从全面心理健康促进到分层支持:青少年心理健康服务体系建设的实践路径与未来模式
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中国工程院战略研究与咨询项目( 2023-JB-11-11);高创计划·登峰青苗春蕾项目 (G202521159)


From comprehensive mental health promotion to hierarchical support: practical path and future model of adolescent mental health service system construction
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    摘要:

    青少年心理健康问题已成为一个重要的全球性公共卫生议题。青少年时期的情绪和行为 问题与个体发展、家庭环境、学业压力、同伴关系等多种因素有关,依靠症状筛查和疾病诊断的心理健 康服务体系,难以覆盖青少年在不同阶段的实际需求。近年来,心理健康服务理念逐步从以疾病诊疗 为主,转向更加强调全面的心理健康促进,即在早期识别心理症状的基础上,结合功能水平以及相关影 响因素来提供个体化、精准化的支持。现围绕青少年心理健康服务体系建设展开讨论,提出一种以全 面心理健康促进为基础、多层级支持体系为框架、综合评估与风险分层为核心的服务模式,旨在为我国 青少年心理健康服务体系构建与未来发展模式探索提供思路参考。该模式强调个体、家庭、学校、医疗 机构与社会支持系统多方协同,依托识别、评估、匹配、转介、随访全流程,实现不同需求群体间服务的 顺畅衔接。人工智能相关技术在心理评估、动态监测、干预以及临床转介等环节可以发挥辅助作用,但 其应用仍需以有效性验证、隐私保护和专业判断为前提。

    Abstract:

    Currently, adolescent mental health issues have become a major public health concern worldwide. As social environment, educational model, and family structure continue to change, emotional issues such as depression and anxiety among adolescents are characterized by rising incidence, an early onset age, and complex contributing factors. The traditional mental health management model, which focuses on symptom screening and disease diagnosis, is no longer sufficient to fully meet the needs for early identification, continuous monitoring, and precise intervention for adolescent mental health issues. In recent years, largescale population studies and advances in network analysis methods have further suggested that adolescent mental health is not determined by a single factor, but rather is the result of the combined influence of multiple factors, including individual characteristics, family environment, school stress, and social support. At the same time, different psychological symptoms do not play exactly the same role in the occurrence and maintenance of diseases. Identifying key symptoms and core risk factors helps improve the effectiveness of early intervention. Adolescent mental health services should be grounded in comprehensive mental health promotion. Risk identification should be conducted with due care, under conditions that ensure informed consent, privacy protection, explanation of results, follow-up assessment, referrals, and access to intervention resources. Based on symptoms, functioning, safety risks, influencing factors, and protective resources, a comprehensive assessment should be conducted to dynamically match inclusive promotion, early support, professional assessment, clinical intervention, and follow-up services. This paper discusses the multi-level support system, risk stratification strategy, and digital technology application in the management of adolescent mental health, and explores the service model suitable for the development of adolescent mental health in China, providing a reference for promoting adolescent mental health and improving the public health system.

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陈旭,刘梦琪,王怡冰,等. 从全面心理健康促进到分层支持:青少年心理健康服务体系建设的实践路径与未来模式[J]. 神经疾病与精神卫生,2026,26(9):609-615. DOI:10.3969/j. issn.1009-6574.2026.09.001.

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  • 在线发布日期: 2026-09-22