There is increasing concern about the prevalence of depression and self‐harm among children adolescents in many countries. Governments who commission and fund psychological interventions to address these difficulties want to know what is effective. The techniques available for synthesising gold standard evidence are increasingly sophisticated, but there are many criticisms of being completely reliant on this approach. A precautionary approach, where public policy decision‐makers acknowledge that where the evidence is limited, the benefits of certain interventions are thought to outweigh the risks, including the risk of doing nothing. This later element may be particularly important in the domain of depression and self‐harm, as both are associated with elevated risk of death by suicide.

中文翻译：

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辩论：黄金标准还是追求黄金？等待青少年抑郁和自残干预有效性的黄金标准证据与在当前政治时期采取预防原则的利弊

在许多国家，人们越来越关注儿童青少年抑郁和自残的流行。委托和资助心理干预以解决这些困难的政府想知道什么是有效的。可用于合成金标准证据的技术越来越复杂，但也有很多批评完全依赖这种方法。一种预防方法，公共政策决策者承认在证据有限的情况下，某些干预措施的好处被认为大于风险，包括无所作为的风险。后者在抑郁症和自残领域可能特别重要，因为两者都与自杀死亡风险升高有关。