Can We Really Prevent Suicide?

被引:45
|
作者
Schwartz-Lifshitz, Maya [2 ]
Zalsman, Gil [2 ,3 ]
Giner, Lucas [4 ]
Oquendo, Maria A. [1 ,5 ]
机构
[1] Columbia Univ, Dept Psychiat, Mol Imaging & Neuropathol Div, Unit 42, New York, NY 10032 USA
[2] Geha Mental Hlth Ctr, Petah Tiqwa, Israel
[3] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
[4] Univ Seville, Dept Psychiat, Seville, Spain
[5] New York State Psychiat Inst & Hosp, New York, NY 10032 USA
关键词
Suicide; Risk factors; Diagnostic risk factors; Depressive disorders; Bipolar disorders; Anxiety disorders; Alcohol and other substance abuse; Schizophrenia; Aggression; impulsivity; and hostility; Hopelessness; Heredity; Childhood trauma; Past attempts; Prevention; Meansrestriction; Media coverage; Identification methods; Diagnosis; Treatment; Psychotherapy; Pharmacotherapy; Electroconvulsive therapy; Mood disorders; Psychiatry; RANDOMIZED CONTROLLED-TRIAL; MAJOR DEPRESSIVE DISORDER; BORDERLINE PERSONALITY-DISORDER; SEROTONIN REUPTAKE INHIBITORS; DELIBERATE SELF-HARM; SERVICES-TASK-FORCE; 5-YEAR FOLLOW-UP; RISK-FACTORS; BIPOLAR DISORDER; 2ND-GENERATION ANTIPSYCHOTICS;
D O I
10.1007/s11920-012-0318-3
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Every year, suicide is among the top 20 leading causes of death globally for all ages. Unfortunately, suicide is difficult to prevent, in large part because the prevalence of risk factors is high among the general population. In this review, clinical and psychological risk factors are examined and methods for suicide prevention are discussed. Prevention strategies found to be effective in suicide prevention include means restriction, responsible media coverage, and general public education, as well identification methods such as screening, gatekeeper training, and primary care physician education. Although the treatment for preventing suicide is difficult, follow-up that includes pharmacotherapy, psychotherapy, or both may be useful. However, prevention methods cannot be restricted to the individual. Community, social, and policy interventions will also be essential.
引用
收藏
页码:624 / 633
页数:10
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