原作者： Andrea Tenner，江利冰 译 文章来源： 《中华急诊医学杂志》编辑部 发布日期：2014-07-09
Title: The Overlooked Epidemic
题目：被忽视的流行病
Author 作者: Andrea Tenner
江利冰 译 肖锋 校
General Information:
基本信息：
Mental disorders account for 7.4% of the world’s burden of disease in terms of disability-adjusted life years and nearly 25% of all years lived with disability — more than cardiovascular disease or cancer (Source: 2010 Global Burden of Disease Study)
精神障碍占按残疾调整后生命年计算的全球疾病负担的7.4%，几乎25%的时间属于残疾状态—－超过了心血管疾病以及肿瘤。（资料来源：2010 全球疾病负担研究）
Suicide is a leading cause of death among young people globally
自杀在全球范围内是年轻人的主要死亡原因。
Evidence suggests that people with mental disorders are often subject to severe human rights violations
有证据显示伴有精神障碍的患者经常受到严重的人权侵犯。
Relevance to the US physician:
和美国医生相关：
The majority of the world’s population has no access to the pharmacologic, psychological, and social interventions that can transform lives.
世界范围内大多数人无法得到可以改变他们生活的药理上的，心理上的以及社会层面上的干预。
In May 2013, 194 ministers of health adopted the WHO Comprehensive Mental Health Action Plan, recognizing mental health as a global health priority.
在2013年5月，194位卫生部长采用了世界卫生组织（WHO)的综合心理健康行动计划，将心理健康视为全球首要的健康问题。
Bottom Line:
要点：
Mental illness is an often-forgotten cause of significant morbidity worldwide. Front-line care delivered by appropriately trained and supervised community-based health workers operating in partnership with emergency physicians, primary care physicians, and mental health specialists is key to address this health crisis.
精神疾病在全球范围内是经常被忽视的疾病。由经过适当训练和监督的以社区为基础的医务人员并和急诊医师，初级医师和心理健康专家合作提供的一线治疗是解决这一健康问题的关键。
References 参考文献：
Transforming Lives, Enhancing Communities — Innovations in Global Mental Health. February 6, 2014 Patel V. and Saxena S. N Engl J Med 2014; 370:498-501
http://www.nejm.org/doi/pdf/10.1056/NEJMp1315214
