King Cheryl A, Harness Jane, Arango Alejandra, Czyz Ewa
Department of Psychiatry, University of Michigan Medical School, Rachel Upjohn Building, 4250 Plymouth Road, Ann Arbor, MI, 48109, USA.
Curr Psychiatry Rep. 2025 Sep;27(9):500-508. doi: 10.1007/s11920-025-01620-w. Epub 2025 Jul 29.
PURPOSE OF REVIEW: This review presents new research pertinent to youth suicide prevention with a focus on suicide risk screening; therapeutic interventions, including Crisis Lifeline services; the identification of proximal risk or warning signs; and guidelines for youth discussions of suicide-related concerns on social media. RECENT FINDINGS: Universal screening for youth suicide risk is feasible in healthcare settings, identifies previously unrecognized risk, and has sufficient sensitivity and specificity for the prediction of suicide attempts. Recent large scale intervention trials have neither identified new effective treatments nor ways to make current treatments more effective. In other recent studies, however, youth and parents have independently identified suicidal communications, withdrawal from people and/or usual activities, and sleep problems as acute warning signs. Universal screening for youth suicide risk is recommended in healthcare settings. It identifies previously unrecognized risk at a reasonable cost. Regarding therapeutic interventions, additional research is needed to identify subgroups of youth that may benefit from specific interventions and to personalize these interventions for improved effectiveness in a way that is feasible and scalable in real world settings. Finally, research has identified acute or proximal warning signs for adolescent suicide attempts, and widescale dissemination of this information is recommended..
综述目的:本综述介绍了与青少年自杀预防相关的新研究,重点关注自杀风险筛查;治疗干预措施,包括危机生命线服务;近期风险或警示信号的识别;以及青少年在社交媒体上讨论自杀相关问题的指导方针。 最新发现:在医疗环境中对青少年自杀风险进行普遍筛查是可行的,能够识别出之前未被认识到的风险,并且对自杀未遂的预测具有足够的敏感性和特异性。近期的大规模干预试验既未发现新的有效治疗方法,也未找到使现有治疗方法更有效的途径。然而,在其他近期研究中,青少年和家长已分别将自杀相关言论、与他人脱离接触和/或退出日常活动以及睡眠问题识别为急性警示信号。建议在医疗环境中对青少年自杀风险进行普遍筛查。它能以合理的成本识别出之前未被认识到的风险。关于治疗干预措施,需要进一步研究以确定可能从特定干预措施中受益的青少年亚组,并对这些干预措施进行个性化定制,以便在现实环境中以可行且可扩展的方式提高其有效性。最后,研究已识别出青少年自杀未遂的急性或近期警示信号,建议广泛传播这些信息。
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