Rudd M D, Joiner T E
Department of Psychology, Florida State University, Tallahassee 32306-1270, USA.
J Adolesc. 1998 Aug;21(4):489-98. doi: 10.1006/jado.1998.0171.
Suicidal adolescents represent a uniquely demanding clinical population. Regardless of psychotherapeutic orientation, the existing standards of care demand a relatively broad and integrative approach with multiple and specific treatment targets, as well as ongoing and repeated risk assessment. The current article provides an integrative conceptual framework for these tasks in day to day clinical practice with essentially two goals: (1) to provide a summary of therapeutic and assessment tasks (i.e. the content of therapy and assessment) consistent with existing standards of care and supported by empirical findings, and (2) to emphasize the varied roles, tasks, demands and limitations of psychotherapy with suicidal adolescents.
有自杀倾向的青少年是一类特别需要关注的临床群体。无论采用何种心理治疗取向,现有的护理标准都要求采取一种相对广泛且综合的方法,设定多个具体的治疗目标,并持续、反复地进行风险评估。本文为日常临床实践中的这些任务提供了一个综合概念框架,主要有两个目标:(1)总结与现有护理标准一致且有实证研究支持的治疗和评估任务(即治疗和评估的内容),(2)强调针对有自杀倾向青少年的心理治疗所涉及的不同角色、任务、要求和局限性。