Screening for suicide risk in the pediatric emergency and acute care setting.
Screening for suicide risk in the pediatric emergency and acute care setting.
复制标题
在儿科急诊和急性护理环境中筛查自杀风险。
DOI：
10.1097/mop.0b013e328220e997
复制
发表时间：
2007
影响因子：
3.6
通讯作者：
Fein,JoelA
中科院分区：
文献类型：
--
作者：
Wintersteen,MatthewB;Diamond,GuyS;Fein,JoelA
自杀是青少年死亡的第三大原因。虽然先前的自杀企图是最重要的风险因素，但情感，认知，家庭和同伴因素也会影响自杀完成的风险。急性护理和急诊科的从业人员能够很好地识别，评估和适当地介绍这些青少年及其家人。在这种情况下，筛查工具需要准确，简短，并与患者，家庭和提供者相关。我们提出了一个两个问题的算法，目标是自杀企图的迫在眉睫的风险。这类筛查还需要有医院或社区支持系统的配合，以便进一步评估、干预和跟踪。
Suicide is the third leading cause of death in adolescents. Although a prior suicide attempt is the single most important risk factor, affective, cognitive, family and peer factors also affect risk of completed suicide. Practitioners in the acute care and emergency department setting are well positioned to identify, assess, and appropriately refer these adolescents and their families. Screening instruments in this setting need to be accurate, brief, and relevant to patients, families, and providers. We propose a two-question algorithm that targets imminent risk for a suicide attempt. This type of screening also needs to be accompanied by hospital or community-based support systems for further assessment, intervention and follow-up.