Division of Integrated Behavioral Health, South Bend Clinic, South Bend, Indiana.
Department of Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
Pediatrics. 2024 Jan 1;153(1). doi: 10.1542/peds.2023-064800.
Suicide is the second leading cause of death for 10- to 24-year-olds in the United States and is a global public health issue, with a recent declaration of a National State of Emergency in Children's Mental Health by the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and Children's Hospital Association. This clinical report is an update to the previous American Academy of Pediatrics clinical report, "Suicide and Suicide Attempts in Adolescents." Because pediatricians and pediatric health care providers are at the front line of care for adolescents amid a child and adolescent mental health crisis, and because of the chronic and severe shortage of mental health specialists, it is important that pediatric health care providers become facile with recognizing risk factors associated with suicidality and at-risk populations, screening and further assessment of suicidality as indicated, and evidence-based interventions for patients with suicidal ideation and associated behaviors. Suicide risk can be mitigated by appropriate screening, bolstering of protective factors, indicated treatment, community resources, and referrals to mental health providers when available.
自杀是美国 10 至 24 岁人群的第二大死因，也是一个全球性的公共卫生问题。最近，美国儿科学会、美国儿童和青少年精神病学会以及儿童保健协会宣布儿童心理健康进入国家紧急状态。本临床报告是对之前美国儿科学会临床报告《青少年自杀和自杀未遂》的更新。由于儿科医生和儿科保健提供者是儿童和青少年心理健康危机中青少年护理的第一线，而且由于精神健康专家长期严重短缺，儿科保健提供者必须熟练掌握识别与自杀意念相关的风险因素和高危人群、根据需要进行自杀风险筛查和进一步评估，以及对有自杀意念和相关行为的患者进行基于证据的干预措施。通过适当的筛查、增强保护因素、有针对性的治疗、社区资源以及在有条件的情况下转介给精神卫生提供者，可以减轻自杀风险。
