Gordon Michael, Melvin Glenn
MBBS, MPM, MD, FRANZCP, Cert Child Psychiatry, RANZCP, Consultant Psychiatrist and Unit Head, Monash University, Melbourne, Victoria.
Aust Fam Physician. 2014 Jun;43(6):367-72.
Adolescents at risk of suicide present a particularly difficult management challenge for all clinicians involved in their care. Adolescents have more suicidal thoughts and behaviours than adults. Management of adolescents at risk of suicide has specific challenges, which are different from those for suicidal adults.
To provide a review of the relevant clinical factors in the assessment of a suicidal adolescent. To provide the general practitioner with practical advice for the assessment of a suicidal adolescent, based on the international literature.
This article summarises the demographic, clinical, family and environmental and psychological factors associated with adolescent suicide risk. Steps towards the management of suicidal adolescents are presented and include risk assessment and safety planning.
对于所有参与自杀风险青少年护理的临床医生而言,对他们的管理是一项特别艰巨的挑战。青少年比成年人有更多的自杀念头和行为。对有自杀风险的青少年进行管理存在特殊挑战,这与有自杀风险的成年人不同。
综述评估自杀风险青少年时的相关临床因素。基于国际文献,为全科医生提供评估自杀风险青少年的实用建议。
本文总结了与青少年自杀风险相关的人口统计学、临床、家庭、环境和心理因素。介绍了管理自杀风险青少年的步骤,包括风险评估和安全规划。