Arango Alejandra, Gipson Polly Y, Votta Jennifer G, King Cheryl A
Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, Michigan 48109, USA; email:
Annu Rev Clin Psychol. 2021 May 7;17:259-284. doi: 10.1146/annurev-clinpsy-081219-103740. Epub 2021 Feb 5.
Suicide is the second leading cause of death for youth in the United States. Fortunately, substantial advances have been achieved in identifying and intervening with youth at risk. In this review, we first focus on advances in proactive suicide risk screening and psychoeducation aimed at improving the recognition of suicide risk. These strategies have the potential to improve our ability to recognize and triage youth at risk who may otherwise be missed. We then review recent research on interventions for youth at risk. We consider a broad range of psychotherapeutic interventions, including crisis interventions in emergency care settings. Though empirical support remains limited for interventions targeting suicide risk in youth, effective and promising approaches continue to be identified. We highlight evidence-based screening and intervention approaches as well as challenges in these areas and recommendations for further investigation.
自杀是美国青少年的第二大死因。幸运的是，在识别和干预有风险的青少年方面已经取得了重大进展。在这篇综述中，我们首先关注旨在提高对自杀风险认识的主动自杀风险筛查和心理教育方面的进展。这些策略有可能提高我们识别和分类有风险的青少年的能力，否则这些青少年可能会被遗漏。然后，我们回顾了最近关于针对有风险青少年的干预措施的研究。我们考虑了广泛的心理治疗干预措施，包括急诊护理环境中的危机干预。尽管针对青少年自杀风险干预措施的实证支持仍然有限，但仍在不断发现有效且有前景的方法。我们强调基于证据的筛查和干预方法，以及这些领域的挑战和进一步调查的建议。
