A Cascade of Care Model for Suicide Prevention.
A Cascade of Care Model for Suicide Prevention.
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DOI：
10.1016/j.amepre.2022.09.022
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发表时间：
2023-04
影响因子：
5.5
通讯作者：
Wilcox, Holly C.
中科院分区：
文献类型：
--
作者：
Haroz, Emily E.;Sarapik, Liina M.;Adams, Leslie B.;Nestadt, Paul S.;Athey, Alison;Alvarez, Kiara;Slade, Eric P.;Cwik, Mary;Berman, Alan L.;Wilcox, Holly C.
2011年至2018年，美国的自杀率有所上升，而世界其他地区的自杀率则有所下降。1 2019-2020年，几个种族和少数民族人口群体以及年轻群体的自杀率继续攀升。2 .美国自杀的严重程度和相关的差异强调了需要采取应对措施，特别关注解决不平等问题，包括在向所有可能受益的人提供和维持最佳做法方面的实施差距。自2001年以来，美国制定了一项解决自杀问题的国家战略，但20多年后，它未能实现所有目标，也没有特别关注结束与自杀有关的健康差距。本文提出了一种替代模式，即针对自杀的护理级联模式，以指导更公平、包容和可扩展的国家自杀预防响应。在几十年来降低艾滋病毒发病率和死亡率的工作基础上，该领域利用艾滋病毒护理级联来监测目标，最近还致力于消除艾滋病毒护理方面的差距。类似的模型也被用于治疗其他慢性疾病。3,4护理级联（COC）模型的广泛目的是解释具有特定健康问题的人需要的护理和服务，以增加有利结果的可能性。与其他类似的公共卫生模型相比，这些COC模型可能是有益的，因为它们可用于跟踪患者层面实现其健康目标的进展情况，并评估人群层面的护理结果。例如，在HIV COC模型中，可以跟踪单个患者从诊断到病毒抑制。在政策层面，联合国确立了成功诊断全世界95%的艾滋病毒感染者、让95%的患者接受治疗的目标；
Suicide remains the second leading cause of death for youth ages 15–19 years in the US From 2011 to 2018, suicide rates in the US increased, while rates in other world regions decreased. 1 In 2019–2020 rates continued to climb in several racial and ethnic minority population groups and among younger age groups. 2 The magnitude of suicide in the US and related disparities underlines the need for a response that specifically focuses on addressing inequities including implementation gaps in delivery and sustainment of best practices to all of those who could benefit. Since 2001, the US has had a national strategy to address suicide, yet more than 20 years later, it has failed to accomplish all its goals and did not specifically focus on ending suicide-related health disparities. In this paper, an alternative model, a suicide-specific Cascade of Care model, is proposed, to guide a more equitable, inclusive, and scalable national suicideprevention response.Building on decades of work to drive down HIV morbidity and mortality, the field leveraged the HIV Cascade of Care to monitor goals and more recently, work towards dismantling disparities in HIV care. Similar models have now been developed for other chronic medical conditions. 3, 4 Cascade of Care (COC) models broadly aim to explain the care and services people with specific health problems need to increase the probability of a favorable outcome. These COC models may be beneficial compared to other similar public health models, as they can be used to track both patient-level progress towards their health goals and assess population-level care outcomes. For example, in an HIV COC model, an individual patient can be tracked from diagnosis to viral suppression. At the policy level, the United Nations established the goal of successfully diagnosing 95% of all HIV-infected persons worldwide, engaging 95% of patients in treatment;
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影响因子：
3.8
作者：
Cramer RJ;Kapusta ND
通讯作者：
Kapusta ND
DOI：
10.1186/s13012-015-0242-0
发表时间：
2015-04-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Nilsen P
通讯作者：
Nilsen P
影响因子：
22.4
作者：
Fox, Kathryn R.;Huang, Xieyining;Franklin, Joseph C.
通讯作者：
Franklin, Joseph C.
影响因子：
3.2
作者：
Beautrais, AL
通讯作者：
Beautrais, AL
影响因子：
22.4
作者：
Franklin, Joseph C.;Ribeiro, Jessica D.;Nock, Matthew K.
通讯作者：
Nock, Matthew K.