ABSTRACT

This paper draws on the scholarship of an inter-disciplinary project about time and waiting in healthcare to explore questions of urgency and risk in clinical work with depressed and suicidal young people, and how the feeling of being compelled to act can be meaningfully explored from a psychoanalytic perspective. The paper examines adolescence as both a time of inherent crisis and one in which self-harm and suicidal ideation represent particular challenges. It then considers Child and Adolescent Mental Health Service practice in relation to acute mental health crisis, and in the context of the chronic crisis affecting the UK National Health Service. Considering both formal psychoanalytic psychotherapy and the contribution of psychoanalytic thinking to multidisciplinary discussions and emergency work in CAMHS, the author then considers the anticipatory anxieties that affect such work, and the particular role of psychoanalytic thinking for young people burdened by suicidal ideation and the professionals caring for them.

摘要

本文利用关于医疗保健中时间和等待的跨学科项目的学术成果，探讨抑郁和自杀青年临床工作中的紧迫性和风险问题，以及如何从精神分析的观点。该论文将青春期视为一个固有危机时期，也是一个自我伤害和自杀意念代表特殊挑战的时期。然后，它考虑了儿童和青少年心理健康服务与急性心理健康危机相关的实践，以及影响英国国家健康服务的慢性危机的背景。考虑到正式的精神分析心理治疗和精神分析思维对 CAMHS 的多学科讨论和紧急工作的贡献，