Stanley Barbara, Brodsky Beth, Monahan Maureen
Department of Psychiatry, Columbia University Irving Medical Center, New York (all authors); Molecular Imaging and Neuropathology Division (Stanley) and Division of Behavioral Health Services and Policy Research (all authors), New York State Psychiatric Institute, New York.
Focus (Am Psychiatr Publ). 2023 Apr;21(2):129-136. doi: 10.1176/appi.focus.20220083. Epub 2023 Apr 14.
The rising rates of suicide warrant effective treatments that can quickly help stabilize suicidal individuals and prevent future suicidal crises from occurring. Across the past few decades, there has been a rise in the development of ultra-brief (1-4 sessions) and brief suicide-specific interventions (6-12 sessions) to meet this need. This article reviews several prominent ultra-brief and brief interventions, including the Teachable Moment Brief Intervention, Attempted Suicide Short Intervention Program, Safety Planning Intervention, Crisis Response Planning, Cognitive Therapy for Suicide Prevention, Brief Cognitive-Behavioral Therapy for Suicide Prevention, Collaborative Assessment and Management of Suicidality, and the Coping Long-Term With Active Suicide Program. A brief review of each interventions' evidence base is also provided. Current challenges and directions for future research in testing the efficacy and effectiveness of suicide prevention initiatives are discussed.
自杀率的上升需要有效的治疗方法，这些方法能够迅速帮助稳定有自杀倾向的个体，并防止未来自杀危机的发生。在过去几十年里，为满足这一需求，超短程（1 - 4次治疗）和针对自杀的短程干预（6 - 12次治疗）不断发展。本文回顾了几种著名的超短程和短程干预方法，包括可教时刻短程干预、自杀未遂短期干预项目、安全计划干预、危机应对计划、自杀预防认知疗法、自杀预防简短认知行为疗法、自杀行为的协作评估与管理，以及积极应对自杀长期项目。同时还简要回顾了每种干预方法的证据基础。文中讨论了当前在测试自杀预防举措的疗效和有效性方面面临的挑战以及未来研究的方向。
