Silverman M M, Felner R D
University of Chicago, Illinois, USA.
Suicide Life Threat Behav. 1995 Spring;25(1):92-104.
Emerging models of prevention focus on population-level risk reduction through enumerating antecedent conditions that are linked to subsequent expressions of disorder and dysfunction. The authors discuss the essential ingredients for successful prevention programs--comprehensiveness, fidelity, and intensity. The authors describe how to mount prevention programs to increase feasibility, access, and effectiveness. Suicide is an epidemic of low frequency in the general population and therefore does not receive appropriate attention in public health prevention campaigns. They argue for nesting suicide prevention programs within existing public health preventive intervention programs and provide some examples of how to reduce vulnerabilities and risk conditions for subsequent suicidal behaviors.
新兴的预防模式侧重于通过列举与随后出现的疾病和功能障碍相关的先行条件,在人群层面降低风险。作者讨论了成功预防项目的基本要素——全面性、保真度和强度。作者描述了如何开展预防项目以提高可行性、可及性和有效性。自杀在普通人群中是一种低频流行病,因此在公共卫生预防运动中未得到适当关注。他们主张将自杀预防项目纳入现有的公共卫生预防性干预项目中,并提供了一些如何减少后续自杀行为的脆弱性和风险条件的示例。