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如何、何时以及何地干预中低收入国家青少年的自伤行为:超越医疗保健系统的思考。

How, when and where to intervene in self-harm in youth in low- and middle-income countries: Thinking beyond healthcare systems.

机构信息

Public Health Foundation of India, New Delhi, India.

Centre for Adolescent Health, Murdoch Children's Research Institute, Mellbourne, VIC, Australia.

出版信息

Int J Soc Psychiatry. 2023 Nov;69(7):1837-1839. doi: 10.1177/00207640231174368. Epub 2023 May 10.

Abstract

BACKGROUND

Low- and middle-income countries (LMICs) account for 78% of global suicides. Self-harm is the clearest antecedent of suicide. The health and social systems have struggled to provide adequate evidence based help to young people with self-harm. In addition, the negative attitudes towards those who self-harm in these settings interfere with help-seeking behaviour.

AIMS AND METHOD

In our submission of a comment, we discuss the reasons for thinking beyond healthcare systems in LMICs to address self-harm in youth and the possible ways to achieve it.

RESULTS AND CONCLUSION

We truly believe that harnessing the potential of social systems such as schools is important for addressing self-harm in LMICs. We present our arguments in favour of feasible measures that can be implemented to achieve this.

摘要

背景

中低收入国家(LMICs)占全球自杀人数的 78%。自残是自杀最明显的前兆。卫生和社会系统一直在努力为有自残行为的年轻人提供足够的基于证据的帮助。此外,这些环境中对自残者的负面态度干扰了寻求帮助的行为。

目的和方法

在我们提交的评论中,我们讨论了超越中低收入国家卫生保健系统来解决青少年自残问题的原因,以及可能实现这一目标的方法。

结果与结论

我们坚信,利用学校等社会系统的潜力对于解决中低收入国家的自残问题很重要。我们提出了支持可行措施的论据,以实现这一目标。

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