自杀风险与精神病性体验：青少年安全计划制定相关考量。
Suicide Risk and Psychotic Experiences: Considerations for Safety Planning with Adolescents.
机构信息
Rhode Island Hospital and the Alpert Medical School of Brown University, Providence, RI.
Massachusetts Mental Health Center (MMHC)/Harvard Medical School, Boston, MA; the Alpert Medical School of Brown University, Providence, RI.
出版信息
R I Med J (2013). 2022 May 2;105(4):26-30.
Individuals with psychosis-spectrum conditions have strikingly high rates of suicidal thoughts and behaviors, especially in the early stages of illness. Given increasing rates of suicide among adolescents, and given that psychosis symptoms often emerge during this developmental period, it is important that practitioners working with adolescents are attuned to the intersection of psychotic experiences and suicide risk. Furthermore, youth with emerging signs of psychosis often struggle with other mental health concerns that are linked to suicidal thoughts and behaviors, including depression, anxiety, mania, trauma, and substance use. Taken together, these factors indicate that identifying early signs of psychosis can be critical for addressing suicide risk, and psychosis-spectrum symptoms are important experiences to include in safety planning for youth. Herein we discuss considerations for safety planning for adolescents experiencing psychosis-spectrum symptoms, drawn from clinical observations and pilot data collected from adolescents in a psychiatric inpatient unit and their families.
具有精神病谱系特征的个体自杀念头和行为的发生率极高，尤其是在疾病早期阶段。考虑到青少年自杀率不断上升，且精神病症状通常在此发育阶段出现，因此，与青少年一起工作的从业者需要关注精神病体验和自杀风险的交集。此外，出现精神病前期症状的青少年往往还存在其他与自杀想法和行为相关的心理健康问题，包括抑郁、焦虑、躁狂、创伤和物质使用。综上所述，这些因素表明，识别精神病的早期迹象对于处理自杀风险至关重要，而精神病谱系症状是制定青少年安全计划时需要考虑的重要内容。在此，我们将根据从精神科住院病房的青少年及其家庭收集的临床观察和试点数据，讨论针对出现精神病谱系症状的青少年进行安全计划的注意事项。
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