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首页> 外文期刊>The British journal of psychiatry : >Liaison services for older adults [2]
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Liaison services for older adults [2]

机译：老年人联络服务[2]

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Given my interest in liaison psychiatry, I could feel the passion in Sharpe's1 piece, which he has extended to include the proposed future of psychiatry as a discipline. However, even though he has mentioned patient safety in passing, I would like to urge a wider debate on the fact repeatedly highlighted by several publications of the National Confidential Enquiry into Suicide and Homicide by People with Mental illness. In its last publication, it again highlighted that 72% of those who die by suicide (between 2001 and 2011), had no contact with mental health services in the year before their death. Given the massive variation in funding of mental health services across the country and some viewing it as a Cinderella service, I feel mental health providers and advocates have failed to grasp the nettle in terms of attempting to reach out to that group of individuals who 'successfully' take their own life. We are aware that a majority of those individuals could be diagnosed within F43.0 (Reaction to severe stress, and adjustment disorders) of the ICD-10.3 Yet we fail to invest in services and concentrate efforts on a narrow remit to severe mental illness. With the 2007 amended Mental Health Act 1983 in England and Wales, we have successfully replaced the erstwhile four categories with a single category of mental disorder.
机译：鉴于我对联络精神病学的兴趣，我可以感受到Sharpe的作品中的热情，他将其扩展到包括拟议中的精神病学作为一门学科的未来。但是，尽管他顺便提到了患者的安全，但我还是希望就有关精神疾病患者自杀和杀人行为的国家机密调查的几本出版物反复强调的事实，进行更广泛的辩论。它在上一份出版物中再次强调指出，死于自杀的人中有72％（2001年至2011年之间）在去世前一年没有与精神卫生服务机构接触。鉴于全国范围内的精神卫生服务资金差异很大，而且有人将其视为灰姑娘服务，因此我认为精神卫生服务提供者和倡导者在尝试接触成功以自己的生命。我们知道，可以在ICD-10.3的F43.0（对重度压力的反应和适应障碍）中诊断出这些人中的大多数，但是我们未能投资于服务，而是将精力集中在狭窄的重度精神疾病上。随着2007年在英格兰和威尔士修订的1983年《精神健康法》，我们已成功地将以前的四个类别替换为一个类别的精神障碍。

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