Michaud Pierre-André, Michaud Laurent, Mazur Artur, Hadjipanayis Adamos, Kapp Carole, Ambresin Anne-Emmanuelle
Lausanne University Hospital, Lausanne, Switzerland.
Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland.
Front Pediatr. 2022 Mar 23;10:800000. doi: 10.3389/fped.2022.800000. eCollection 2022.
Adolescents aged 10 to 19 live a period of their life marked by opportunities and vulnerabilities during which the issue of mental health is of prime importance. Since several decades, and especially since the start of the COVID pandemic, mental health problems and disorders among adolescents have increased around the world. Depression, self-harm and suicidal behavior are common during this period of life, and pediatricians can play a pivotal role in identifying affected or vulnerable youngsters. This article describes risk factors for self-harm and suicidal behavior and reviews how primary care pediatricians and health professionals can respond to such situations. This scoping review is based on existing evidences as well as the authors clinical experience. It suggests concrete actions that can be taken to secure the life of at risk teenagers, and discusses how to organize the transfer to mental health professionals when needed.
10至19岁的青少年正处于人生中一个充满机遇与脆弱性的阶段，在此期间，心理健康问题至关重要。几十年来，尤其是自新冠疫情开始以来，全球青少年的心理健康问题和障碍有所增加。抑郁、自我伤害和自杀行为在这一人生阶段很常见，儿科医生在识别受影响或易受伤害的青少年方面可发挥关键作用。本文描述了自我伤害和自杀行为的风险因素，并综述了基层医疗儿科医生和健康专业人员如何应对此类情况。本范围综述基于现有证据以及作者的临床经验。它提出了可以采取的具体行动以保障处于危险中的青少年的生命安全，并讨论了在需要时如何安排转诊至心理健康专业人员处。
