[自杀风险和住院治疗:需要改变模式吗?]
Christian Greiner1, Cécilia Von Rohr-De Pree1, Laurent Michaud2
1Unité hospitalière, Service de psychiatrie de liaison et d'intervention de crise, Département de psychiatrie, Hôpitaux universitaires de Genève, 1204 Genève.
Revue medicale suisse
|September 19, 2024
概括
目前的自杀风险预测模型是无效的. 需要改变范式,超越风险分类,专注于个性化干预和自杀患者住院期间可实现的目标.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 住院治疗是自杀倾向患者的标准,以防止自我伤害.
- 现有的自杀风险预测模型已经证明其有效性有限.
- 目前管理自杀倾向患者的方法需要重新评估.
研究的目的:
- 倡导自杀患者管理的范式转变.
- 建议从风险分类转向个性化护理.
- 建立一个有效,有目的的住院治疗的框架.
主要方法:
- 批判性地分析当前自杀风险评估的局限性.
- 根据经验数据提出住院治疗的替代模型.
- 强调为患者护理制定短期,可实现的目标.
主要成果:
- 基于风险的自杀患者的分类基本上是无效的.
- 没有明确目标的住院治疗可能是有毒的.
- 一个可重现的经验模型可以指导干预不仅仅是维持生命.
结论:
- 在管理自杀患者时,需要改变范式.
- 重点应该是减少痛苦,个性化护理和促进变化.
- 住院治疗应该有目的,以经验模型为指导,并证明除了防止即时伤害之外的好处.
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