Röcker Sabine, Bachmann Silke
1 Clienia Privatklinik Littenheid.
Ther Umsch. 2015 Oct;72(10):611-7. doi: 10.1024/0040-5930/a000727.
The great majority of suicides and suicide attempts are related to mental illness. Special risk has been attributed to depression, psychosis, substance use, personality, and trauma-related disorders. Many affected persons seek medical attention prior to taking action. Primary care therefor plays an outstanding role in suicide prevention. Doctors should pay attention to potential risk constellations and actively address the issue. This paper presents possibly helpful models and instruments for everyday use. Most importantly, however, professionals’ empathy and time are required as well as appropriate decisions concerning a referral to a psychiatrist or psychiatric inpatient treatment.
绝大多数自杀及自杀未遂事件都与精神疾病有关。抑郁症、精神病、物质使用、人格及创伤相关障碍都被认为具有特殊风险。许多受影响的人在采取行动之前会寻求医疗帮助。因此,初级保健在预防自杀方面发挥着突出作用。医生应关注潜在的风险组合并积极解决这一问题。本文介绍了一些可能有助于日常使用的模式和工具。然而,最重要的是,需要专业人员的同理心和时间,以及关于转诊至精神科医生或精神科住院治疗的适当决定。