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匿名使用者 發問時間: 社會與文化語言 · 1 0 年前

SUICIDE PAPER 翻譯

Introduction

Suicide is the third leading cause of death in adolescents aged 10–24 years [1]. More teens and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza, and chronic lung disease combined [2]. Approximately one million teenagers attempt suicide, and 20% of adolescents contemplate suicide each year [3]. 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 [4].

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 [5]. 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 [8]. 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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  • 1 0 年前
    最佳解答

    簡介

    自殺是介於10-24歲的青少年死亡原因的第三位[1].

    死於自殺的青少年跟年輕人遠比死於癌症、心臟病、愛滋病、先天性疾病、中風、肺炎、流行性感冒及慢性肺病併發症的人還多[2].

    每年有近100萬的青少年試圖自殺,有20%的青少年考慮過自殺這條路[3].

    儘管自殺死亡人數在1995-2003年之間有些微的下滑,但是在2004年,10-19歲這個年紀自殺死亡1983個人,仍然比前一年增加了14.5%[4].

    縱使嘗試自殺不成功,自殺的念頭與行為通常會與精神方面的問題(如沮喪、喀藥、學校生活失敗、家庭生活衝突等)以及與家長、老師跟身體方面的麻煩有所關聯[5].

    事實上,曾存在著自殺的念頭,甚至從未嘗試過自殺的青少年們,被發現到在早期或中期的成人階段,可以預料的缺乏多樣化的社交行為[6.7..]

    對早期被識別出有自殺風險的年輕人說明自殺行為所帶來的嚴重後果及關聯性可以幫助預防這些問題發生。在缺乏對許多有效預防行為的努力之下,治療人員的訓練被歸為兩個有效介入因素的其中之一,另外一個是禁止毀滅性的想法[8].

    這一個評論的焦點將著重於精神治療師的訓練、篩選及風險評估。當預防青少年自殺行為已經無簡單的方針可循之時,我們概略的歸納出幾個可以幫助治療師評估這方面問題的因素,包括了人口統計因素、精神疾病學、高風險因素以及警告訊息。

    參考資料: 我的腦袋
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