When examining suicide in the US adolescent population, subgroups are typically lost in the shuffle. We believe that subgroups are bound by unique characteristics and these distinguishing factors should be taken into clinical consideration. With that in mind, we provide the case that athletes be deemed a specific population and superfluous information regarding athletes should be thoughtfully integrated into treatment and prevention models when dealing with depression and suicidal behavior. This manuscript will be particularly useful for clinicians who have little or no experience working with athletes. We cover theoretical constructs often utilized when examining athletes such as perfectionism, fear of failure and social cognitive theory. We also introduce potential risk factors unique to the athletic domain and offer models for treatment such as the traditional cognitive behavioral therapy, the transtheoretical model of change, motivational interviewing, mindfulness therapy and psychophysiological approaches. The goal of this manuscript is not to explain a link between athletes and suicide- rather, our goal is to help clinicians who work with athletes or plan to work with adolescent athletes to build an expansive view of the unique culture related to the sporting domain. The coverage of risk factors and theoretical models are not meant to be comprehensive or exhaustive and the treatment suggestions are not intended to replace traditionally-accepted approaches to suicidality, rather to serve as an adjunct to a clinical approach when working specifically with adolescent athletes.

在检查美国青少年群体的自杀情况时，通常会在随机分组中迷失亚组。我们认为，亚组具有独特的特征，这些区别因素应在临床上加以考虑。考虑到这一点，我们提供了这样一种情况：将运动员视为特定人群，并且在处理抑郁症和自杀行为时，应将有关运动员的多余信息仔细考虑到治疗和预防模型中。该手稿对很少或没有与运动员合作经验的临床医生特别有用。我们介绍了在检查运动员时经常使用的理论构造，例如完美主义，对失败的恐惧和社会认知理论。我们还介绍了运动领域特有的潜在风险因素，并提供了治疗模型，例如传统的认知行为疗法，变革的跨理论模型，动机访谈，正念疗法和心理生理学方法。本手稿的目的不是要解释运动员与自杀之间的联系，而是要帮助与运动员一起工作或计划与青少年运动员一起工作的临床医生对与运动领域有关的独特文化建立广阔的视野。风险因素和理论模型的涵盖范围并不旨在是全面的或详尽的，并且治疗建议并非旨在取代传统上可接受的自杀方式，而是在与青少年运动员一起工作时作为临床方法的辅助手段。