Suicide Intervention Skills Among Japanese Medical Residents.
Suicide Intervention Skills Among Japanese Medical Residents.
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日本住院医生的自杀干预技能。
DOI：
10.1176/appi.ap.10110154
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发表时间：
2013
影响因子：
2.5
通讯作者：
K.
中科院分区：
文献类型：
--
作者：
Fujisawa D;Suzuki;Y.;Kato;A.T.;Hashimoto;N.;Sato;R.;Aoyama-Uehara;K.;Fukasawa;M.;Tomita;M.;Watanabe;K.;Kashima;H.;Otsuka;K.
病人自杀是一个悲剧性的事件，它可以是一个士气低落的经验，为医疗居民。然而，很少有研究评估这些一线医疗保健专业人员的自杀管理技能。本研究评估了自我评估的能力和信心的医疗居民方面的管理潜在的自杀病人和评估的相关性与居民的背景特征。MethodTheauthors进行了一项多中心，横断面调查的114名医疗居民在日本，使用修改版本的自杀干预反应量表（SIRI-22），医疗结局研究8项简短健康调查（SF 28）和5分Likert量表来评估对自杀管理的信心。结果大多数（89.5%）的住院医师认为他们对管理自杀患者的信心为完全没有信心或相当没有信心，尽管大多数人都快完成精神病轮换了SIRI-22的结果表明，与其他医疗保健专业人员相比，他们在管理自杀行为方面具有中等能力。能力所示的SIRI-22分数是弱，与自我感知的活力SF-8 scale. ConclusionEnough技能和缺乏信心的管理自杀的病人的分数呈负相关，在这个样本中观察到的日本医疗居民，从而突出了需要改进的自杀管理计划，初级医疗居民在日本医院。
ObjectivesPatient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the self-assessed competence and confidence of medical residents with regard to the management of potentially suicidal patients and assessed the correlation with the residents’ background characteristics.MethodThe authors conducted a multicenter, cross-sectional survey of 114 medical residents in Japan, using a modified version of the Suicide Intervention Response Inventory (SIRI—22), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF28), and a 5-point Likert scale to assess confidence in suicide management.ResultsA majority (89.5%) of the residents rated their confidence in managing suicidal patients as Not At All Confident or Rather Not Confident, although most were close to completing their psychiatric rotation. Results on the SIRI—22 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI—22 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF—8 scale.ConclusionInsufficient skills and lack of confidence in the management of suicidal patients was observed in this sample of Japanese medical residents, thus highlighting the need for improved suicide-management programs for junior medical residents in Japanese hospitals.