Kerkhof Ad J F M, van Hemert Albert M
Vrije Universiteit, afd. Klinische psychologie, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2013;157(30):A5730.
In the Netherlands, guidelines for the diagnosis and treatment of suicidal behaviour and a quality paper on the continuity of care have recently been published. In the United Kingdom, adherence to a similar guideline was associated with a lower suicide rate. General practitioners and mental health workers need to be systematically educated and trained in the application of the guideline. Because the majority of victims who die by suicide are not under any type of medical supervision, close relatives and friends as well as 'gatekeepers' should become involved in its prevention. Relatives and friends need to have access to relevant information and receive support for their suspicions and questions. The general practitioner and the Internet play important roles in this regard. Budget cuts that affect access to acute mental health care have an adverse impact on suicide rates.
在荷兰，近期已发布了关于自杀行为诊断与治疗的指南以及一篇关于护理连续性的高质量论文。在英国，遵循类似的指南与较低的自杀率相关。全科医生和心理健康工作者需要接受关于该指南应用的系统教育和培训。由于大多数自杀死亡的受害者并未处于任何形式的医疗监管之下，近亲、朋友以及“守门人”都应参与到自杀预防工作中来。亲属和朋友需要获取相关信息，并就他们的怀疑和疑问获得支持。全科医生和互联网在这方面发挥着重要作用。影响获得急性心理健康护理的预算削减对自杀率有不利影响。
