The public health approach to suicide prevention requires us to move away from thinking about suicide as a purely clinical problem and to pay heed to the array of social determinants (such as financial hardship or domestic violence and abuse) that might lead people to consider suicide as an option. Clinical factors are important, and, indeed, clinical or indicated interventions are entirely appropriate for people who have reached a point of crisis and should be a mainstay of national suicide prevention strategies. However, our Series stresses the need for selective and universal interventions that tackle the pervasive problem of suicide in a more upstream way, preventing people reaching a crisis point. Many social determinants can best be addressed by sectors outside health, so we are calling for a whole-of-government commitment to suicide prevention. We make recommendations for actions in the areas of policy, practice, research, and advocacy. People with lived experience of suicide should have genuine involvement in all of these actions.

中文翻译：

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预防自杀：行动呼吁


预防自杀的公共卫生方法要求我们不要将自杀视为纯粹的临床问题，并注意可能导致人们考虑自杀作为一种选择的一系列社会决定因素（例如经济困难或家庭暴力和虐待）。临床因素很重要，事实上，临床或指示性干预措施完全适合已达到危机点的人，应成为国家自杀预防策略的支柱。然而，我们的系列强调需要选择性和普遍的干预措施，以更上游的方式解决普遍存在的自杀问题，防止人们达到危机点。许多社会决定因素最好由卫生部门以外的部门来解决，因此我们呼吁整个政府致力于预防自杀。我们为政策、实践、研究和宣传领域的行动提出建议。有自杀生活经历的人应该真正参与所有这些行动。