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急诊科自杀意念管理:挑战、误解与希望。

Emergency Department Management of Suicidal Ideation: Challenges, Misperceptions, and Hope.

机构信息

Vice Chair for Education, and Associate Professor, Emergency Medicine, Washington University School of Medicine, St. Louis, Missouri.

Associate Vice Chair for Faculty Development, and Professor, Emergency Medicine, Washington University School of Medicine, St. Louis, Missouri.

出版信息

Mo Med. 2022 Sep-Oct;119(5):437-443.

Abstract

Behavioral crises continue to escalate across the United States. Our country has one of the highest suicide rates amongst developed nations. More than 45,000 U.S. citizens are dying annually now from suicide. Many with suicidal ideation seek care in Emergency Departments in hospital systems under resourced to handle this growing public health crisis. Evidenced-based screening, risk stratification, and treatment continues to evolve and is not standardized. Improved suicide education needs to be more broadly applied across healthcare and society. Missouri as a state is making concentrated efforts to improve resources and care for those with suicidal ideation. Many challenges need to be overcome and time will tell if new statewide initiatives will reduce Missouri's high rate of suicide.

摘要

行为危机在美国持续升级。我国的自杀率在发达国家中是最高的之一。现在每年有超过 45000 名美国公民死于自杀。许多有自杀念头的人在资源不足的医院急诊部门寻求治疗,以应对这一日益严重的公共卫生危机。基于证据的筛查、风险分层和治疗仍在不断发展,尚未标准化。需要更广泛地在医疗保健和社会中普及自杀教育。密苏里州作为一个州正在集中精力改善资源和关怀有自杀念头的人。需要克服许多挑战,只有时间才能证明新的全州倡议是否会降低密苏里州的高自杀率。

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