儿童与众不同：与有自杀倾向及危险的青少年合作中的责任问题。
Children Are Different: Liability Issues in Working With Suicidal and Dangerous Youths.
作者信息
Ash Peter
机构信息
Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
出版信息
Focus (Am Psychiatr Publ). 2019 Oct;17(4):355-359. doi: 10.1176/appi.focus.20190018. Epub 2019 Nov 6.
Abstract
While many of the principles of assessing risk to self and others in adults are applicable to risk assessments of children and adolescents, developmental and legal factors regarding youths give rise to some significant differences. This article highlights major differences in assessing and managing risk in working with suicidal and homicidal youths and gives suggestions for reducing clinicians' liability in these challenging cases.
摘要
虽然评估成年人对自身及他人风险的许多原则也适用于儿童和青少年的风险评估，但与青少年相关的发育和法律因素导致了一些显著差异。本文强调了在处理有自杀和杀人倾向的青少年时评估和管理风险的主要差异，并针对如何在这些具有挑战性的案例中减少临床医生的责任给出了建议。
相似文献
1
Children Are Different: Liability Issues in Working With Suicidal and Dangerous Youths.儿童与众不同：与有自杀倾向及危险的青少年合作中的责任问题。
Focus (Am Psychiatr Publ). 2019 Oct;17(4):355-359. doi: 10.1176/appi.focus.20190018. Epub 2019 Nov 6.
2
Violent fantasy, dangerousness, and the duty to warn and protect.暴力幻想、危险性以及警告与保护的义务。
J Am Acad Psychiatry Law. 2005;33(4):484-95.
3
Suicidal and Homicidal Thoughts as Psychotic Symptoms in an Adolescent: A Case Report.自杀和杀人想法作为青少年的精神病症状：病例报告。
Turk Psikiyatri Derg. 2023 Fall;34(3):215-220. doi: 10.5080/u27015.
4
Suicidal and homicidal deaths: a comparative and circumstantial approach.自杀与他杀死亡：一种比较性及情境性方法
J Forensic Leg Med. 2007 Jul;14(5):253-60. doi: 10.1016/j.jcfm.2006.08.001. Epub 2006 Oct 18.
5
Association of Genome-Wide Polygenic Scores for Multiple Psychiatric and Common Traits in Preadolescent Youths at Risk of Suicide.有自杀风险的青春期前青少年多种精神疾病及常见性状的全基因组多基因评分关联研究
JAMA Netw Open. 2022 Feb 1;5(2):e2148585. doi: 10.1001/jamanetworkopen.2021.48585.
6
SELF-RATED EXPECTATIONS OF SUICIDAL BEHAVIOR PREDICT FUTURE SUICIDE ATTEMPTS AMONG ADOLESCENT AND YOUNG ADULT PSYCHIATRIC EMERGENCY PATIENTS.青少年及青年精神科急诊患者的自杀行为自评期望可预测未来的自杀未遂情况。
Depress Anxiety. 2016 Jun;33(6):512-9. doi: 10.1002/da.22514. Epub 2016 Apr 25.
7
Legal issues of professional negligence in suicide cases.自杀案件中职业疏忽的法律问题。
Behav Sci Law. 2004;22(5):697-713. doi: 10.1002/bsl.613.
8
The multidimensional assessment of dangerousness: competence assessment in patient care and liability prevention.危险性的多维度评估：患者护理中的能力评估与责任预防
Bull Am Acad Psychiatry Law. 1986;14(2):123-9.
9
Neurocognitive vulnerability: suicidal and homicidal behaviours in patients with schizophrenia.神经认知脆弱性：精神分裂症患者的自杀和杀人行为。
Can J Psychiatry. 2014 Jan;59(1):18-25. doi: 10.1177/070674371405900105.
10
The Connection Between Thwarted Belongingness, Alcohol Consumption, Suicidal, and Homicidal Ideation in a Criminal Justice Sample.刑事司法样本中受挫归属感、饮酒、自杀及杀人意念之间的联系
J Addict Med. 2016 Nov/Dec;10(6):437-442. doi: 10.1097/ADM.0000000000000257.
