Wilhelm Kay, Korczak Viola, Tietze Tad, Reddy Prasuna
School of Psychiatry, Faculty of Medicine, University of New South Wales, Randwick, NSW 2031, Australia.
St Vincent's Urban Mental Health and Wellbeing Research Institute, St Vincent's Hospital, Victoria Street, Darlinghurst, NSW 2010, Australia. Email:.
Aust Health Rev. 2017 May;41(2):182-184. doi: 10.1071/AH16008.
Rates of self-harm in Australia are increasing and constitute a concerning public health issue. Although there are standard treatment pathways for physical complaints, such as headache, abdominal pain and chest pain, in Emergency Medicine, there is no national pathway for self-harm or other psychiatric conditions that present to the emergency department. Herein we outline the difference between clinical practice guidelines and clinical pathways, discuss pathways we have identified on self-harm in Australia and overseas and discuss their applicability to the Australian context and the next steps forward in addressing this public health issue.
澳大利亚的自我伤害发生率正在上升，这构成了一个令人担忧的公共卫生问题。尽管在急诊医学中，对于身体不适，如头痛、腹痛和胸痛等，有标准的治疗途径，但对于出现在急诊科的自我伤害或其他精神疾病，却没有全国性的治疗途径。在此，我们概述临床实践指南和临床途径之间的区别，讨论我们在澳大利亚和海外确定的关于自我伤害的途径，并讨论它们在澳大利亚背景下的适用性以及解决这一公共卫生问题的下一步措施。
