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Suicide Screening in General Hospitals

机译：综合医院的自杀筛查

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TO THE EDITOR: Horowitz et al. describe an instrument apparently designed to ask all hospitalized medical patients if they, are currently or, have recently, thought about killing themselves and if they have previously attempted suicide. Their study "was determined to be 'exempt' from institutional review board review," placing a heavier than usual onus on the Journal's reviewers and correspondents to assess its quality and worth. There are a myriad of problems with the study, 3 of which we highlight below. First, the whole premise of the "screening tool" rests upon the assumption that a hospitalized medical patient, who voices recent suicidal ideation or who has previously attempted suicide, is at increased likelihood of suicide in near future.
机译：致编辑：Horowitz等。描述一种显然旨在询问所有住院医疗患者的工具，这些患者是否正在或正在考虑自杀，或者是否曾尝试过自杀。他们的研究“被确定为不受机构审查委员会审查的”，从而使《华尔街日报》的审稿人和记者承担了比平时更大的责任，以评估其质量和价值。这项研究存在许多问题，下面重点介绍其中3个问题。首先，“筛查工具”的全部前提是基于这样的假设：在医院中，最近有自杀念头或曾尝试自杀的医务人员在不久的将来自杀的可能性会增加。

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