Prevention, early detection and postvention of suicide risk: a narrative review

María Florencia Grande Ratti, Sebastián Malleza, Fernando Carlos Bertolani, José Luis Faccioli, Lucia Valdez D Stefano, Bernardo Julio Martínez, León Daniel Matusevich
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Abstract

Suicide represents a critical public health challenge. The present narrative review aimed to update the available evidence on risk detection and prevention, to promote lines of action for the early and comprehensive approach to this complex and multi-causal problem; evaluate the possibility of strengthening policies, programs, and actions to enhance existing resources and promote the creation of new ones. Prevention highlights the need for personalized strategies and interdisciplinary collaboration. Early detection involves identifying risk profiles, especially in those who have tried multiple times, which can guide more effective interventions. Training health professionals is crucial to detect and address risk. Using web technologies, co-production in prevention, telephone support and brief contact are promising strategies. Emergency services and outpatient follow-up are essential after consultation at emergency centers. Postvention actions contribute to harm reduction and mitigation of negative impacts on survivors.

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自杀风险的预防、早期发现和随访:叙事回顾。
自杀是一项重大的公共卫生挑战。本叙述审查的目的是更新关于发现和预防风险的现有证据,以促进尽早全面解决这一复杂和多原因问题的行动方针;评估加强政策、方案和行动以加强现有资源和(或)促进创造新资源的可能性。预防工作强调需要有针对性的战略和跨学科合作。早期发现意味着识别风险模式,特别是那些已经尝试过多次的风险模式,这可以指导更有效的干预措施。培训卫生专业人员对于识别和应对风险至关重要。使用网络技术、合作制作预防、电话服务和短时间联系是有希望的战略。在紧急情况中心咨询后,紧急服务和门诊随访是必不可少的。灾后行动有助于减少伤害和减轻对幸存者的负面影响。
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