Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Australia; Centre for Youth Mental Health, University of Melbourne, Australia; Swinburne University of Technology, Melbourne, Australia.
Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Australia; Centre for Youth Mental Health, University of Melbourne, Australia.
J Affect Disord. 2018 Oct 1;238:499-505. doi: 10.1016/j.jad.2018.06.028. Epub 2018 Jun 12.
Suicide is a major public health problem and is the second leading cause of death in young people worldwide. Indicating a lack of adequate treatment approaches, recent data suggest a rising suicide rate. Current approaches to suicide prevention do not sufficiently account for the specific needs of young people or the ways in which they engage with the health system, nor are they adequately theory-driven. In this paper, we review an empirically-supported theoretical model of suicide together with the latest evidence in treating young people who are at risk. We discuss the potential efficacy of social-media-based online interventions, with a particular focus on how they may be uniquely placed to target interpersonal risk factors for suicide. We highlight the risks associated with such interventions, including the potential for contagion to occur. Based on prominent theoretical models and gaps in existing treatment approaches, we propose a newly-developed, theory-driven, online social-networking-based intervention for suicide prevention in young people.
自杀是一个主要的公共卫生问题，也是全球年轻人的第二大死因。最近的数据表明自杀率上升，这表明缺乏足够的治疗方法。目前的自杀预防方法没有充分考虑到年轻人的特殊需求，也没有充分考虑到他们与卫生系统的互动方式，也没有充分基于理论。在本文中，我们回顾了一个经验支持的自杀理论模型，以及治疗有自杀风险的年轻人的最新证据。我们讨论了基于社交媒体的在线干预措施的潜在效果，特别关注它们如何能够针对自杀的人际风险因素。我们强调了与这些干预措施相关的风险，包括可能发生的传染。基于突出的理论模型和现有治疗方法的差距，我们提出了一个新开发的、基于理论的、针对年轻人自杀预防的在线社交网络干预措施。
