Adolescent Suicide-Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death.
Adolescent Suicide-Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death.
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DOI：
10.1007/s40719-022-00223-7
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发表时间：
2022
影响因子：
0.7
通讯作者：
Andrews AL
中科院分区：
文献类型：
--
作者：
Hink AB;Killings X;Bhatt A;Ridings LE;Andrews AL
这提供了青少年自杀和自杀风险因素的最新流行病学，并强调了自杀和伤害风险的重叠。它回顾了症状和体征，以及抑郁症，创伤后应激障碍（PTSD），自杀，药物滥用和致命手段筛查的最新证据，并提供了在创伤中心实施的策略。在美国，青少年自杀的发生率持续上升，达到每10万人中有6.5人，种族差异明显。风险因素是复杂的，但许多预先存在的风险因素和伤害后的后遗症，如暴露于暴力，自杀行为，药物滥用，抑郁症和创伤后应激障碍，以及特定的伤害，包括创伤性脑损伤和脊髓损伤，进一步成为风险。研究表明，在急症护理环境中，自杀率高达30%。有一些简短的筛查工具可用于普遍筛查青少年创伤患者的抑郁和自杀倾向。创伤后应激障碍的逐步护理模式有望增加受伤后的筛查和服务。致命意味着咨询，安全的枪支储存做法和枪支安全政策可以降低自杀的风险。自杀是美国青少年死亡的第二大原因，创伤患者在受伤前后有显著的精神疾病和自杀倾向的危险因素。创伤中心应该强烈考虑筛查青少年，建立心理健康支持和转诊策略，并提供致命手段咨询，以帮助预防自杀。
This provides up-to-date epidemiology of adolescent suicide and risk factors for suicide and highlights the overlap of risks for suicide and injury. It reviews signs and symptoms, and the up-to-date evidence on screening for depression, post-traumatic stress disorder (PTSD), suicide, substance abuse, and lethal means, and offers strategies of implementation in trauma centers. The incidence of adolescent suicide has continued to rise in the USA to 6.5 per 100,000, with notable racial disparities. The risk factors are complex, but many pre-existing risk factors and sequela after injury such as exposures to violence, suicidal behaviors, substance abuse, depression and post-traumatic stress disorder, and specific injuries including traumatic brain injury and spinal cord injury have further emerged as risks. Studies show rates of suicidality as high as 30% in the acute care setting. There are short screening instruments that can be used to universally screen for depression and suicidality in adolescent trauma patients. Step-up models of care for PTSD are promising to increase screening and services after injury. Lethal means counseling, secure firearm storage practices, and firearm safety policies can reduce the risk of suicide. Suicide is the second leading cause of death in US adolescents, and trauma patients have significant risk factors for mental illness and suicidality before and after injury. Trauma centers should strongly consider screening adolescents, establish strategies for mental health support and referrals, and provide lethal means counseling to help prevent suicide.
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影响因子：
2
作者：
Maung AA;Becher RD;Schuster KM;Davis KA
通讯作者：
Davis KA
DOI：
10.1007/s11524-018-0261-7
发表时间：
2018-06-01
影响因子：
6.6
作者：
Azrael, Deborah;Cohen, Joanna;Miller, Matthew
通讯作者：
Miller, Matthew
影响因子：
17.7
作者：
Bryant, Richard A.;O'Donnell, Meaghan L.;Silove, Derrick
通讯作者：
Silove, Derrick
影响因子：
1.9
作者：
Deng, Hansen;Yue, John K.;Tarapore, Phiroz E.
通讯作者：
Tarapore, Phiroz E.
影响因子：
14.6
作者：
Evans, Christopher C. D.;DeWit, Yvonne;Hall, Stephen
通讯作者：
Hall, Stephen