A review of multidisciplinary clinical practice guidelines in suicide prevention: toward an emerging standard in suicide risk assessment and management, training and practice.
A review of multidisciplinary clinical practice guidelines in suicide prevention: toward an emerging standard in suicide risk assessment and management, training and practice.
复制标题
DOI：
10.1007/s40596-014-0180-1
复制
发表时间：
2014-10
期刊：
影响因子：
--
通讯作者：
Roberts LW
中科院分区：
文献类型：
--
作者：
Bernert RA;Hom MA;Roberts LW
本文旨在：(1)研究跨领域、组织和临床专业的自杀预防临床实践指南；(2)为临床实践、研究和培训中的新标准提供信息。作者进行了系统的文献综述，以确定自杀预防和风险管理的临床实践指南和资源文件。作者使用PubMed、谷歌Scholar和谷歌Search，关键词包括：临床实践指南、实践指南、实践参数、自杀、自杀倾向、自杀行为、评估和管理。为了评估共性，作者回顾了13个关键内容类别的指南和资源文件，并评估了每个文件是否建议了有效的评估措施。搜索产生了101个源文件，其中包括N=10个临床实践指南和N=12个附加资源文件（例如，非正式指南，工具包）。所有指南（100%）都提供了使用循证风险因素和保护因素的详细建议，80%提供了评估自杀意图的简要（但不详细）建议，70%推荐了风险管理策略。相比之下，只有30%的人讨论了风险等级分类的标准化和其他被认为是自杀预防最佳实践的核心内容领域（例如，限制获取手段、道德考虑、保密/法律问题、培训和事后实践）。资料文件基本上与这些发现一致。目前的指导方针涉及自杀风险评估和管理的类似方面，但存在重大差异。关于核心能力的建议显然缺乏协商一致意见，这可以通过提高实践和培训的标准化来改善。额外的资源对于补充使用似乎是有用的。
The current paper aims to: (1) examine clinical practice guidelines in suicide prevention across fields, organizations, and clinical specialties and (2) inform emerging standards in clinical practice, research, and training. The authors conducted a systematic literature review to identify clinical practice guidelines and resource documents in suicide prevention and risk management. The authors used PubMed, Google Scholar, and Google Search, and keywords included: clinical practice guideline, practice guideline, practice parameters, suicide, suicidality, suicidal behaviors, assessment, and management. To assess for commonalities, the authors reviewed guidelines and resource documents across 13 key content categories and assessed whether each document suggested validated assessment measures. The search generated 101 source documents, which included N=10 clinical practice guidelines and N=12 additional resource documents (e.g., non-formalized guidelines, tool-kits). All guidelines (100 %) provided detailed recommendations for the use of evidence-based risk factors and protective factors, 80 % provided brief (but not detailed) recommendations for the assessment of suicidal intent, and 70 % recommended risk management strategies. By comparison, only 30 % discussed standardization of risk-level categorizations and other content areas considered central to best practices in suicide prevention (e.g., restricting access to means, ethical considerations, confidentiality/legal issues, training, and postvention practices). Resource documents were largely consistent with these findings. Current guidelines address similar aspects of suicide risk assessment and management, but significant discrepancies exist. A lack of consensus was evident in recommendations across core competencies, which may be improved by increased standardization in practice and training. Additional resources appear useful for supplemental use.
登录
查看更多内容
影响因子：
1.5
作者：
Joiner, TE;Walker, RL;Jobes, DA
通讯作者：
Jobes, DA
影响因子：
5.3
作者：
Meyer, Roger E.;Salzman, Carl;Sheehan, David V.
通讯作者：
Sheehan, David V.
影响因子：
3
作者：
Bryan, CJ;Rudd, MD
通讯作者：
Rudd, MD
影响因子：
3.2
作者：
Joiner, Thomas;Kalafat, John;McKeon, Richard
通讯作者：
McKeon, Richard
影响因子：
4.6
作者：
Beautrais, AL
通讯作者：
Beautrais, AL