Remote Supervision for Implementing Collaborative Care for Perinatal Depression

项目概要/摘要 自杀是孕产妇死亡的主要原因，但很少有系统识别和处理自杀风险 在照顾低收入妇女和少数种族/民族怀孕妇女的场所实施 以及产后一年我们的目标是将与自杀风险相关的数据抽象添加到现有的NIH项目（R 01 MH 108548 -01; PI班尼特）在10年期间重点实施了针对常见精神障碍的服务 全国社区卫生服务中心。这一补充将使我们能够深入研究危险因素和护理 与5,000多名妇女自我报告的自杀风险和自我伤害行为相关的分娩因素 参与现有的研究。干预措施，以提高识别，评估和治疗这一问题的能力 将通过这项工作确定条件。具体而言，该补充将支持六年以上的额外工作， 两个月完成两个目标：1）将自杀风险和自我伤害的诊断和治疗代码添加到现有的 从共享电子健康记录中持续提取围产期心理健康变量的数据 对参与现有资助项目的患者进行跨这些研究中心的研究，以及2）增加对比率和 自杀意念和自残行为的相关风险因素以及卫生服务干预 在与之相关的网站上使用。

Project Summary/Abstract Suicide is a leading cause of maternal mortality although few systems for identifying and treating suicide risk are implemented in sites caring for women from low income and race/ethnic minority populations in pregnancy and the year postpartum. We aim to add data abstraction related to suicide risk to an existing NIH project (R01 MH108548-01; PI Bennett) focused on implementing services for common mental disorders in this period in 10 community health centers nationally. This supplement will allow us to study in depth risk factors and care delivery factors associated with self-reported suicide risk and acts of self-harm among more than 5,000 women involved with the existing study. Interventions to enhance the capacity to identify, assess, and treat this condition will be identified by this work. Specifically, the supplement will support additional work over six months to complete two aims: 1) add suicide risk and self-harm diagnostic and treatment codes to existing ongoing data abstraction of perinatal mental health variables from the a shared electronic health record across these sites for patients involved with the existing funded project, and 2) add analysis of rates and associated risk factors for suicidal ideation and acts of self-harm as well as health service interventions utilized in the sites related to them.