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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Practical Crisis Management for Parents and Clinicians: Adolescent Suicidal, Aggressive, Elopement Behaviours: Intensive Treatment Settings
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Practical Crisis Management for Parents and Clinicians: Adolescent Suicidal, Aggressive, Elopement Behaviours: Intensive Treatment Settings

机译：父母和临床医生的实际危机管理：青少年自杀，攻击性，私奔行为：强化治疗

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Objective In the many guidelines, recommendations and strategies for crisis management of suicide-related behaviours, aggression/vandalism and elopement in adolescents, immediately usable and specifically detailed descriptions and rationales of the strategies, especially for parents, are noticeably absent. This paper describes a feasibility project to develop one overall detailed strategy with specific adaptations for each of the three crises for adolescents in intensive services. It is a contribution to the discussion and joint service/parent management of these crises. Method The factors to consider and the development of the strategy and PARENT GUIDE are described. Examples are provided. While the main work was done by the psychiatrist and staff of a day treatment service many other colleagues and families contributed over the seven years. The accompanying PARENT GUIDE is a necessary, separate and available document. Results Since the purpose was to develop and evolve the strategy, it did not lend itself to a clear research outcome. However, careful estimates using the approximately 30 adolescents (of about 350 adolescents) for whom the strategy was used showed: no deaths, assault and vandalism stopped and elopement was managed. Parents regained skills, hope and improved relationships with their adolescents. They developed the confidence, specific knowledge and skills to manage for the future. Conclusions The successful development and evolution of the strategy demonstrated feasibility of the concept. The hope is that such strategies contribute to the advancement of patient care, the discussion in the literature and provide the basis for future research.
机译：目的在许多针对青少年自杀相关行为，侵略/故意破坏和私奔的危机管理指南，建议和策略中，没有特别是针对父母的可立即使用且特别详细的策略描述和理由。本文描述了一个可行性项目，该计划针对强化服务中的三个青少年危机中的每一个危机，制定一种针对具体情况进行调整的整体详细策略。这有助于对这些危机的讨论和联合服务/家长管理。方法描述了要考虑的因素以及策略和PARENT GUIDE的发展。提供示例。虽然主要工作是由精神科医生和日间护理人员完成的，但在过去的七年中，许多其他同事和家人也做出了贡献。随附的《父母指南》是必要的，单独的且可用的文档。结果由于目的是制定和发展该策略，因此它没有使研究结果明确。但是，对使用该策略的大约30个青少年（约350个青少年）进行的仔细估算显示：没有死亡，攻击和破坏行为得到遏制，并且进行了私奔。父母重新获得了技能，希望并改善了与青少年的关系。他们建立了信心，掌握了特定的知识和技能，可以为将来进行管理。结论该策略的成功开发和演进证明了该概念的可行性。希望这样的策略有助于患者护理的发展，文献中的讨论并为将来的研究提供基础。

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