急诊室中抑郁症和自杀患者的评估

Evaluation of Depression and Suicidal Patients in the Emergency Room.

作者信息

Coshal Shana, Saunders John, Matorin Anu A, Shah Asim A

机构信息

Department of Psychiatry, Baylor College of Medicine, 1502 Taub Loop, Houston, TX 77030, USA.

Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza - BCM350, Houston, TX 77030, USA.

出版信息

Psychiatr Clin North Am. 2017 Sep;40(3):363-377. doi: 10.1016/j.psc.2017.05.008.

DOI:10.1016/j.psc.2017.05.008

PMID:28800795

Abstract

Depression is the leading cause of disability globally, and more than one-half of those suffering with depression are not receiving effective treatment. Untreated or undertreated depression poses a significant risk for suicide. Suicide is the 10th leading cause of death in the United States. The emergency room provides an essential opportunity to screen for depression as well as suicide and to provide important and evidence-based interventions. The Basic Suicide Assessment Five-step Evaluation (B-SAFE) model provides a structure for all physicians to assess suicide risk and intervene.

摘要

抑郁症是全球导致残疾的主要原因，超过一半的抑郁症患者未得到有效治疗。未经治疗或治疗不充分的抑郁症会带来重大的自杀风险。自杀是美国第十大死因。急诊室为筛查抑郁症和自杀倾向以及提供重要的循证干预措施提供了重要契机。基本自杀评估五步评估法（B-SAFE）模型为所有医生评估自杀风险和进行干预提供了一个框架。