Blumenthal S J
Behavioral Medicine Program, National Institute of Mental Health, Rockville, Maryland.
Med Clin North Am. 1988 Jul;72(4):937-71. doi: 10.1016/s0025-7125(16)30754-4.
This article summarizes what is known about risk factors for suicide in both adolescent and adult populations. It also translates this knowledge base into practical considerations for the physician on the assessment and treatment of suicidal patients. Since most patients who commit suicide have seen a physician in the weeks to month prior to their deaths, and many kill themselves with medications prescribed by their doctors, the physician's early detection and treatment of suicidal behaviors and associated psychiatric disorders in his or her patients becomes a major suicide prevention strategy.
本文总结了青少年和成年人群中已知的自杀风险因素。它还将这一知识体系转化为医生在评估和治疗自杀患者时的实际考量。由于大多数自杀患者在死亡前几周至数月内看过医生,而且许多人用医生开的药自杀,因此医生对患者自杀行为及相关精神障碍的早期发现和治疗成为一项主要的自杀预防策略。