2011 RACGP全科医生指南:精神健康风险评估
大多数精神健康( 自杀风险) 评估的研究是在大专院校进行的,而将这些成果直接运用于全科医疗机构并不合适。许多报告显示,医务人员与自杀患者打交道非常困难。例如,在与自杀患者打交道时,医院急诊科的工作人员会产生焦虑、恐惧、无助和愤怒的情绪( 或“反情感转移”),这可能导致副作用。更糟糕的是,医生预测像自杀、杀人这样不良后果的能力非常有限,无论是临床判定还是用保险统计量表,要想准确预测是否可能自杀非常困难。但也有学者认为预测自杀风险升高的患者是可行的,这些患者的风险是可以管控的。全科医生遇到有自杀风险的人时首先需要做一个合适的评估,并实施合适的管理策略。全科医生并没有被要求预测致命后果,但还是要求其能达到看护标准,鉴别处于自杀风险的患者,并提供患者可接受的临床反应。
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The Royal Australian College of General Practitioners (RACGP) is Australia’s largest professional general practice organisation and represents urban and rural general practitioners. We represent over 20 000 members working in or towards a career in general practice and are proud that in the 2010–2011 financial year over 18 000 GPs in Australia chose to be a member of the College. The College’s mission is to improve the health and wellbeing of all people in Australia by supporting GPs, general practice registrars and medical students through its principal activities of education, training and research and by assessing doctors’ skills and knowledge, supplying ongoing professional development activities, developing resources and guidelines, helping GPs with issues that affect their practice, and developing standards that general practices use to ensure high quality healthcare.