Blumenthal S J
Behavioral Medicine Program, National Institute of Mental Health, Rockville, Maryland.
Psychiatr Clin North Am. 1990 Sep;13(3):511-56.
One of the most difficult clinical problems facing the mental health professional is the prediction and prevention of youth suicide. Suicide is currently the third leading cause of death for young people, ages 15 to 24, in the United States. This article presents several models for understanding youth suicidal behavior including psychologic, sociologic, and biomedical explanations. It summarize what is known about risk factors for adolescent and young adult suicide, including psychiatric diagnosis, personality traits, psychosocial factors, associated medical illnesses, biologic correlates, and family history and genetics. Knowledge about these risk factors will be translated into practical considerations for the treatment of adolescent and young adult suicidal patterns, including psychotherapeutic, psychopharmacologic, and environmental interventions.
心理健康专业人士面临的最棘手临床问题之一是青少年自杀的预测与预防。在美国，自杀目前是15至24岁年轻人的第三大死因。本文介绍了几种理解青少年自杀行为的模型，包括心理学、社会学和生物医学方面的解释。它总结了已知的青少年和青年自杀风险因素，包括精神科诊断、人格特质、心理社会因素、相关躯体疾病、生物学关联以及家族史和遗传学。有关这些风险因素的知识将转化为治疗青少年和青年自杀模式的实际考量，包括心理治疗、心理药物治疗和环境干预。
