SUICIDE PAPER 翻譯
Suicide is the third leading cause of death in adolescents aged 10–24 years . More teens and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza, and chronic lung disease combined . Approximately one million teenagers attempt suicide, and 20% of adolescents contemplate suicide each year . Despite a slight decline in suicide deaths between 1995 and 2003, the 1983 suicide deaths in the 10–19-year-old age range in 2004 represent a 14.5% increase over the previous year .
Even when a suicide attempt is unsuccessful, suicidal ideation and behavior are often associated with a host of other psychosocial problems (e.g. depression, drug use, school failure, family conflict) and troubling for parents, teachers and physicians . In fact, the presence of suicidal ideation in early adolescence, even in the absence of an attempt, has been found to predict poorer functioning in multiple domains in early to middle adulthood [6,7••]. Given the grave consequences of suicidal behavior and its associated problems, early identification of youth at risk for suicide can help prevent these problems. In the absence of many effective prevention efforts, physician gatekeeper training has been identified as one of only two effective interventions, with restriction of lethal means being the other . The focus of this review will be on physician training, screening, and risk assessment. While there are no simple indicators to predict youth suicide, we outline several factors that may help physicians assess this problem area, including demographics, psychiatric comorbidities, risk factors, and warning signs.
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