James J. Peters Veterans Administration Medical Center, Bronx, NY 10468, USA.
Cleve Clin J Med. 2012 Feb;79(2):92-7. doi: 10.3949/ccjm.79a.11069.
Suicidal behavior is a critical problem in war veterans. Combat veterans are not only more likely to have suicidal ideation, often associated with posttraumatic stress disorder (PTSD) and depression, but they are more likely to act on a suicidal plan. Especially since veterans may be less likely to seek help from a mental health professional, non-mental-health physicians are in a key position to screen for PTSD, depression, and suicidal ideation in these patients. The authors discuss the association of PTSD, depression, and suicide in veterans, keys to assessment of suicide risk, and interventions.
自杀行为是退伍军人中的一个严重问题。参战老兵不仅更有可能出现自杀意念,通常与创伤后应激障碍(PTSD)和抑郁有关,而且更有可能实施自杀计划。特别是由于退伍军人可能不太愿意向心理健康专业人员寻求帮助,因此非心理健康医生在筛查这些患者的 PTSD、抑郁和自杀意念方面处于关键位置。作者讨论了 PTSD、抑郁和自杀在退伍军人中的关联、自杀风险评估的关键以及干预措施。