Royal Australian and New Zealand College of Psychiatrists clinical practice guideline for the management of deliberate self-harm

被引：121

作者：

Carter, Gregory ^{[1
,2
,3
]}

Page, Andrew ^{[1
,4
]}

Large, Matthew ^{[1
,5
]}

Hetrick, Sarah ^{[1
,6
]}

Milner, Allison Joy ^{[1
,7
,8
]}

Bendit, Nick ^{[1
,9
,10
]}

Walton, Carla ^{[1
,11
,12
]}

Draper, Brian ^{[1
,13
,14
]}

Hazell, Philip ^{[1
,15
]}

Fortune, Sarah ^{[1
,16
,17
,18
]}

Burns, Jane ^{[1
,19
,20
,21
]}

Patton, George ^{[1
,22
,23
,24
,25
]}

Lawrence, Mark ^{[1
,26
]}

Dadd, Lawrence ^{[1
,27
,28
,29
,30
]}

Robinson, Jo ^{[1
]}

Christensen, Helen ^{[1
,6
,31
]}

机构：

[1] RANZCP, Clin Practice Guideline Deliberate Self harm Work, Melbourne, Vic, Australia

[2] Univ Newcastle, Fac Hlth & Med, Ctr Translat Neurosci & Mental Hlth, Callaghan, NSW, Australia

[3] Calvary Mater Newcastle Hosp, Dept Consultat Liaison Psychiat, Waratah, NSW, Australia

[4] Univ Western Sydney, Ctr Hlth Res, Richmond, NSW, Australia

[5] Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia

[6] Orygen, Melbourne, Vic, Australia

[7] Deakin Univ, Sch Hlth & Social Dev, Ctr Populat Hlth Res, Burwood, Vic, Australia

[8] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia

[9] Univ Newcastle, Fac Hlth & Med, Sch Med & Publ Hlth, Callaghan, NSW, Australia

[10] Univ Newcastle, Fac Sci & Informat Technol, Sch Psychol, Callaghan, NSW, Australia

[11] Univ Newcastle, Hunter New England Mental Hlth Serv, Ctr Psychotherapy, Callaghan, NSW, Australia

[12] Univ Newcastle, Ctr Translat Neurosci & Mental Hlth, Callaghan, NSW, Australia

[13] Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia

[14] Prince Wales Hosp, Acad Dept Old Age Psychiat, Sydney, NSW, Australia

[15] Univ Sydney, Sydney Med Sch, Discipline Psychiat, Sydney, NSW, Australia

[16] Univ Auckland, Auckland, New Zealand

[17] Univ Leeds, Leeds, W Yorkshire, England

[18] Middlemore Hosp, Kidz First, Auckland, New Zealand

[19] Univ Melbourne, Young & Well Cooperat Res Ctr, Melbourne, Vic, Australia

[20] Univ Sydney, Brain & Mind Res Inst, Sydney, NSW, Australia

[21] Orygen Youth Hlth Res Ctr, Melbourne, Vic, Australia

[22] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia

[23] Natl Hlth & Med Res Council, Canberra, ACT, Australia

[24] Royal Childrens Hosp, Ctr Adolescent Hlth, Melbourne, Vic, Australia

[25] Murdoch Childrens Res Inst, Melbourne, Vic, Australia

[26] Tauranga Hosp, Bay Of Plenty, New Zealand

[27] NSW Hlth, Hunter New England, Mental Hlth & Substance Use Serv, Waratah, NSW, Australia

[28] Awabakal Aboriginal Med Serv, Hamilton, NSW, Australia

[29] Univ Newcastle, Wollotuka Inst, Pital Tarkin Aboriginal Med Student Mentoring Pro, Callaghan, NSW, Australia

[30] Outreach NT, Darwin, NT, Australia

[31] Univ New South Wales, Black Dog Inst, Sydney, NSW, Australia

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY | 2016年 / 50卷 / 10期

关键词：

Guidelines; deliberate self-harm; management; treatment; RANDOMIZED CONTROLLED-TRIAL; BORDERLINE PERSONALITY-DISORDER; DIALECTICAL BEHAVIOR-THERAPY; REDUCING SUICIDAL IDEATION; BRIEF PSYCHOLOGICAL INTERVENTION; PROBLEM-SOLVING THERAPY; NOMINATED SUPPORT TEAM; OF-THE-LITERATURE; FOLLOW-UP; RISK-FACTORS;

D O I：

10.1177/0004867416661039

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: To provide guidance for the organisation and delivery of clinical services and the clinical management of patients who deliberately self-harm, based on scientific evidence supplemented by expert clinical consensus and expressed as recommendations. Method: Articles and information were sourced from search engines including PubMed, EMBASE, MEDLINE and PsycINFO for several systematic reviews, which were supplemented by literature known to the deliberate self-harm working group, and from published systematic reviews and guidelines for deliberate self-harm. Information was reviewed by members of the deliberate self-harm working group, and findings were then formulated into consensus-based recommendations and clinical guidance. The guidelines were subjected to successive consultation and external review involving expert and clinical advisors, the public, key stakeholders, professional bodies and specialist groups with interest and expertise in deliberate self-harm. Results: The Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for deliberate self-harm provide up-to-date guidance and advice regarding the management of deliberate self-harm patients, which is informed by evidence and clinical experience. The clinical practice guidelines for deliberate self-harm is intended for clinical use and service development by psychiatrists, psychologists, physicians and others with an interest in mental health care. Conclusion: The clinical practice guidelines for deliberate self-harm address self-harm within specific population sub-groups and provide up-to-date recommendations and guidance within an evidence-based framework, supplemented by expert clinical consensus.

引用

页码：939 / 1000

页数：62

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