UW Practice-based Suicide Prevention Research Center

在2021年全国心理健康宣传月的公告中，拜登总统强调“我的 政府致力于推进自杀预防的最佳做法，并改善非惩罚性危机 回应”。华盛顿大学基于实践的自杀预防研究中心直接回答 总统呼吁通过加强治疗联盟在门诊医疗环境中采取行动， 提高青少年和年轻成年患者、其提供者及其家人的自我效能， 自杀风险该中心的方法，以改善整个自杀护理途径的结果，从识别 自杀风险的评估，决策和风险管理，危机应对， 自杀，长期监测和随访符合联合国的建议， 委员会，零自杀，国家预防自杀行动联盟和外科医生。的 该中心由临床研究人员领导，他们与信息学研究人员合作治疗自杀患者， 运营专家，采用基于知识产权的协同设计方法，整合以人为本的设计（HCD） 和多阶段优化（MOST），为门诊医疗环境制定干预措施。中心 代表了医学院精神病学和行为学系之间的独特伙伴关系 科学，儿科学和家庭医学与生物信息学和医学教育。该中心还桥梁 华盛顿大学的许多资源：自杀预防和康复中心，转化健康研究所 科学（UW CTSA）及其研究信息技术团队，以及AIMS中心（UW 协作护理实施和培训中心）。行政核心将作为 中心核心之间的通信枢纽，我们的专家和三个利益相关者咨询委员会，R 03试点 通过该项目，我们的合作学者从其他学科谁是新的自杀 预防工作将得到指导、培训和经验。签名项目（R 01）将与 儿科医疗机构，以优化治疗，并最大限度地转诊到一个简短的门诊危机干预 作为急诊科转诊的替代方案AMPERE R34项目将使用HCD的原理 为可接受的自杀风险的生态瞬时评估创建临床可行的途径 并且可用于年轻的成年患者和他们的初级护理提供者。ISSP R34项目将适应 现有技术使用安全计划数据为医疗保健提供者提供临床决策支持， 儿科医疗机构。AM-CoCM R34项目将采用Aeschi模型-护理的核心原则 由自杀专家倡导-为青少年和年轻人在初级保健诊所的合作护理。 研究项目将与方法核心合作，创建即时临床决策支持， 电子健康记录集成。方法核心将为研究提供基础设施， 项目，包括共同数据要素和与电子健康记录统一的数据储存库。 中心最后将举行一次关于中心调查结果的国家政策简报会，以最大限度地传播调查结果。

In his proclamation for National Mental Health Awareness Month 2021, President Biden emphasized “My Administration is committed to advancing suicide prevention best practices and improving non-punitive crisis response.” The University of Washington Practice-Based Suicide Prevention Research Center directly answers the President's call to action in outpatient medical settings through enhancing therapeutic alliance and increased self-efficacy of adolescent and young adult patients, their providers, and their families to manage suicide risk. The Center's approach to improving outcomes across the suicide care pathway from identification of suicide risk through assessment to decision making and risk management, crisis response, treatment of suicidality, and long-term surveillance and follow-up is consistent with the recommendations of the Joint Commission, Zero Suicide, National Action Alliance for Suicide Prevention, and the Surgeon General. The Center, led by clinical researchers who treat suicidal patients in partnership with informatics researchers and operational experts, takes a stakeholder-based co-design approach integrating human centered design (HCD) and multi-phasic optimization (MOST) to develop interventions for the outpatient medical setting. The Center represents a unique partnership between the School of Medicine's Departments of Psychiatry and Behavioral Sciences, Pediatrics and Family Medicine with Bioinformatics and Medical Education. The Center also bridges UW's many resources: the Center for Suicide Prevention and Recovery, the Institute for Translational Health Sciences (the UW CTSA) and its Research Information Technology team, and the AIMS Center (UW implementation and training center for Collaborative Care). The Administrative Core will serve as the communication hub between center cores, our Expert and three stakeholder advisory boards, the R03 pilot grant program through which our Collaborating Scholars from other disciplines who are new to suicide prevention will receive mentoring, training, and experience. The Signature Project (R01) will collaborate with pediatric medical settings to optimize treatment and maximize referrals to a brief outpatient crisis intervention as an alternative to emergency department referral. The AMPERE R34 project will use the principles of HCD to create a clinically actionable pathway for ecological momentary assessment of suicide risk that is acceptable and usable for both young adult patients and their primary care providers. The ISSP R34 project will adapt existing technology to use safety plan data to provide clinical decision support to healthcare providers in pediatric medical settings. The AM-CoCM R34 project will adapt the Aeschi Model – core principles of care advocated by suicide experts – for Collaborative Care for adolescents and young adults in primary care clinics. Research Projects will work with the Methods Core to create point-of-care clinical decision support and electronic health record integration. The Methods Core will provide research infrastructure to the Research Projects, including common data elements and a data repository harmonized with electronic health records. The Center will conclude with a National Policy Briefing on Center findings to maximize dissemination.