引用本文的文献
1
Associations between Home- and School-Based Violent Experiences and the Development of Sexual Behavior in Young Adolescent Girls in the Rural Southern Region of Malawi.马拉维农村南部地区青少年女孩的家庭和学校暴力经历与性行为发展之间的关联。
Int J Environ Res Public Health. 2022 May 10;19(10):5809. doi: 10.3390/ijerph19105809.
2
Assessing Violence Risk in Adolescents in the Pediatric Emergency Department: Systematic Review and Clinical Guidance.评估儿科急诊科青少年的暴力风险：系统评价与临床指南
West J Emerg Med. 2021 May 19;22(3):533-542. doi: 10.5811/westjem.2021.1.49233.
3
The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review.技术在青少年自杀倾向的连续护理中的作用：系统评价。
J Med Internet Res. 2020 Oct 9;22(10):e18672. doi: 10.2196/18672.
本文引用的文献
1
Liability and Patient Suicide.责任与患者自杀
Focus (Am Psychiatr Publ). 2019 Oct;17(4):349-354. doi: 10.1176/appi.focus.20190023. Epub 2019 Nov 6.
2
Malpractice Liability Due to Patient Violence.患者暴力导致的医疗事故责任
Focus (Am Psychiatr Publ). 2019 Oct;17(4):343-348. doi: 10.1176/appi.focus.20190022. Epub 2019 Nov 6.
3
Rethinking Lethality in Youth Suicide Attempts: First Suicide Attempt Outcomes in Youth Ages 10 to 24.重新思考青少年自杀未遂的致命性：10 至 24 岁青少年首次自杀未遂的结果。
J Am Acad Child Adolesc Psychiatry. 2018 Oct;57(10):786-791. doi: 10.1016/j.jaac.2018.04.021. Epub 2018 Aug 22.
4
Deaths: Leading Causes for 2016.死亡：2016年的主要死因。
Natl Vital Stat Rep. 2018 Jul;67(6):1-77.
5
Youth Risk Behavior Surveillance - United States, 2017.青少年风险行为监测 - 美国，2017 年。
MMWR Surveill Summ. 2018 Jun 15;67(8):1-114. doi: 10.15585/mmwr.ss6708a1.
6
Medical decision-making in children and adolescents: developmental and neuroscientific aspects.儿童和青少年的医学决策：发育与神经科学方面
BMC Pediatr. 2017 May 8;17(1):120. doi: 10.1186/s12887-017-0869-x.
7
What Can Parents Do? A Review of State Laws Regarding Decision Making for Adolescent Drug Abuse and Mental Health Treatment.父母能做什么？关于青少年药物滥用和心理健康治疗决策的州法律综述。
J Child Adolesc Subst Abuse. 2015;24(3):166-176. doi: 10.1080/1067828X.2013.777380.
8
Psychiatric disorders and violence: a study of delinquent youth after detention.精神疾病与暴力：对被拘留后青少年罪犯的一项研究。
J Am Acad Child Adolesc Psychiatry. 2015 Apr;54(4):302-12.e5. doi: 10.1016/j.jaac.2015.01.002. Epub 2015 Jan 12.
9
New approaches to the assessment and treatment of suicidal adolescents.评估和治疗自杀倾向青少年的新方法。
J Child Adolesc Psychopharmacol. 2015 Mar;25(2):99. doi: 10.1089/cap.2015.2521.
10
Accuracy of the MacArthur competence assessment tool for clinical research (MacCAT-CR) for measuring children's competence to consent to clinical research.麦克阿瑟临床研究能力评估工具（MacCAT-CR）评估儿童同意参与临床研究能力的准确性。
JAMA Pediatr. 2014 Dec;168(12):1147-53. doi: 10.1001/jamapediatrics.2014.1694.
Zotero 插件