最后审阅: 13 四月 2021
最后更新: 08 十二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 当前的自杀意图
  • 获得致命方法的途径
  • 危险因素

危险因素

  • 当前自杀计划
  • 自我伤害
  • 精神病既往史,包括物质滥用
  • 致命方法的可用性
  • 童年期受虐待或忽视史
  • 自杀死亡家族史
  • 男性
  • 囚犯
  • 精神疾病家族史
  • 躯体疾病
  • 婚姻状况(离婚、单身、丧偶
  • 行业/职业(失业者、个体经营者、农业劳动者、医疗和牙科专业人员
  • 社会心理应激源

诊断性检查

治疗流程

急症处理

撰稿人

Consultant Liaison Psychiatrist

Liaison Team

Glan Clwyd Hospital

Betsi Cadwaladr Health Board

St Asaph

Wales

UK

简介

利益声明

ACK is an employee and director of 4Mental Health and, in this capacity, has received funding for designing and delivering training. ACK is an author of references cited in this topic.

ST6 General Adult Psychiatry

South London and Maudsley NHS Foundation Trust

London

UK

利益声明

AO declares that she has no competing interests.

BMJ Best Practice would like to gratefully acknowledge the previous expert contributor, whose work has been retained in parts of the content:

Angharad de Cates, BMBCh, BA Hons (Oxon), MSc (Warw), MRCPsych

Wellcome Trust Clinical Doctoral Fellow

Department of Psychiatry

University of Oxford

Warneford Hospital

Honorary Clinical Fellow Oxford Health NHS Foundation Trust

Oxford

UK

Disclosures: AdeC is in receipt of a clinical doctoral training fellowship from the Wellcome Trust (since October 2018) and a travel fellowship from the Royal College of Psychiatrists/Gatsby Foundation. All are external bodies that fund research into and/or release information that includes suicide prevention.

同行评议者展开全部内容

Director of Research & Development

Devon Partnership NHS Trust

Honorary Associate Professor

University of Exeter Medical School

Exeter

UK

利益声明

PA is Clinical Lead for the NHS SW Strategic Clinical Network, and Trust Lead for Suicide Prevention, Devon Partnership NHS Trust. He is a also a trustee of the Lions Barber Collective Charity and chair of the Royal National Lifeboat Institution Medical Committee.

Section Editor, BMJ Best Practice

利益声明

AS declares that she has no competing interests.

Lead Section Editor, BMJ Best Practice

利益声明

SM works as a freelance medical journalist and editor, video editorial director and presenter, and communications trainer. In this capacity, she has been paid, and continues to be paid, by a wide range of organisations for providing these skills on a professional basis. These include: NHS organisations, including the National Institute for Health and Care Excellence, NHS Choices, NHS Kidney Care, and others; publishers and medical education companies, including the BMJ Group, the Lancet group, Medscape, and others; professional organisations, including the British Thoracic Oncology Group, the European Society for Medical Oncology, the National Confidential Enquiry into Patient Outcome and Death, and others; charities and patients’ organisations, including the Roy Castle Lung Cancer Foundation and others; pharmaceutical companies, including Bayer, Boehringer Ingelheim, Novartis, and others; and communications agencies, including Publicis, Red Healthcare and others. She has no stock options or shares in any pharmaceutical or healthcare companies; however, she invests in a personal pension, which may invest in these types of companies. She is managing director of Susan Mayor Limited, the company name under which she provides medical writing and communications services.

Lead Section Editor, BMJ Best Practice

利益声明

RW declares that she has no competing interests.

Drug Editor, BMJ Best Practice

利益声明

AM declares that he has no competing interests.

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