Pediatrics:AAP更新青少年自杀行为管理建议

2016-06-30 Mechront 译 MedSci原创

美国儿科学会(AAP)于近期发表了青少年自杀相关的最新建议。AAP委员会Benjamin Shain博士说:“从1950到1990年,15岁至19岁青少年的自杀率增加了300%;但从1990到2013年,这个年龄组的自杀率下降了28%。19至15岁的青春期男孩其自杀率是女孩的三倍,不过自杀未遂率女孩是男孩的两倍。相比男孩,女孩更容易选择不致命的方法。”近期AAP更新的儿童和青少年自杀风险识别和管理

美国儿科学会(AAP)于近期发表了青少年自杀相关的最新建议。

AAP委员会Benjamin Shain博士说:“从1950到1990年,15岁至19岁青少年的自杀率增加了300%;但从1990到2013年,这个年龄组的自杀率下降了28%。19至15岁的青春期男孩其自杀率是女孩的三倍,不过自杀未遂率女孩是男孩的两倍。相比男孩,女孩更容易选择不致命的方法。”

近期AAP更新的儿童和青少年自杀风险识别和管理中针对儿科医生的建议如下:

询问情绪障碍、药物和酒精的使用、自杀的想法、欺凌、性倾向和其他与自杀有关的危险因素,了解危险因素且对抑郁症进行筛查

教育自己和病人的抗抑郁药的好处和风险;

认识到青少年自杀风险相关的医疗和精神需求,并与家庭和医疗保健专业人员一起参与患者的管理和随访;

熟悉当地、洲和国家的自杀预防和治疗的资源;

青少年情绪障碍的诊断和管理方面进行额外的培训和继续教育,尤其是在缺医少药的地区;

常规评估时询问家里枪支情况,教育家长枪支的存在会增加青少年自杀的风险。

原始出处:


Shain B and AAP Committee on Adolescence. Suicide and Suicide Attempts in Adolescents.Pediatrics. 2016;doi:10.1542/peds.2016-1420.

AAP updates recommendations for management of adolescent suicide
.Healio.June 29, 2016 

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    2017-06-15 ylz8410
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    2016-11-04 feather89
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    2016-11-30 hbwxf
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    2016-09-12 ylzr123

    关注学习。赞!好文有待探究。

    0

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    2016-06-30 金色蝴蝶

    青少年情绪障碍的诊断和管理方面进行额外的培训和继续教育

    0

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