Firearm restriction as suicide prevention: variation in belief and practice among providers in an urban emergency department
Firearm restriction as suicide prevention: variation in belief and practice among providers in an urban emergency department
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DOI：
10.1136/ip.2009.025296
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发表时间：
2010-08-01
影响因子：
3.7
通讯作者：
Miller, Mathew
中科院分区：
文献类型：
--
作者：
Betz, Marian E.;Barber, Catherine W.;Miller, Mathew
城市急诊科（艾德）的提供者对一项保密的在线调查做出了回应，该调查评估了他们在减少自杀者获得致命自杀手段方面的信念和做法。26%的受访者（37%的艾德护士、23%的艾德医生和9%的精神科医生）认为，如果有障碍物存在，所有从金门大桥跳下的人都会找到致命的自杀选择，另有38%的人认为大多数人都会找到。三分之二的受访者认为，艾德的提供者应该总是询问自杀患者关于获得枪支的问题，但52%的人（67%的护士，54%的艾德医生和13%的精神科医生）很少或从不这样做。精神科医生比艾德工作人员更有可能报告总是询问。进一步了解这些态度和行为，可以加强教育署的预防自杀活动。
Providers in an urban emergency department (ED) responded to a confidential, online survey assessing their beliefs and practices with respect to reducing a suicidal person's access to lethal means of suicide. 26% of respondents (37% of ED nurses, 23% of ED physicians, and 9% of psychiatrists) believed that all of the jumpers from the Golden Gate Bridge would have found a lethal suicide alternative had a barrier been present, and an additional 38% thought that most would have. Two-thirds of respondents believed that providers in the ED should always ask suicidal patients about access to firearms, yet 52% (67% of nurses, 54% of ED physicians, and 13% of psychiatrists) reported rarely or never doing so. Psychiatrists were more likely than ED staff to report always asking. Further understanding these attitudes and behaviours could enhance suicide prevention activities in the ED.