Rosewater K M, Burr B H
Children's National Medical Center, Section of Adolescent Medicine, Washington, DC 20010, USA.
Curr Opin Pediatr. 1998 Aug;10(4):338-43. doi: 10.1097/00008480-199808000-00002.
Increasing rates of adolescent suicide are a significant health concern and the third leading cause of death for this age group. Recent research into psychiatric, gender-related, family, cultural and neurobiologic risk factors is reviewed. The effects of suicide exposure and media influences are also examined. Although many risk factors have been identified, the application of this knowledge to clinical practice requires further study. The limited number of studies on prevention and intervention strategies are discussed. High rates of nonadherence to follow-up remain problematic. More research is needed to develop appropriate treatments, prevention programs and outcome measures.
青少年自杀率不断上升是一个重大的健康问题，也是该年龄组的第三大死因。本文综述了近期关于精神、性别相关、家庭、文化和神经生物学风险因素的研究。还探讨了自杀暴露和媒体影响的作用。尽管已经确定了许多风险因素，但将这些知识应用于临床实践仍需进一步研究。文中讨论了预防和干预策略的研究数量有限的问题。随访不依从率居高不下仍然是个难题。需要开展更多研究以制定合适的治疗方法、预防方案和结果指标。
