对有自杀风险患者的初级保健评估。
Primary care assessment of patients at risk for suicide.
作者信息
Bono Valerie, Amendola Christine Lazaros
机构信息
Valerie Bono has been practicing inpatient medicine (internal medicine, general surgery with subspecialties, psychiatry and emergency medicine) for the past 15 years in New York City. She now practices outpatient medicine in Brooklyn and prepares physician assistant students for the national certification examination and physician assistants for the recertification examination. Before becoming a PA, she worked as a mental health counselor for 10 years. Christine Lazaros Amendola is associate director of the Bronx Sexual Assault Response Team at North Central Bronx Hospital, Jacobi Medical Center, and Lincoln Medical and Mental Health Center, and an assistant clinical professor in the PA program at Pace University/Lenox Hill Hospital, all in New York City. She also practices emergency medicine at Jacobi Hospital. The authors have disclosed no potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2015 Dec;28(12):35-9. doi: 10.1097/01.JAA.0000473360.07845.66.
Primary care providers (PCPs) play a crucial role caring for patients with depression, managing antidepressant therapy, and assessing patients for suicide risk. Ten percent of the more than 20 million primary care visits for depression each year involve mental health issues, and account for 62% of the antidepressants prescribed in the United States. Psychiatric disorders appear to be underrecognized and undertreated in primary care. Suicidal ideation is present in a significant percentage of depressed primary care patients but rarely discussed. This article describes the warning signs and risk factors associated with suicide and recommends screening tools that can help PCPs identify patients at risk.
初级保健提供者在照顾抑郁症患者、管理抗抑郁治疗以及评估患者自杀风险方面发挥着关键作用。每年超过2000万次因抑郁症进行的初级保健就诊中，有10%涉及心理健康问题，占美国开出的抗抑郁药的62%。精神疾病在初级保健中似乎未得到充分认识和治疗。相当比例的患有抑郁症的初级保健患者存在自杀意念，但很少被讨论。本文描述了与自杀相关的警示信号和风险因素，并推荐了有助于初级保健提供者识别有风险患者的筛查工具。
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