Ruby Eugene, Sher Leo
Int J Adolesc Med Health. 2013;25(3):283-93. doi: 10.1515/ijamh-2013-0064.
Post-traumatic stress disorder (PTSD) is significantly associated with an increased risk for suicidal behavior among adolescents. Suicide is one of the top three causes of adolescent deaths worldwide. Despite the strong relationship between PTSD and suicidal behavior, precise causal pathways linking PTSD to suicide in adolescents remains unclear. A slew of mediating factors and variables commonly present themselves with both suicide and PTSD, including co-morbid psychiatric disorders, exposure to different forms of trauma and stressful life events, core neurobiological changes, and mental, emotional, and physiological states such as hyperarousal, impulsivity, and aggression. Because youth is such a critical stage of development, it is very important that at-risk adolescents are identified and referred for treatment. With many treatment challenges in these populations, effective implementation and use of prevention methods are of increasing importance. The most proven prevention methods include physician education, means restriction, and gatekeeper training. Other strategies that have received empirical support are public education campaigns and implementing guidelines for the media, including those for television, print media, and the Internet.
创伤后应激障碍（PTSD）与青少年自杀行为风险增加显著相关。自杀是全球青少年死亡的三大主要原因之一。尽管PTSD与自杀行为之间存在紧密联系，但PTSD与青少年自杀之间的确切因果路径仍不明确。一系列中介因素和变量通常同时出现在自杀和PTSD中，包括共病精神障碍、接触不同形式的创伤和压力性生活事件、核心神经生物学变化以及精神、情绪和生理状态，如过度觉醒、冲动和攻击性。由于青少年时期是一个非常关键的发育阶段，识别有风险的青少年并转介他们接受治疗非常重要。鉴于这些人群存在诸多治疗挑战，有效实施和使用预防方法变得越来越重要。最经证实的预防方法包括医生教育、手段限制和守门人培训。其他获得实证支持的策略包括公众教育活动以及为媒体（包括电视、印刷媒体和互联网）制定实施准则。
