Implementing Suicide Risk Screening in a Pediatric Primary Care Setting: From Research to Practice.
Implementing Suicide Risk Screening in a Pediatric Primary Care Setting: From Research to Practice.
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DOI：
10.1016/j.acap.2021.10.012
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发表时间：
2022-03
影响因子：
3.1
通讯作者：
Pao M
中科院分区：
文献类型：
--
作者：
Horowitz LM;Bridge JA;Tipton MV;Abernathy T;Mournet AM;Snyder DJ;Lanzillo EC;Powell D;Schoenbaum M;Brahmbhatt K;Pao M
描述在儿科初级保健环境中实施自杀风险筛查的方法学发展和可行性。一个自杀风险筛查质量改进项目（QIP）是由来自郊区儿科（12至25岁）初级保健实践的医疗领导与美国国家精神卫生研究所（NIMH）自杀预防研究小组合作实施的。在数据收集之前，进行了一个试点阶段，以使办公室工作人员适应筛选程序。对271名儿科门诊病人进行自杀风险筛查。患者、其父母和医务人员报告了他们对筛查程序的经历和意见。31例（11.4%）患者的自杀风险筛查呈阳性，其中1例患者有迫在眉睫的自杀风险（阳性筛查的3%;总样本的0.4%）。超过一半的筛查阳性患者报告了过去的自杀企图。大多数患者、家长和医务人员支持将自杀风险筛查程序纳入标准护理。精神卫生临床路径的自杀风险筛查门诊设置，提供门诊医疗环境与筛选指导。在儿科初级保健中进行自杀风险筛查是可行的，也是患者、家属和医务人员可以接受的。作为儿科医疗保健提供者实施筛查计划的指导的临床路径可以帮助有效地检测和管理有自杀风险的患者。
To describe the methodological development and feasibility of real-world implementation of suicide risk screening into a pediatric primary care setting. A suicide risk screening quality improvement project (QIP) was implemented by medical leadership from a suburban-based pediatric (ages 12 to 25 years) primary care practice in collaboration with a National Institute of Mental Health (NIMH) suicide prevention research team. A pilot phase to acclimate office staff to screening procedures preceded data collection. A convenience sample of 271 pediatric medical outpatients was screened for suicide risk. Patients, their parents, and medical staff reported their experiences and opinions of the screening procedures. Thirty-one (11.4%) patients screened positive for suicide risk, with one patient endorsing imminent suicide risk (3% of positive screens; 0.4% of total sample). Over half of the patients who screened positive reported a past suicide attempt. Most patients, parents, and medical staff supported the implementation of suicide risk screening procedures into standard care. A mental health clinical pathway for suicide risk screening in outpatient settings was developed to provide outpatient medical settings with guidance for screening. Screening for suicide risk in pediatric primary care is feasible and acceptable to patients, their families, and medical staff. A clinical pathway used as guidance for pediatric healthcare providers to implement screening programs can aid with efficiently detecting and managing patients who are at risk for suicide.
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验证在门诊专科和初级保健诊所向年轻人询问自杀筛查问题（ASQ）。
影响因子：
7
作者：
Aguinaldo LD;Sullivant S;Lanzillo EC;Ross A;He JP;Bradley-Ewing A;Bridge JA;Horowitz LM;Wharff EA
通讯作者：
Wharff EA
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
39.2
作者：
LeFevre, Michael L.
通讯作者：
LeFevre, Michael L.
影响因子：
5.5
作者：
Horowitz, Lisa M.;Bridge, Jeffrey A.;Boudreaux, Edwin D.
通讯作者：
Boudreaux, Edwin D.
DOI：
10.1111/jcpp.12831
发表时间：
2018-04
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Cha CB;Franz PJ;M Guzmán E;Glenn CR;Kleiman EM;Nock MK
通讯作者：
Nock MK