Electronic protocol for suicide risk management in research participants
Electronic protocol for suicide risk management in research participants
复制标题
DOI：
10.1016/j.jpsychores.2014.12.012
复制
发表时间：
2015-04-01
影响因子：
4.7
通讯作者：
Rollman, Bruce L.
中科院分区：
文献类型：
--
作者：
Belnap, Bea Herbeck;Schulberg, Herbert C.;Rollman, Bruce L.
目的：描述一个电子的、电话传递的自杀风险管理协议（SRMP），该协议旨在指导研究人员和安全地对有自我伤害风险的研究参与者进行分类。我们在NIH资助的随机临床试验“消除忧郁”的背景下测试了SRMP，在该试验中，302名接受冠状动脉旁路移植术（CABG）的患者在出院后2周以及2个月、4个月和8个月随访时进行抑郁症筛查和电话评估。我们对SRMP进行编程，根据患者的回答（从无到即将发生）分配不同的风险级别，并为研究人员提供针对每个风险级别的行动项目。我们描述的自杀想法，SRMP使用频率，并在SRMP管理过程中的特定步骤的完成在8个月的随访period.Results：自杀意念表示的74（25%）的302名研究参与者在139（13%）的1069盲电话评估研究人员进行。在103项（10%）评估中启动了SRMP，其中10项（1%）评估的自杀风险水平被归类为中度或高度，因此需要由研究精神科医生立即进行评估。然而，没有住院，急诊室就诊，或归因于自杀ideations.Conclusion死亡被发现在研究期间：SRMP是成功的，系统和安全地指导缺乏专业的心理健康培训的研究人员通过标准化的风险评估和分流研究参与者的自我伤害的风险。爱思唯尔公司出版
Objective: To describe an electronic, telephone-delivered, suicide risk management protocol (SRMP) that is designed to guide research staff and safely triage study participants who are at risk for self-harm.Methods: We tested the SRMP in the context of the NIH-funded randomized clinical trial "Bypassing the Blues" in which 302 patients who had undergone coronary artery bypass graft surgery (CABG) were screened for depression and assessed by telephone 2-weeks following hospital discharge and at 2-, 4-, and 8-month follow-up. We programmed the SRMP to assign different risk levels based on patients' answers from none to imminent with action items for research staff keyed to each of them. We describe frequency of suicidal thinking, SRMP use, and completion of specific steps in the SRMP management process over the 8-month follow-up period.Results: Suicidal ideation was expressed by 74 (25%) of the 302 study participants in 139 (13%) of the 1069 blinded telephone assessments performed by research staff. The SRMP was launched in 103 (10%) of assessments, and the suicidal risk level was classified as moderate or high in 10 (1%) of these assessments, thereby necessitating an immediate evaluation by a study psychiatrist. However, no hospitalizations, emergency room visits, or deaths ascribed to suicidal ideation were discovered during the study period.Conclusion: The SRMP was successful in systematically and safely guiding research staff lacking specialty mental health training through the standardized risk assessment and triaging research participants at risk for self-harm. Published by Elsevier Inc.