中国全科医学 ›› 2024, Vol. 27 ›› Issue (15): 1789-1796.DOI: 10.12114/j.issn.1007-9572.2023.0876

所属专题: 指南/共识最新文章合集 美国预防临床服务指南工作组(USPSTF)指南解读系列

• USPSTF指南解读系列(四) • 上一篇    下一篇

2023年美国预防临床服务指南工作组《成年人抑郁症和自杀风险筛查推荐声明》解读

曾欣1, 雷玉1, 彭涛1, 李佳穗1, 沈静1, 廖晓阳2, 邹川1,2,*()   

  1. 1.611130 四川省成都市第五人民医院全科医学科
    2.610041 四川省成都市,四川大学华西医院全科医学中心
  • 收稿日期:2023-12-11 修回日期:2024-01-11 出版日期:2024-05-20 发布日期:2024-02-28
  • 通讯作者: 邹川

  • 作者贡献:廖晓阳、邹川进行文章的构思与设计,负责文章的质量控制及审校,对文章整体负责,监督管理;曾欣、邹川负责研究的实施与可行性分析,文献收集及整理,撰写论文,进行论文的修订;雷玉、彭涛、李佳穗、沈静负责文献收集与整理、撰写论文。
  • 基金资助:
    四川省科学技术项目(2023YFS0027); 四川省卫生健康委员会课题(川干研2024-108); 成都市医学科研课题(2021062)

Interpretation of Screening for Depression and Suicide Risk in Adults of U.S. Preventive Services Task Force Recommendation Statement 2023

ZENG Xin1, LEI Yu1, PENG Tao1, LI Jiasui1, SHEN Jing1, LIAO Xiaoyang2, ZOU Chuan1,2,*()   

  1. 1. Department of General Practice, Chengdu Fifth People's Hospital, Chengdu 611130, China
    2. General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2023-12-11 Revised:2024-01-11 Published:2024-05-20 Online:2024-02-28
  • Contact: ZOU Chuan

摘要: 成年人抑郁症和自杀已成为我国乃至全球重要的公共卫生问题,给患者及社会带来了沉重的疾病负担。2023年美国预防临床服务指南工作组在JAMA上发表了《成年人抑郁症和自杀风险筛查推荐声明》(以下简称USPSTF推荐),并发布了最新证据报告和系统评价结果,认为应对成年人进行抑郁症筛查,包括孕妇、产妇及老年人,但目前自杀筛查的风险与获益证据不充分,无法确定筛查的利弊。本文结合USPSTF推荐和国内外研究现状,从成年人抑郁症和自杀的流行病学、危险因素、早期筛查工具及利弊、治疗和干预、推荐对全科指导价值等方面进行了概述。

关键词: 抑郁症, 自杀, 筛查, 成年人, 声明, 美国预防临床服务指南工作组

Abstract:

Depression and suicide in adults have become significant public health issues in China and globally, imposing a heavy burden on patients and society. In 2023, the United States Preventive Services Task Force (USPSTF) published a recommendation statement on Screening for Depression and Suicide Risk in Adults in JAMA. The statement suggested screening for depression in adults, including pregnant and postpartum individuals, as well as the elderly. However, the evidence regarding the risks and benefits of suicide screening is insufficient, making it challenging to determine its overall impact. This article provides an overview of adult depression and suicide, including epidemiology, risk factors, early screening tools, pros and cons, treatments and interventions, and the guidance value of the USPSTF statement for general practitioners, combining insights from the USPSTF statement and current research both domestically and internationally.

Key words: Depression, Suicide, Screening, Adult, Statement, United States Preventive Services Task Force