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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.

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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