Renshaw D C
Am Fam Physician. 1977 Mar;15(3):153-8.
The adolescent in a psychiatric crisis is best seen alone first, to preclude observer bias. Emotionally charged areas of discussion must not be avoided. Suicidal and homicidal threats or attempts are challenging emergencies. Working with parents is essential for effective management. Is the fire-setter retarded or psychotic? Family therapy is often the treatment of choice in sexual "emergencies." Bizarre behavior should suggest drugs, severe anxiety or psychosis. School phobia is a particularly complex problem.
处于精神危机中的青少年最好先单独就诊，以避免观察者偏差。不应回避讨论中涉及情绪的敏感领域。自杀和杀人威胁或企图是具有挑战性的紧急情况。与家长合作对于有效管理至关重要。纵火者是智力发育迟缓还是患有精神病？在性“紧急情况”中，家庭治疗通常是首选的治疗方法。怪异行为应提示药物、严重焦虑或精神病。学校恐惧症是一个特别复杂的问题。
