关于预防自我伤害和自杀的临床指南:考虑到证据库中的不确定性
Aida Seyedsalehi1, Seena Fazel2,3
1Department of Psychiatry, University of Oxford, Oxford, UK.
BMJ mental health
|February 6, 2026
概括
关于自我伤害的NICE指南不鼓励使用风险评估工具,但这一观点认为证据审查有限. 新的研究表明,经过验证的工具可以改善自我伤害患者的护理.
科学领域:
- 临床心理学 临床心理学
- 公共卫生政策 公共卫生政策
- 卫生技术评估 卫生技术评估
背景情况:
- 国家卫生和护理卓越研究所 (NICE) 准则 (2022) 建议不使用自伤个人风险评估工具.
- 这些工具旨在预测重复自伤,自杀,并为治疗/出院决策提供信息.
研究的目的:
- 批评NICE关于自伤风险评估工具的指导方针制定过程.
- 突出证据基础和NICE解释的局限性.
- 倡导进一步的研究和工具实施的潜在重新评估.
主要方法:
- 透视性文章分析了NICE指南的发展.
- 审查支持NICE建议的证据.
- 讨论自指南发布以来的新证据和研究差距.
主要成果:
- NICE的证据审查包含了极少的证据,导致了潜在的最终但缺乏支持的结论.
- 准则的制定主要依赖于委员会的专业知识,而不是关于预测能力和危害的可靠数据.
- 对于这些工具的影响,可接受性和可行性,存在重大差距.
结论:
- 针对风险评估工具的NICE指南的建议可能基于不足的证据基础.
- 迫切需要对自我伤害预测模型的影响,可行性和可接受性的严格研究.
- 经过验证的工具,如果谨慎实施,可以提高对自我伤害个体的临床护理,需要未来的指南更新与新出现的证据.
关键词:
精神病学是一种精神病学.
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