Historically, inpatient hospitalization has historically been a primary approach for managing risk in suicidal adolescents. However, hospitalization is disruptive and its efficacy in reducing suicide risk for adolescents is unclear. Preliminary data suggest that hospitalization may be iatrogenic and result in increased risk for subsequent hospitalizations and continued suicidal behaviour (Linehan, April 2016; Prinstein et al., ). This paper first discusses potential theoretical pitfalls of psychiatric hospitalization for suicidal adolescents, specifically poor triage to outpatient treatment, stigma, and social isolation. Secondly, we present outpatient family‐based therapy as an alternative evidence‐based approach for treating suicidal adolescents. To achieve this aim we review the existing research base examining specific family‐based outpatient treatments and discuss practical considerations concerning the implementation of family‐based approaches with suicidal adolescents. Practitioner points Inpatient hospitalization is a frontline treatment for treating suicidal adolescents despite the lack of evidence supporting this approach and growing evidence of negative effects Suicidal adolescents can be treated effectively and safely in outpatient settings Several family‐based therapies for suicidal adolescents have been shown to be safe and effective in reducing suicidality and improving family functioning 基于家庭的门诊疗法：有自杀倾向的青少年入院治疗的可行替代疗法 一直以来, 住院治疗都是处理青少年自杀风险的主要手段。然而, 住院治疗会对生活造成干扰, 且其降低自杀风险的效果仍然未知。初步研究结果显示, 住院治疗可能是医原性的, 并可能增加患者今后住院的可能性和导致持续的自杀行为（Linehan, April 2016; Prinstein et al., 2008）。本文首先讨论了有自杀倾向青少年精神性住院的潜在理论隐患, 尤其是门诊治疗的治疗类选法较差、耻感和社会孤立。然后, 我们介绍了一种基于家庭的门诊疗法, 作为治疗有自杀倾向的青少年的一种替代性的实证疗法。为了达到这一目标, 我们回顾了针对具体的基于家庭的门诊疗法的现有研究, 并讨论了这种基于家庭的疗法在实施中的实际考量。 对实务工作者的启示 住院治疗是针对有自杀倾向的青少年的一线治疗, 虽然并没有证据支持该疗法, 且有证据显示其负面作用 有自杀倾向的青少年可以在门诊环境下得到有效和安全的治疗 一些基于家庭的疗法已被证明安全, 且能有效减轻自杀倾向以及改善家庭功能 关键词：循证实践；预防；抑郁症；儿童和青少年心理健康