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急诊科:预防自杀的挑战与机遇。

The Emergency Department: Challenges and Opportunities for Suicide Prevention.

机构信息

David Geffen School of Medicine, Semel Institute for Neuroscience & Human Behavior, University of California, Los Angeles, 300 Medical Plaza, Suite 3310, Los Angeles, CA 90095, USA.

David Geffen School of Medicine, Semel Institute for Neuroscience & Human Behavior, University of California, Los Angeles, 300 Medical Plaza, Suite 3310, Los Angeles, CA 90095, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2017 Oct;26(4):771-783. doi: 10.1016/j.chc.2017.05.002.

DOI:10.1016/j.chc.2017.05.002
PMID:28916013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6768433/
Abstract

Emergency departments (EDs) can offer life-saving suicide prevention care. This article focuses on the ED and emergency services as service delivery sites for suicide prevention. Characteristics of EDs, models of emergency care, ED screening and brief intervention models, and practice guidelines and parameters are reviewed. A care process model for youths at risk for suicide and self-harm is presented, with guidance for clinicians based on the scientific evidence. Strengthening emergency infrastructure and integrating effective suicide prevention strategies derived from scientific research are critical for advancing suicide prevention objectives.

摘要

急诊科可以提供挽救生命的预防自杀服务。本文主要关注将急诊科和紧急服务作为预防自杀的服务提供场所。本文回顾了急诊科的特点、紧急护理模式、ED 筛查和简短干预模式以及实践指南和参数。本文还呈现了一个针对有自杀和自残风险的青少年的护理流程模型,并根据科学证据为临床医生提供指导。加强急诊基础设施和整合源自科学研究的有效预防自杀策略对于推进预防自杀目标至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7569/6768433/9dcd3d447a10/nihms-897505-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7569/6768433/9dcd3d447a10/nihms-897505-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7569/6768433/9dcd3d447a10/nihms-897505-f0001.jpg

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本文引用的文献

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Cognitive-Behavioral Family Treatment for Suicide Attempt Prevention: A Randomized Controlled Trial.认知行为家庭治疗预防自杀未遂:一项随机对照试验。
J Am Acad Child Adolesc Psychiatry. 2017 Jun;56(6):506-514. doi: 10.1016/j.jaac.2017.03.015. Epub 2017 Apr 5.
2
Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.临床政策:急诊科成年精神科患者诊断与管理中的关键问题
Ann Emerg Med. 2017 Apr;69(4):480-498. doi: 10.1016/j.annemergmed.2017.01.036.
3
Emergency Department Screening for Suicide and Mental Health Risk.
墨尔本一项创新型针对性自杀预防服务的设计与实施。
Inj Epidemiol. 2025 Mar 19;12(1):16. doi: 10.1186/s40621-025-00567-z.
4
Recency of Suicide Attempt, Ideation, and Reattempt in the Emergency Department: Managing Youth With a Past Attempt.急诊科自杀未遂、自杀意念和再次自杀未遂的近期情况:对有既往自杀未遂史的青少年进行管理
Psychiatr Res Clin Pract. 2024 May 29;6(3):87-93. doi: 10.1176/appi.prcp.20240006. eCollection 2024 Fall.
5
Emergency Department Use Following Self-Harm and Suicide Ideation: An Analysis of the Influence of Cultural and/or Linguistic Diversity Using Data From the Self-Harm Monitoring System for Victoria (2012-2019).自我伤害和自杀意念后的急诊科使用情况:利用维多利亚州自我伤害监测系统(2012 - 2019年)的数据对文化和/或语言多样性的影响进行分析
Int J Ment Health Nurs. 2025 Feb;34(1):e13411. doi: 10.1111/inm.13411. Epub 2024 Sep 9.
6
Developing a clinical decision support system software prototype that assists in the management of patients with self-harm in the emergency department: protocol of the PERMANENS project.开发一个临床决策支持系统软件原型,以协助急诊科管理自残患者:PERMANENS 项目方案。
BMC Psychiatry. 2024 Mar 20;24(1):220. doi: 10.1186/s12888-024-05659-6.
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Integrated behavioral health services in pediatric primary care and emergency department utilization for suicide risk.儿科初级保健中的综合行为健康服务与自杀风险的急诊科利用情况。
Front Psychiatry. 2023 Nov 9;14:1241642. doi: 10.3389/fpsyt.2023.1241642. eCollection 2023.
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Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms.患有急性心理健康或行为问题儿童的评估与管理。第二部分:识别伴有医学症状或不明症状的具有临床挑战性的心理健康相关病症。
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Suicide Life Threat Behav. 2017 Apr;47(2):193-204. doi: 10.1111/sltb.12271. Epub 2016 Jul 2.
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Increase in Suicide in the United States, 1999-2014.1999 - 2014年美国自杀率上升情况
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Ann Emerg Med. 2016 Feb;67(2):276-82. doi: 10.1016/j.annemergmed.2015.09.001. Epub 2015 Oct 9.
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