Hospital and Community Correlates of Recommended Emergency Department Mental Health Care for Patients Presenting With Self-Harm.
Hospital and Community Correlates of Recommended Emergency Department Mental Health Care for Patients Presenting With Self-Harm.
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DOI：
10.1176/appi.ps.202000779
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发表时间：
2021-11-01
期刊：
影响因子：
--
通讯作者：
Olfson M
中科院分区：
文献类型：
--
作者：
Cullen SW;Marcus SC;Xie M;Caterino JM;Bridge JA;Olfson M
急诊室（ED）完全有能力提供自杀预防服务。本研究探讨了医院和社区的相关推荐做法。本研究检查了一项全国性的艾德护理主任（N=513）调查结果，重点是医院和社区水平的变化，在常规提供的四个建议的做法：自杀风险筛查，获得手段评估，安全规划，并跟进转介。常规提供这些做法的医院和不提供这些做法的医院之间几乎没有显著差异。常规安排随访与门诊精神卫生机构的正式合同关系有关（p=0.005）。常规提供的安全计划与较高水平的精神科医生或心理学家的工作人员（p= 0.03）。有几个差异，在医院和社区的特点之间的ED，定期提供推荐的护理和那些没有，这表明很少的结构性障碍，这些建议的服务，高风险艾德患者的实施。
Emergency departments (EDs) are well positioned to deliver suicide prevention services. This study examined hospital and community correlates of recommended practices. This study examined results from a national survey of ED nursing directors (N=513) focusing on hospital- and community-level variation in the routine provision of four recommended practices: suicide risk screening, access to means assessment, safety planning, and follow-up referrals. Few significant differences existed between hospitals that routinely provided these practices and hospitals that did not. Routine scheduling of follow-up appointments was associated with presence of formal contractual relationships with outpatient mental health facilities (p=0.005). Routine provision of safety planning was associated with higher levels of psychiatrist or psychologist staffing (p=.03). There were few differences in the hospital and community characteristics between EDs that routinely provided recommended care and those that did not, suggesting few structural barriers to implementation of these recommended services for high-risk ED patients.
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影响因子：
--
作者：
Olfson, Mark;Marcus, Steven C.;Bridge, Jeffrey A.
通讯作者：
Bridge, Jeffrey A.
影响因子：
2
作者：
Diana, Amaya H.;Olfson, Mark;Cullen, Sara Wiese;Marcus, Steven C.
通讯作者：
Marcus, Steven C.
影响因子：
5.7
作者：
Ahmedani, Brian K.;Simon, Gregory E.;Solberg, Leif I.
通讯作者：
Solberg, Leif I.
影响因子：
7
作者：
Woo, Benjamin K. P.;Chan, Virginia T.;Sevilla, Conrado C.
通讯作者：
Sevilla, Conrado C.
影响因子：
6.6
作者：
Hawton, Keith;Bergen, Helen;Kapur, Nav
通讯作者：
Kapur, Nav