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首页> 外文期刊>International Journal of Environmental Research and Public Health >E-Health Interventions for Suicide Prevention
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E-Health Interventions for Suicide Prevention

机译：预防自杀的电子医疗干预

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摘要

Many people at risk of suicide do not seek help before an attempt, and do not remain connected to health services following an attempt. E-health interventions are now being considered as a means to identify at-risk individuals, offer self-help through web interventions or to deliver proactive interventions in response to individuals’ posts on social media. In this article, we examine research studies which focus on these three aspects of suicide and the internet: the use of online screening for suicide, the effectiveness of e-health interventions aimed to manage suicidal thoughts, and newer studies which aim to proactively intervene when individuals at risk of suicide are identified by their social media postings. We conclude that online screening may have a role, although there is a need for additional robust controlled research to establish whether suicide screening can effectively reduce suicide-related outcomes, and in what settings online screening might be most effective. The effectiveness of Internet interventions may be increased if these interventions are designed to specifically target suicidal thoughts, rather than associated conditions such as depression. The evidence for the use of intervention practices using social media is possible, although validity, feasibility and implementation remains highly uncertain.
机译：许多有自杀风险的人在尝试之前没有寻求帮助，并且在尝试之后也没有与卫生服务保持联系。现在，电子卫生干预被认为是识别高危人群，通过网络干预提供自助服务或针对个人在社交媒体上的帖子提供主动干预的一种手段。在本文中，我们研究了针对自杀和互联网这三个方面的研究：使用在线筛查自杀，旨在管理自杀念头的电子卫生干预措施的有效性以及旨在在干预时主动干预的最新研究。有自杀风险的人通过社交媒体发布来识别。我们得出结论，尽管有必要进行其他强有力的受控研究来确定自杀筛查是否可以有效降低与自杀相关的结局，以及在何种情况下在线筛查可能最有效，但在线筛查可能具有一定作用。如果这些干预措施旨在专门针对自杀念头，而不是针对诸如抑郁之类的相关疾病，则可以提高互联网干预措施的有效性。尽管有效性，可行性和实施仍然高度不确定，但使用社交媒体进行干预实践的证据是可能的。

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