South London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, England.
Suicide Life Threat Behav. 2012 Oct;42(5):507-24. doi: 10.1111/j.1943-278X.2012.00108.x. Epub 2012 Aug 13.
There is a growing body of evidence to suggest that only a minority of young people experiencing suicidal thoughts or self-harm present to any health services. This is of concern given that young people with suicidal thoughts or self-harm often require treatment for mental illness as well as to reduce their risk of completed suicide. We reviewed previously published international community epidemiological studies examining help-seeking for suicidal thoughts or self-harm in young people up to the age of 26. The studies confirm that the majority of these young people do not seek professional help, and this includes seeking medical help after an overdose. The majority of young people studied do, however, seek help from social networks that most commonly are peers. Factors influencing and barriers to help-seeking are discussed and highlight a need for further research into the role that peers and family play in the help-seeking process for young people with suicidal thoughts or self-harm.
越来越多的证据表明，只有少数有自杀念头或自残行为的年轻人会向任何卫生服务机构求助。这令人担忧，因为有自杀念头或自残行为的年轻人通常需要治疗精神疾病，以降低自杀的风险。我们回顾了之前发表的国际社区流行病学研究，这些研究调查了 26 岁以下年轻人寻求自杀念头或自残帮助的情况。研究证实，这些年轻人中的大多数并没有寻求专业帮助，其中包括在服药过量后寻求医疗帮助。然而，大多数接受研究的年轻人确实会向社交网络寻求帮助，这些网络通常是同龄人。讨论了影响和阻碍寻求帮助的因素，并强调需要进一步研究同伴和家庭在有自杀念头或自残的年轻人寻求帮助过程中所扮演的角色。
