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青少年自杀预防。对现有循证干预措施的系统评价及对意大利的启示

Suicide prevention among youths. Systematic review of available evidence-based interventions and implications for Italy.

作者信息

Pompili M, Innamorati M, Vichi M, Masocco M, Vanacore N, Lester D, Serafini G, Dominici G, Girardi P, De Leo D, Tatarelli R

机构信息

Department of Neuroscience and Mental Health, Suicide Prevention Center, Sant'Andrea Hospital, La Sapienza University, Rome, Italy.

出版信息

Minerva Pediatr. 2010 Oct;62(5):507-35.

Abstract

Suicide completion is a leading cause of death for children, adolescents, and young adults. There is evidence that the suicide rate for those aged 15 to 24 years has tripled since 1950, and suicide is now the second or third leading cause of death in this age group. Recent studies indicate that the incidence of suicide attempts among adolescents may exceed 10% annually. The role of caregivers and schools (as well as colleges and universities) is important in the assessment, management, and prevention of suicidal behaviour in children and youth. Recognition of risk factors for suicide is of paramount importance for prevention. Furthermore, a number of educational programs have demonstrated possible key roles in implementing suicide prevention strategies. As suicide is a problem of concern among Italian youths, this paper overviews current official statistical evidence of the phenomenon and suggests a national suicide prevention strategy based on a number of tools already involved in this field, especially in the USA.

摘要

自杀身亡是儿童、青少年和青年的主要死因。有证据表明,15至24岁人群的自杀率自1950年以来增长了两倍,自杀现已成为该年龄组第二或第三大死因。最近的研究表明,青少年每年自杀未遂的发生率可能超过10%。照顾者和学校(以及学院和大学)在评估、管理和预防儿童及青少年自杀行为方面发挥着重要作用。识别自杀风险因素对预防至关重要。此外,一些教育项目在实施自杀预防策略方面已显示出可能的关键作用。由于自杀是意大利青少年关注的问题,本文概述了该现象目前的官方统计证据,并基于该领域已采用的一些工具,特别是美国的工具,提出了一项国家自杀预防策略。

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