King Joel, Cabarkapa Sonja, Leow Fiona
Professorial Unit, The Melbourne Clinic.
Department of Psychiatry, University of Melbourne.
Aust Prescr. 2019 Jun;42(3):90-92. doi: 10.18773/austprescr.2019.023. Epub 2019 Jun 3.
The assessment of self-harm in adolescence should include identifying medical complications and any underlying psychiatric conditions Changes in the frequency, type, and severity of self-harm can signify increasing suicidality and progression towards lethal action. As 30% of adolescent self-harm involves an overdose of prescription drugs, prescribing limited quantities and having the parents hold the supply can decrease this risk Individual psychological therapies are first line. They can be combined with school and parental involvement There is very little evidence supporting the use of psychotropic drugs for treating adolescent self-harm
对青少年自我伤害行为的评估应包括确定医学并发症和任何潜在的精神疾病状况。自我伤害行为在频率、类型和严重程度上的变化可能表明自杀倾向增加以及朝着致命行为发展。由于30%的青少年自我伤害行为涉及过量服用处方药，开具限量处方并让家长保管药物供应可降低这种风险。个体心理治疗是首选。可将其与学校和家长的参与相结合。几乎没有证据支持使用精神药物来治疗青少年自我伤害行为。
