Hogan Michael F, Grumet Julie Goldstein
Michael F. Hogan (
Julie Goldstein Grumet is the director of health and behavioral health initiatives at the Suicide Prevention Resource Center, in Washington, D.C.
Health Aff (Millwood). 2016 Jun 1;35(6):1084-90. doi: 10.1377/hlthaff.2015.1672.
Suicide is a significant public health problem. It is the tenth leading cause of death in the United States, and the rate has risen in recent years. Many suicide deaths are among people recently seen or currently under care in clinical settings, but suicide prevention has not been a core priority in health care. In recent years, new treatment and management strategies have been developed, tested, and implemented in some organizations, but they are not yet widely used. This article examines the feasibility of improving suicide prevention in health care settings. In particular, we consider Zero Suicide, a model for better identification and treatment of patients at risk for suicide. The approach incorporates new tools for screening, treatment, and support; it has been deployed with promising results in behavioral health programs and primary care settings. Broader adoption of improved suicide prevention care may be an effective strategy for reducing deaths by suicide.
自杀是一个重大的公共卫生问题。它是美国第十大死因,且近年来死亡率有所上升。许多自杀死亡案例发生在近期就诊或目前正在临床机构接受治疗的人群中,但自杀预防在医疗保健中并非核心重点。近年来,一些组织已开发、测试并实施了新的治疗和管理策略,但尚未广泛应用。本文探讨了在医疗保健机构中加强自杀预防的可行性。特别是,我们考虑“零自杀”模式,这是一种更好地识别和治疗有自杀风险患者的模式。该方法纳入了用于筛查、治疗和支持的新工具;它已在行为健康项目和初级保健机构中得到应用,并取得了令人鼓舞的成果。更广泛地采用改进后的自杀预防护理可能是减少自杀死亡的有效策略。