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青少年自杀未遂——全科医疗以及健康与社会服务机构中的治疗可能性

[Attempted suicide among adolescents--therapeutic possibilities in general practice and health and social services institutions].

作者信息

Eriksen L, Rovsing L

机构信息

Københavns Universitet, Institut for Social Medicin.

出版信息

Ugeskr Laeger. 1990 Jan 22;152(4):220-2.

PMID:2301062
Abstract

The object of this investigation is to assess the incidence of suicide and attempted suicide in children and young adults (less than 25 years) and to describe the therapeutic possibilities available for young people with suicidal behaviour in the social and health sectors. The investigations consisted partly of interviews with representatives for the leaders for the institutions who accept persons with threatened suicide in the Municipality of Copenhagen and partly by a questionnaire sent to all general practitioners in the Municipality of Copenhagen (percentage of replies 67, n = 215). These investigations revealed that about half of all the doctors had been in contact with a young person with threatened suicide and that casualty departments and the social institutions admit approximately one threatened suicide per week. There are no taboos which prevent doctors from working with suicidal thoughts but only half feel competent to cope with these young people alone. Simultaneously, half of the doctors find that their possibilities for referring persons in crisis are unsatisfactory. They refer these cases primarily to their own profession. In the Municipality of Copenhagen, only the social sector can offer genuine help to young people in crisis although the supply cannot meet the needs to any extent.

摘要

这项调查的目的是评估儿童和年轻人(25岁以下)自杀及自杀未遂的发生率,并描述社会和卫生部门为有自杀行为的年轻人提供的治疗可能性。调查部分包括对哥本哈根市接收有自杀风险者机构的负责人代表进行访谈,部分通过向哥本哈根市所有全科医生发送问卷(回复率67%,n = 215)进行。这些调查显示,约一半的医生曾接触过有自杀风险的年轻人,急诊部门和社会机构每周约收治一名有自杀风险者。没有什么禁忌会阻止医生处理自杀念头,但只有一半的医生觉得自己有能力独自应对这些年轻人。同时,一半的医生发现他们将处于危机中的人转介的可能性不尽人意。他们主要将这些病例转介到自己的专业领域。在哥本哈根市,只有社会部门能够为处于危机中的年轻人提供真正的帮助,尽管其提供的帮助在任何程度上都无法满足需求。

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