Primary Care and Mental Health Staff Perspectives on Universal Suicide Risk Screening and Care Coordination.
Primary Care and Mental Health Staff Perspectives on Universal Suicide Risk Screening and Care Coordination.
复制标题
初级保健和心理健康工作人员对普遍自杀风险筛查和护理协调的看法。
DOI：
10.1176/appi.ps.20220087
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Denneson,LaurenM
中科院分区：
文献类型：
--
作者：
Dobscha,StevenK;Newell,SummerB;Elliott,VictoriaJ;Rynerson,AnnabelleL;Rabin,Sarah;Bahraini,Nazanin;Post,EdwardP;Denneson,LaurenM
关于工作人员或患者对自杀风险筛查计划的看法知之甚少。本研究的目的是描述退伍军人健康管理局（VHA）初级保健和精神卫生工作人员对VHA自杀风险识别策略筛查和评估计划的看法，并描述积极筛查结果后自杀预防相关护理的协调。定性访谈进行了40初级保健和精神卫生工作人员在12 VHA设施。采用归纳-演绎混合方法进行专题分析。确定了几个关键主题。初级保健和精神卫生工作人员的参与者接受有一个结构化的过程来筛选自杀意念和进行风险评估，但两组都注意到筛选后初步评估和护理协调的局限性和挑战。精神卫生工作人员比初级保健工作人员更担心筛查和评估过程对治疗的负面影响。两组人都认为，需要对初级保健工作人员进行更好的培训，以有效地讨论和评估自杀风险。结果表明，对于已知自杀或慢性自杀意念风险升高的患者，需要对筛查和评估过程进行额外修改。
Little is known about staff or patient perspectives on suicide risk screening programs. The objectives of this study were to characterize Veterans Health Administration (VHA) primary care and mental health staff perspectives regarding the VHA Suicide Risk Identification Strategy screening and assessment program and to describe coordination of suicide prevention–related care following positive screening results. Qualitative interviews were conducted with 40 primary care and mental health staff at 12 VHA facilities. An inductive-deductive hybrid approach was used to conduct a thematic analysis. Several key themes were identified. Primary care and mental health staff participants accepted having a structured process for screening for suicidal ideation and conducting risk assessments, but both groups noted limitations and challenges with initial assessment and care coordination following screening. Mental health staff reported more concerns than primary care staff about negative impacts of the screening and assessment process on treatment. Both groups felt that better training was needed for primary care staff to effectively discuss and evaluate suicide risk. The results suggested that additional modifications of the screening and assessment process are needed for patients already known to have elevated risk of suicide or chronic suicidal ideation.
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DOI：
10.1080/17482631.2020.1868737
发表时间：
2021-12
影响因子：
1.8
作者：
Espeland K;Hjelmeland H;Loa Knizek B
通讯作者：
Loa Knizek B
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
影响因子：
3
作者：
ZIMMERMAN, M;FARBER, NJ;KUZMA, MA
通讯作者：
KUZMA, MA
影响因子：
5.7
作者：
Ganzini, Linda;Denneson, Lauren M.;Dobscha, Steven K.
通讯作者：
Dobscha, Steven K.
影响因子：
2.7
作者：
Wittink, Marsha N.;Levandowski, Brooke A.;Pigeon, Wilfred R.
通讯作者：
Pigeon, Wilfred R.