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在出院后阶段运用新技术及拓展手段照顾有自杀倾向的患者。

Taking care of suicidal patients with new technologies and reaching-out means in the post-discharge period.

作者信息

Falcone Giulia, Nardella Adele, Lamis Dorian A, Erbuto Denise, Girardi Paolo, Pompili Maurizio

机构信息

Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30303, United States.

出版信息

World J Psychiatry. 2017 Sep 22;7(3):163-176. doi: 10.5498/wjp.v7.i3.163.

DOI:10.5498/wjp.v7.i3.163
PMID:29043154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5632601/
Abstract

Suicide is a global public health problem with over one million people dying by suicide each year worldwide. Research efforts have focused on developing and testing novel suicide prevention strategies employing recent technological advances. In order to provide a review regarding the role of new technologies (., postcards/letters, text messages, crisis cards, telephone contacts, online interventions) in suicide prevention, we searched PubMed, ScienceDirect, ResearchGate, and Crisis to identify all papers in English from 1977 to 2016. Our results indicated that brief contact interventions show promise in reducing the number of episodes of repeated self-harm and/or suicide attempts following discharge from the Emergency Department or psychiatric units. Innovative methods of contact (., text messages) are easily implemented by clinicians and received by patients in the period of post discharge and have been shown to be beneficial. However, more research employing randomized clinical trials investigating the potential benefits of these novel suicide prevention methods is warranted. Future researchers should continue improving and testing new technologies in the prevention of suicide.

摘要

自杀是一个全球性的公共卫生问题,全球每年有超过100万人死于自杀。研究工作主要集中在利用最新技术进展来开发和测试新型自杀预防策略。为了综述新技术(如明信片/信件、短信、危机卡片、电话联系、在线干预)在自杀预防中的作用,我们检索了PubMed、ScienceDirect、ResearchGate和Crisis,以识别1977年至2016年期间所有的英文论文。我们的结果表明,简短接触干预在减少急诊科或精神科出院后反复自我伤害和/或自杀未遂事件的数量方面显示出前景。创新的接触方式(如短信)易于临床医生实施,且患者在出院后阶段能够接收,并且已证明是有益的。然而,需要更多采用随机临床试验的研究来调查这些新型自杀预防方法的潜在益处。未来的研究人员应继续改进和测试预防自杀的新技术。

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本文引用的文献

1
Suicide Rates After Discharge From Psychiatric Facilities: A Systematic Review and Meta-analysis.精神科机构出院后的自杀率:一项系统评价与荟萃分析。
JAMA Psychiatry. 2017 Jul 1;74(7):694-702. doi: 10.1001/jamapsychiatry.2017.1044.
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Psychiatry Res. 2015 Dec 30;230(3):913-8. doi: 10.1016/j.psychres.2015.11.024. Epub 2015 Nov 19.
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4
Telephone Management Program for Patients Discharged From an Emergency Department After a Suicide Attempt: A 5-Year Follow-Up Study in a Spanish Population.自杀未遂后从急诊科出院患者的电话管理项目:西班牙人群的5年随访研究
Crisis. 2015;36(5):345-52. doi: 10.1027/0227-5910/a000331.
5
Postcards in Persia: A Twelve to Twenty-four Month Follow-up of a Randomized Controlled Trial for Hospital-Treated Deliberate Self-Poisoning.波斯的明信片:一项针对医院治疗的蓄意自我中毒的随机对照试验的12至24个月随访
Arch Suicide Res. 2017 Jan 2;21(1):138-154. doi: 10.1080/13811118.2015.1004473. Epub 2015 Mar 16.
6
Letters, green cards, telephone calls and postcards: systematic and meta-analytic review of brief contact interventions for reducing self-harm, suicide attempts and suicide.信件、绿卡、电话和明信片:减少自残、自杀未遂和自杀的简短接触干预的系统和元分析综述。
Br J Psychiatry. 2015 Mar;206(3):184-90. doi: 10.1192/bjp.bp.114.147819.
7
SIAM (Suicide intervention assisted by messages): the development of a post-acute crisis text messaging outreach for suicide prevention.SIAM(通过信息辅助的自杀干预):一种用于预防自杀的急性后危机短信外展服务的开发。
BMC Psychiatry. 2014 Nov 18;14:294. doi: 10.1186/s12888-014-0294-8.
8
Messages from Manchester: pilot randomised controlled trial following self-harm.曼彻斯特的信息:自杀未遂后进行的随机对照试验。
Br J Psychiatry. 2013 Jul;203(1):73-4. doi: 10.1192/bjp.bp.113.126425.
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Epidemiology of suicide in bipolar disorders: a systematic review of the literature.双相情感障碍患者自杀的流行病学:文献系统综述。
Bipolar Disord. 2013 Aug;15(5):457-90. doi: 10.1111/bdi.12087. Epub 2013 Jun 12.
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Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning.从急诊室寄出的明信片:一项针对医院治疗的自我中毒的随机对照试验的 5 年结果。
Br J Psychiatry. 2013 May;202(5):372-80. doi: 10.1192/bjp.bp.112.112664. Epub 2013 Mar 21.