Change in Emergency Department Providers' Beliefs and Practices After Use of New Protocols for Suicidal Patients
Change in Emergency Department Providers' Beliefs and Practices After Use of New Protocols for Suicidal Patients
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DOI：
10.1176/appi.ps.201400244
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发表时间：
2015-06-01
影响因子：
3.8
通讯作者：
Boudreaux, Edwin D.
中科院分区：
文献类型：
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作者：
Betz, Marian E.;Arias, Sarah A.;Boudreaux, Edwin D.
目的：该研究调查了急诊科 (ED) 提供者在一项涉及针对自杀患者实施 ED 方案的三阶段准实验试验期间，自我报告的与自杀风险评估相关的态度和做法的变化。方法：八个 ED 的 1,828 名合格提供者（71% 的响应率）中共有 1,289 名提供者在基线时完成了一项自愿、匿名调查， 在引入普遍自杀筛查、引入自杀预防资源（护士）和次要风险评估工具（医生）之后。 结果：参与者中，中位年龄为 40 岁，64% 为女性，不同研究阶段之间不存在人口统计学差异； 68%是护士，32%是主治医生。在第一阶段和第三阶段之间，报告自杀筛查的护士比例不断增加（分别为 36% 和 95%，p
Objective: The study examined changes in self-reported attitudes and practices related to suicide risk assessment among providers at emergency departments (EDs) during a three-phase quasi-experimental trial involving implementation of ED protocols for suicidal patients.Methods: A total of 1,289 of 1,828 (71% response rate) eligible providers at eight EDs completed a voluntary, anonymous survey at baseline, after introduction of universal suicide screening, and after introduction of suicide prevention resources (nurses) and a secondary risk assessment tool (physicians).Results: Among participants, the median age was 40 years old, 64% were female, and there were no demographic differences across study phases; 68% were nurses, and 32% were attending physicians. Between phase 1 and phase 3, increasing proportions of nurses reported screening for suicide (36% and 95%, respectively, p