Brodsky L, Pieczynski B
J Clin Psychopharmacol. 1985 Feb;5(1):35-8.
This article is the result of a pilot program at Sinai Hospital of Detroit's psychiatric emergency department (crisis clinic). Eight patients diagnosed as having a major depression and having met six proposed criteria were placed on antidepressant therapy. This approach contradicts traditional thinking regarding the initiation of antidepressant therapy in an emergency department or crisis clinic. Such use of antidepressants has, in the past, been considered unsafe and therefore contraindicated. This article suggests a protocol for the initiation of antidepressant therapy in an emergency department.
本文是底特律西奈医院精神科急诊科（危机诊所）一项试点项目的成果。八名被诊断为重度抑郁症且符合六项拟定标准的患者接受了抗抑郁治疗。这种方法与急诊科或危机诊所启动抗抑郁治疗的传统观念相悖。过去，在这种情况下使用抗抑郁药被认为不安全，因此是禁忌的。本文提出了在急诊科启动抗抑郁治疗的方案。
