Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, NY 14642, USA.
Psychiatr Clin North Am. 2011 Jun;34(2):451-68, ix. doi: 10.1016/j.psc.2011.02.002.
This article makes the case that late-life suicide is a cause for great concern that warrants ongoing attention from researchers, health care providers, policy makers, and society at large. It reviews the evidence for factors that place older adults at risk for suicide, or protect them from it. The authors introduce the notion that suicide preventive interventions target individuals or groups at different levels of risk at different points on the developmental trajectory toward death by suicide, offering examples and recommending their strategic, combined application to create an effective, community-level response to the mounting problem of suicide in older adults.
本文认为,老年人自杀是一个值得关注的严重问题,需要研究人员、医疗保健提供者、政策制定者和整个社会持续关注。文章回顾了导致老年人面临自杀风险或保护他们免受自杀影响的因素的证据。作者提出了自杀预防干预措施的概念,即在自杀发展轨迹的不同阶段,针对不同风险水平的个体或群体,提供了示例并建议将其策略性地结合应用,以创建一个有效的社区层面的应对老年人自杀问题的方案。