Ng Chung Wai Mark, How Choon How, Ng Yin Ping
SingHealth Polyclinics, Singapore.
Care and Health Integration, Changi General Hospital, Singapore.
Singapore Med J. 2017 Feb;58(2):72-77. doi: 10.11622/smedj.2017006.
Major depression is a common condition seen in the primary care setting. This article describes the suicide risk assessment of a depressed patient, including practical aspects of history-taking, consideration of factors in deciding if a patient requires immediate transfer for inpatient care and measures to be taken if the patient is not hospitalised. It follows on our earlier article about the approach to management of depression in primary care.
重度抑郁症是基层医疗环境中常见的病症。本文描述了对一名抑郁症患者的自杀风险评估,包括病史采集的实际要点、在决定患者是否需要立即转诊接受住院治疗时要考虑的因素,以及如果患者未住院应采取的措施。它延续了我们之前关于基层医疗中抑郁症管理方法的文章。