Center of Mental Health, Hospital for Addiction and Addictive Behavior, Klinikum Stuttgart, Prießnitzweg, Germany.
Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Curr Opin Psychiatry. 2021 Jul 1;34(4):393-399. doi: 10.1097/YCO.0000000000000718.
To highlight the interdependence between early childhood trauma, substance use and complex concurrent disorders among adolescents and discuss the delayed response and gaps in the healthcare system.
High-risk behavior such as suicidality, self-harm and hazardous substance use including overdose and the use of psychotropic substances for self-medication of mental health challenges is a growing concern. These symptoms are often related to early childhood trauma, substance use and complex concurrent disorders. Most countries do not have a youth mental healthcare system, there are no specific guidelines and only few programs addressing high-risk substance use are in place.
In addition to the significance of traumatic experience for high-risk substance use and addiction, most parts of the system of care ignore the trauma aspect in treatment of substance use and focus on abstinence. There are hardly any early intervention programs, broader prevention strategies or evidence-based or target-group-oriented treatment offers.
强调青少年时期早期儿童创伤、物质使用和复杂并发障碍之间的相互依存关系，并讨论医疗保健系统的反应迟缓与差距。
高风险行为，如自杀意念、自残和危险物质使用，包括过量用药和使用精神药物来治疗心理健康挑战，这是一个日益令人关注的问题。这些症状通常与早期儿童创伤、物质使用和复杂并发障碍有关。大多数国家没有青少年心理健康保健系统，没有具体的准则，只有少数针对高风险物质使用的方案。
除了创伤经历对高危物质使用和成瘾的重要性之外，护理系统的大部分内容都忽略了物质使用治疗中的创伤方面，而专注于戒除。几乎没有任何早期干预方案、更广泛的预防策略或基于证据的或针对目标群体的治疗方案。
