醫療人員面對新興傳染病衝擊的自殺防治

Suicide Prevention Strategies Towards the COVID-19 Pandemic for Healthcare Workers

醫療人員的身心健康本就較非醫療工作者有較高的自殺風險。面對COVID-19新興傳染病帶來的職場壓力、生活型態改變、缺乏支持和擔憂汙名化等因素，會增加醫療人員的職場負擔，心理健康惡化，自殺風險也提升。為了改善醫療人員的身心健康，定時篩檢醫療人員的身心健康，提升對疾病的清楚認知，降低汙名化和求助阻礙，增加社會支持和溝通管道等，都是可行的自殺防治策略。對於較嚴重情緒困擾、創傷反應和自殺風險者，則可考慮應用辯證行為治療（DBT）來減緩創傷後壓力反應。

Healthcare workers are at higher suicidal risk than non-healthcare workers. Facing the stress accompanying by the COVID-19 pandemic, such as work stress, life change, lack of support, and suffering from stigma, could increase the work load, exacerbate mental health, and increase suicide risk. To promote the mental health of healthcare workers, regular screening of mental health, updating the knowledge about the pandemic, reducing stigma, lowering the burden of seeking help, increasing social support and building a gateway of communication are recommended suicidal prevention strategies. For people with great mood disturbance, more trauma responses, and higher suicidal risk, additional psychotherapy is needed. DBT-informed therapy being held as online group therapy is empirically supported effective, that makes it becomes one of the choices that alleviate trauma responses.