急诊科对自杀患者的评估与管理。
Assessing and managing suicidal patients in the emergency department.
作者信息
Ryan Christopher James, Large Matthew, Gribble Robert, Macfarlane Matthew, Ilchef Ralf, Tietze Tad
机构信息
Clinical Associate Professor and Consultation-Liaison Psychiatrist, Westmead Hospital, Westmead, NSW, and; Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, and; the Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia
Mental Health Service, The Prince of Wales Hospitals, Sydney, NSW, and; School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
出版信息
Australas Psychiatry. 2015 Oct;23(5):513-6. doi: 10.1177/1039856215597536. Epub 2015 Jul 29.
OBJECTIVE
The objective of this article is to set out consensus guidelines for the assessment and management of "suicidal patients" in the emergency department.
CONCLUSIONS
Clinicians should be respectful and reassuring. They should review old notes, conduct a full history and examination, and talk to friends, family and any practitioners already involved in the patient's care. Management should be guided, where possible, by the patient's preferences, not by notions of risk. Every negotiated management plan and its rationale should be carefully documented.
目的
本文旨在制定急诊科“自杀患者”评估与管理的共识指南。
结论
临床医生应尊重患者并给予安慰。他们应查阅既往病历，进行全面的病史询问和体格检查，并与朋友、家人以及任何已参与患者护理的从业者交谈。管理应尽可能以患者的意愿为指导，而非基于风险观念。每一项协商好的管理计划及其理由都应仔细记录。
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