生必须了解精神类药物相关的风险和益处。此外,他们还必须学会如何在治疗过程中识别和管理自杀风险。

相似文献

1
Definition and management of suicidality in psychiatric patients.精神科患者自杀倾向的定义与管理。
J Clin Psychiatry. 2009 Oct;70(10):e38. doi: 10.4088/JCP.8145tx1c.
2
Defining and managing suicidal risk in patients taking psychotropic medications.确定和管理服用精神药物患者的自杀风险。
J Clin Psychiatry. 2009 Jun;70(6):782-9. doi: 10.4088/jcp.8145co0c.
3
Suicide risk and psychopharmacology: assessment and management of acute and chronic risk factors.自杀风险与精神药理学:急性和慢性风险因素的评估与管理
J Clin Psychiatry. 2009 Jul;70(7):1052-3. doi: 10.4088/jcp.09ac05421.
4
Practice guideline for the assessment and treatment of patients with suicidal behaviors.自杀行为患者评估与治疗实践指南。
Am J Psychiatry. 2003 Nov;160(11 Suppl):1-60.
5
Editorial: Off-label Treatments for Mental Health: Inappropriate or Unavoidable? A Special Issue to Help Get Through the Maze.社论:精神健康的非标签治疗:不合适还是不可避免?一个帮助走出迷宫的特刊。
Curr Pharm Des. 2015;21(23):3274-5. doi: 10.2174/138161282123150723153610.
6
Ethical and pragmatic issues in the use of psychotropic agents in young children.幼儿使用精神药物中的伦理与实际问题。
Can J Psychiatry. 1998 Aug;43(6):585-8. doi: 10.1177/070674379804300606.
7
Suicidality and risk of suicide--definition, drug safety concerns, and a necessary target for drug development: a consensus statement.自杀倾向和自杀风险——定义、药物安全性担忧以及药物研发的必要目标:共识声明。
J Clin Psychiatry. 2010 Aug;71(8):e1-e21. doi: 10.4088/JCP.10cs06070blu.
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Sense and Sensibility When Prescribing 'Off-Label' to Psychiatric Patients.
Curr Pharm Des. 2015;21(23):3276-9. doi: 10.2174/1381612821666150619092353.
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Suicide and bipolar disorder.自杀与双相情感障碍。
J Clin Psychiatry. 2000;61 Suppl 9:47-51.
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[Reports. The psychopharmacological off-label prescribing in the treatment of children and adolescents with psychiatric disorders].[报告。精神药物在治疗儿童和青少年精神障碍中的超说明书用药情况]
Z Kinder Jugendpsychiatr Psychother. 2016;44(4):315-7. doi: 10.1024/1422-4917/a000449.

引用本文的文献

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On Being Open in Closed Places: Vulnerability and Violence in Inpatient Psychiatric Settings.在封闭环境中保持开放:住院精神科环境中的脆弱性和暴力。
Nurs Philos. 2025 Jan;26(1):e70005. doi: 10.1111/nup.70005.
2
Towards the Influence of Media on Suicidality: A Systematic Review of Netflix's 'Thirteen Reasons Why'.媒体对自杀倾向的影响:对网飞《十三个原因》的系统评价。
Int J Environ Res Public Health. 2023 Mar 27;20(7):5270. doi: 10.3390/ijerph20075270.
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Analysis of Classes Used in the Treatment of Depression by Physician-reported Severity.
按医生报告的严重程度分析用于治疗抑郁症的类别。
Psychiatry (Edgmont). 2010 Feb;7(2):17-23.