Division of Services and Intervention Research, National Institute of Mental Health, 6001 Executive Blvd., Bethesda, MD 20892, USA.
Psychiatr Serv. 2013 Jan;64(1):71-5. doi: 10.1176/appi.ps.201100512.
It is time to strategically apply science and accountability to the public health problem of preventable suicide. U.S. suicide rates have remained stable for decades. More than 36,000 individuals now die by suicide each year. A public health-based approach to quickly and substantially reduce suicides requires strategic deployment of existing evidence-based interventions, rapid development of new interventions, and measures to increase accountability for results. The purpose of this Open Forum is to galvanize researchers to further develop and consolidate knowledge needed to guide these actions. As researchers overcome data limitations and methodological challenges, they enable better prioritization of high-risk subgroups for targeted suicide prevention efforts, identification of effective interventions ready for deployment, estimation of the implementation impact of effective interventions in real-world settings, and assessment of time horizons for taking implementation to scale. This new knowledge will permit decision makers to take strategic action to reduce suicide and stakeholders to hold them accountable for results.
现在是时候将科学和问责制应用于可预防自杀这一公共卫生问题了。美国的自杀率几十年来一直保持稳定，每年仍有超过 36000 人自杀。采取基于公共卫生的方法来快速大幅减少自杀人数，需要战略性地部署现有的基于证据的干预措施，迅速开发新的干预措施，并采取措施提高成果问责制。本次公开论坛的目的是激励研究人员进一步开发和整合指导这些行动所需的知识。随着研究人员克服数据限制和方法学挑战，他们能够更好地为有针对性的自杀预防工作确定高风险亚组，确定已准备好部署的有效干预措施，评估有效干预措施在实际环境中的实施影响，并评估将实施工作扩大规模的时间框架。这些新知识将使决策者能够采取战略性行动来减少自杀，并使利益相关者对其成果负责。
