Department of Educational Psychology, University of Texas at Austin, TX 78712-1099, USA.
Harv Rev Psychiatry. 2012 Jul-Aug;20(4):209-21. doi: 10.3109/10673229.2012.712841.
Colleges and universities are increasingly recognizing the need to expand suicide-prevention efforts beyond the standard, clinical-intervention paradigm of suicide prevention, which relies on referral to, and treatment by, mental health services. These services frequently struggle, however, to provide effective, comprehensive care. After reviewing findings that support the need to adopt a broader, problem-focused paradigm, the article provides a framework for bridging this paradigm with the clinical-intervention approach and for conceptualizing a full continuum of preventive interventions. For each level of intervention (ranging from the individual to the ecological), we describe the goals and methods used, and provide examples to illustrate the role of psychiatrists and other campus mental health providers in the collaborative partnerships that must form to support a comprehensive, campus-wide suicide-prevention strategy.
高校越来越认识到需要将预防自杀的努力扩展到标准的临床干预预防自杀模式之外，这种模式依赖于向心理健康服务机构转介和接受治疗。然而，这些服务机构常常难以提供有效、全面的护理。在回顾了支持采用更广泛、以问题为中心的模式的研究结果后，本文提供了一个将这种模式与临床干预方法相衔接的框架，并为全面的预防干预措施设想了一个完整的连续体。对于每个干预层面（从个人到生态），我们描述了使用的目标和方法，并提供了示例来说明精神科医生和其他校园心理健康提供者在支持全面的校园预防自杀策略的合作关系中所扮演的角色。
