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Person-centered approaches for understanding suicidal ideation and behaviors among nursing home residents

以人为本的方法了解疗养院居民的自杀意念和行为

基本信息

批准号：
10163269
负责人：
Kate L Lapane
金额：
$ 46.81万
依托单位：
UNIV OF MASSACHUSETTS MED SCH WORCESTER
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2024-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10163269
关键词：
Address Admission activity Adult Advisory Committees Age Caring Certification Characteristics Clinical Clinical assessments Complex Data Data Set Data Sources Databases Discipline of Nursing Distal Distress Eligibility Determination Epidemiology Event Feeling suicidal Frail Elderly Goals Health Health care facility Healthcare Healthcare Systems Impaired cognition Individual Injury Intervention Joints Knowledge Length of Stay Link Long-Term Care Medical Medicare Medicare Part A Mental disorders Methods Mining Modeling National Institute of Mental Health Nursing Homes Outcome Pain Patients Pattern Population Prevalence Prevention Research Prevention strategy Provider Questionnaires Reporting Research Risk Risk Factors Sampling Sentinel Site Subgroup Suicide Suicide attempt Suicide prevention Supervision Surveys System Vulnerable Populations Work clinically relevant comorbid depression design experience health care settings high risk human old age (65+)ideation improved instrument large datasets neglect novel nursing home length of stay person centered personalized medicine protective factors secondary analysis severe mental illness suicidal behavior suicidal morbidity suicidal risk

项目摘要

PROJECT SUMMARY/ABSTRACT The national Zero Suicide initiative considers all suicide deaths in healthcare settings to be preventable. Research about suicide in nursing homes is necessary given residents’ elevated risk for suicide, the growing importance of this setting as the population ages, and the lack of research on this topic. We propose leveraging our integrated nursing home database of the Minimum Data Set (MDS) 3.0, Medicare eligibility and claims (Part A, B & D) and the Certification and Survey Provider Enhanced Reporting system to examine suicidal ideation and attempts among nursing home residents. Doing so will provide a rare opportunity to use resident- and facility-level data to examine transdiagnostic patterns of risk and protective factors for suicide- related outcomes among a vulnerable population. No national studies have attempted to characterize patterns of risk and protective factors for suicidal ideation and suicide attempts among nursing home residents. The specific aims are to: 1) estimate the prevalence of ideation and attempts during the nursing home stay; 2) identify resident and facility characteristics associated with ideation and attempts; 3) identify and describe distinct subgroups of latent suicide risk among nursing home residents at admission; 4) examine changes in residents’ latent suicide risk throughout the nursing home stay; and 5) identify predictors of change in suicide risk throughout the nursing home stay. Multilevel latent variable models will allow us to identify subgroups of suicide risk and characterize the trajectories of patterns of suicide risk factors and outcomes throughout the nursing home stay. The proposed research responds to the call for research on trajectories of suicide risk to inform how and when to intervene (NIMH Strategic Priority 2) as well as the National Action Alliance for Suicide Prevention Research Prioritization Task Force call for the use of existing data sources such as MDS 3.0 to understand suicide risk in healthcare settings. The proposed work will provide knowledge necessary to ultimately help improve efforts to identify nursing home residents at high risk for suicide and inform tailored suicide prevention efforts in this healthcare setting. The results will also inform future research efforts aimed at improving methods of understanding individuals’ suicide risk throughout lengths of stays in nursing facilities.

项目总结/文摘