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评估自杀风险的医源性风险:一项荟萃分析。

On the Iatrogenic Risk of Assessing Suicidality: A Meta-Analysis.

机构信息

School of Medicine, University of Washington, Seattle, WA, USA.

Minneapolis VA Health Care System, Minneapolis, MN, USA.

出版信息

Suicide Life Threat Behav. 2018 Oct;48(5):531-543. doi: 10.1111/sltb.12368. Epub 2017 Jul 5.

Abstract

Previous studies have failed to detect an iatrogenic effect of assessing suicidality. However, the perception that asking about suicide may induce suicidality persists. This meta-analysis quantitatively synthesized research concerning the iatrogenic risks of assessing suicidality. This review included studies that explicitly evaluated the iatrogenic effects of assessing suicidality via prospective research methods. Thirteen articles were identified that met inclusion criteria. Evaluation of the pooled effect of assessing suicidality with regard to negative outcomes did not demonstrate significant iatrogenic effects. Our findings support the appropriateness of universal screening for suicidality, and should allay fears that assessing suicidality is harmful.

摘要

先前的研究未能发现评估自杀意念的医源性影响。然而,询问自杀的行为可能会诱导自杀的观念仍然存在。本荟萃分析定量综合了有关评估自杀意念的医源性风险的研究。本综述包括通过前瞻性研究方法明确评估自杀意念的医源性影响的研究。确定了符合纳入标准的 13 篇文章。评估自杀意念评估对负面结果的影响的合并效应并未显示出显著的医源性影响。我们的研究结果支持对自杀意念进行普遍筛查的适当性,应消除评估自杀意念有害的担忧。

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