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青少年における自殺:評価,管理,予防
A J Zametkin1, M R Alter, T Yemini
1National Institute of Mental Health, 3N238 Bldg 10, 9000 Rockville Pike, Bethesda, MD 20892, USA. zametkin@mail.nih.gov
JAMA
|January 5, 2002
まとめ
10代の自殺は,精神疾患と関連している. 予防のために,うつ病のスクリーニングを含む,リスクのある若者の早期発見と治療は極めて重要です.
科学分野:
- 精神科医は精神病を患っている.
- 青少年の健康について
- 自殺論は自殺論である.
背景:
- 青少年の自殺は,常に精神疾患と関連しています.
- 現在の生物学的マーカーは,リスク識別のための臨床的有用性がない.
- 自殺傾向の青少年に対する行動介入に関する研究は限られている.
研究 の 目的:
- 思春期の自殺における精神的,家族的,遺伝的,社会的リスク要因をレビューする.
- 自殺率を下げるための薬物療法の有効性について議論する.
- 青少年におけるうつ病のスクリーニングの重要性を強調する.
主な方法:
- 複数の危険因子を持つ16歳のアスリートのケースプレゼンテーション.
- 青少年自殺リスク要因に関する既存の文献のレビュー.
- 薬剤療法介入の議論について.
主要な成果:
- 自殺傾向のある青年は,常に精神疾患を患っている.
- 複数の危険因子と家族歴は,しばしば検出されないままです.
- リチウムと抗うつ薬の薬物療法では,自殺率を減らす可能性があることが示されています.
結論:
- リスクのある青少年を特定し,治療することは,自殺予防に不可欠です.
- 思春期患者のうつ病のスクリーニングは極めて重要です.
- 稀で予測が難しいものの,積極的な介入は10代の自殺を減らすことができます.
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