自杀预防策略:系统审查
J John Mann1, Alan Apter, Jose Bertolote
1New York State Psychiatric Institute, Division of Neuroscience, New York, NY 10032, USA. jjm@columbia.edu
JAMA
|October 27, 2005
概括
医生教育和限制使用致命手段有效降低了自杀率. 需要进一步的研究来证实其他自杀预防策略的有效性.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 自杀在2002年导致全球约877,000人死亡.
- 发达国家有国家预防自杀计划,但它们的有效性很少被评估.
- 评估具体干预措施对于优化预防自杀的资源配置至关重要.
研究的目的:
- 评估支持特定自杀预防干预措施有效性的证据.
- 为未来的自杀预防计划和研究提供建议.
主要方法:
- 在MEDLINE,Cochrane图书馆和PsychINFO数据库 (1966年至2005年6月) 中进行了全面的文献搜索.
- 研究评估了干预措施,包括公共/专业教育,查,精神病治疗,手段限制和媒体报道.
- 数据提取侧重于自杀行为和中间结果;由于研究异质性,进行了叙事综合.
主要成果:
- 医生对抑郁症识别和治疗的教育被发现在预防自杀方面是有效的.
- 限制使用致命手段也被认为是有效的自杀预防策略.
- 公共教育,查计划和媒体指导方针需要进一步调查以确认它们的有效性.
结论:
- 医生教育和限制使用致命方法是减少自杀率的基于证据的策略.
- 需要进行额外的研究,以确定其他预防自杀干预措施的有效性.
- 识别自杀预防计划的有效组成部分对于有效利用资源至关重要.
更多相关视频
相关概念视频
Acute Coronary Syndrome IV: Interprofessional Care
315
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
315
Coping Strategies: Problem Focused
560
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
560
Treatment Strategies for Psychological Disorders
800
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
800
Psychosurgery
2.0K
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
2.0K
Stress Prevention and Stress Management Techniques VI
284
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
284
Stress Prevention and Stress Management Techniques I
350
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
350


