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青少年自杀预防。当前研究及社会政策影响。

Adolescent suicide prevention. Current research and social policy implications.

作者信息

Garland A F, Zigler E

机构信息

Department of Psychology, Yale University, New Haven, CT 06520.

出版信息

Am Psychol. 1993 Feb;48(2):169-82. doi: 10.1037//0003-066x.48.2.169.

Abstract

The rate of adolescent suicide has increased dramatically in the past few decades, prompting several interventions to curb the increase. Unfortunately, many of the intervention efforts have not benefited from current research findings because the communication between researchers and those who develop the interventions is inadequate. Of specific concern are the increasingly popular curriculum-based suicide prevention programs, which have not demonstrated effectiveness and may contain potentially deleterious components. This article reviews the current epidemiological research in adolescent suicide and suggests how this knowledge could be used more effectively to reduce the rate of adolescent suicide. Recommendations include support for integrated primary prevention efforts; suicide prevention education for professionals; education and policies on firearm management; education for the media about adolescent suicide; more efficient identification and treatment of at-risk youth, including those exposed to suicidal behavior; crisis intervention; and treatment for suicide attempters.

摘要

在过去几十年里,青少年自杀率急剧上升,这促使人们采取了多项干预措施来遏制这一增长趋势。不幸的是,许多干预措施并未从当前的研究成果中受益,因为研究人员与干预措施制定者之间的沟通不足。特别令人担忧的是越来越流行的基于课程的自杀预防项目,这些项目尚未证明其有效性,而且可能包含潜在有害的成分。本文回顾了当前关于青少年自杀的流行病学研究,并提出如何更有效地利用这些知识来降低青少年自杀率。建议包括支持综合初级预防工作;对专业人员进行自杀预防教育;枪支管理方面的教育和政策;媒体关于青少年自杀的教育;更有效地识别和治疗高危青少年,包括那些接触过自杀行为的青少年;危机干预;以及对自杀未遂者的治疗。

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