Veterans Health Administration staff experiences with suicidal ideation screening and risk assessment in the context of COVID-19.
Veterans Health Administration staff experiences with suicidal ideation screening and risk assessment in the context of COVID-19.
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DOI：
10.1371/journal.pone.0261921
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Dobscha SK
中科院分区：
文献类型：
--
作者：
Newell S;Denneson L;Rynerson A;Rabin S;Elliott V;Bahraini N;Post EP;Dobscha SK
在初级保健和心理健康环境中对自杀意念进行普遍筛查已成为许多医疗保健系统的关键预防工具，包括退伍军人医疗保健管理局（VHA）。为应对冠状病毒大流行，医疗服务提供者面临许多挑战，包括如何快速适应筛查实践。这项分析的目的是了解工作人员对大流行如何影响初级保健和心理健康环境中的自杀风险筛查的看法。在2020年4月至9月期间，在12个VHA设施中对初级保健和精神卫生工作人员进行了40次半结构化访谈。一个多学科小组采用了一种混合归纳/演绎方法进行定性专题分析。工作人员报告了危机期间患者面临的多种问题，特别是面临社会孤立风险的弱势群体。一些研究中心缺乏关于如何为自杀意念筛查阳性的患者提供服务的明确协议，这给工作人员造成了困惑，并导致一些研究中心暂时停止筛查。网站对基于虚拟的护理有不同程度的适应性，最大的挑战是完成对心理健康专家的热情交接。在此期间出现的意想不到的机会包括患者和工作人员进行虚拟护理的能力提高，预计这将在大流行后继续受益。
Universal screening for suicidal ideation in primary care and mental health settings has become a key prevention tool in many healthcare systems, including the Veterans Healthcare Administration (VHA). In response to the coronavirus pandemic, healthcare providers faced a number of challenges, including how to quickly adapt screening practices. The objective of this analyses was to learn staff perspectives on how the pandemic impacted suicide risk screening in primary care and mental health settings. Forty semi-structured interviews were conducted with primary care and mental health staff between April-September 2020 across 12 VHA facilities. A multi-disciplinary team employed a qualitative thematic analysis using a hybrid inductive/deductive approach. Staff reported multiple concerns for patients during the crisis, especially regarding vulnerable populations at risk for social isolation. Lack of clear protocols at some sites on how to serve patients screening positive for suicidal ideation created confusion for staff and led some sites to temporarily stop screening. Sites had varying degrees of adaptability to virtual based care, with the biggest challenge being completion of warm hand-offs to mental health specialists. Unanticipated opportunities that emerged during this time included increased ability of patients and staff to conduct virtual care, which is expected to continue benefit post-pandemic.
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影响因子：
13.8
作者：
Bahraini N;Brenner LA;Barry C;Hostetter T;Keusch J;Post EP;Kessler C;Smith C;Matarazzo BB
通讯作者：
Matarazzo BB
DOI：
10.1176/appi.ps.201200587
发表时间：
2013-12-01
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Simon GE;Rutter CM;Peterson D;Oliver M;Whiteside U;Operskalski B;Ludman EJ
通讯作者：
Ludman EJ
DOI：
10.1176/appi.ajp.2011.10111704
发表时间：
2011-12
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Posner K;Brown GK;Stanley B;Brent DA;Yershova KV;Oquendo MA;Currier GW;Melvin GA;Greenhill L;Shen S;Mann JJ
通讯作者：
Mann JJ
影响因子：
5.7
作者：
Richards, Julie E.;Hohl, Sarah D.;Williams, Emily C.
通讯作者：
Williams, Emily C.
影响因子：
5.7
作者：
Ganzini, Linda;Denneson, Lauren M.;Dobscha, Steven K.
通讯作者：
Dobscha, Steven K.