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医生的抑郁症和自杀共识报告

     

摘要

目的:鼓励医生治疗自己的抑郁症、预防自杀,通过号召改变专业态度以及制度政策支持医生寻求帮助。参加者:美国预防自杀基金会计划组邀请15位专家对医生发生抑郁症和自杀的状况以及妨碍治疗的认识状况进行了评估。该计划组于2002年10月6~7日在Philadelphia,Pa召集组织了一次专题研讨会。证据:计划组与每位参加者于专题研讨会前在指定的范围内进行文献复习。在会前将有关论文摘要和关健刊物分发给参加者。在讨论会后,将参加者分配到两个小组:(1)医生作为患者和(2)医疗机构和专业组织。两个小组确定需进一步研究的领域、治疗的障碍以及对改革的建议。共识过程:本共识报告是在全体会议上产生的,在此期间每个工作小组都提出了他们的建议。本共识报告获得所有参加者的赞同。结论:尽管存在未治疗心境障碍与自杀负担增高的证据,但是医药文化仍与医生精神卫生档次质量较低一致。妨碍医生寻求帮助的障碍经常是惩罚性的,包括在医疗执照、医院的特权和专业技术提高方面的差异。本共识报告建议,为了鼓励医生寻求帮助,应转变人们的职业态度和有关机构的政策。在障碍去除后,医生面对同行的抑郁症和自杀时,他们就更可能在患者识别并治疗这些疾病,包括同事和医学生。

著录项

  • 来源
    《美国医学会杂志:中文版》|2004年第3期|140-144|共5页
  • 作者单位

    Employment Law Center and the University of Califomia, Hastings College of Law, San Francisco;

    George Washington University School of Public Health and Health Services, Washington, DC;

    Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh;

    Departments of Medicine, Epidemiology, and Health Policy and Management, Johns Hopkins School of Medicine, Baltimore, Md;

    Department of Education, Research, and Development, University of California Medical Center, San Diego;

    American Foundation for Suicide Prevention and Department of Psychiatry, New York Medical College, New York;

    American Cancer Society, Atlanta, Ga;

    Office of the US Surgeon General, Washington, DC;

    Division of Neuroscience, Department of Psychiatry, Columbia University Medical Center, New York, NY;

    Committee for Physicians' Health, Medical Society of the State of New York, and Department of Psychopharmacology at Albany College of Union University, Albany;

    the Payne Whitney Clinic, Joan and Sanford I. Weill Medical College of Cornell University, New York, NY;

    Department of Medicine and Geriatrics, University of Minnesota Medical School, Minneapolis;

    Alfred I.duPont Hospital for Children, Wilmington, Del, and Jefferson Medical College, Philadelphia, Pa;

    Western Psychiatric Institute and Clinic, Universiy of Pittsburgh Medical Center, Pittsburgh, Pa;

    National Suicide Prevention Resource Center, Newton,Mass, and Department of Psychiatry, University of Chicago Medical School, Chicago, Ⅲ;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 神经病学与精神病学;
  • 关键词

    医生; 抑郁症; 自杀行为; 心境障碍;

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