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Suicide Prevention: A Healer Education and Referral Program for Nurses
Judy E Davidson1, Sidney Zisook, Brittany Kirby
1Author Affiliations: EBP/Research Nurse Liaison (Dr Davidson), Professor of Psychiatry (Dr Zisook), and HEAR Counselors (Mss Kirby and DeMichele), and Professor Emeritus, Family Medicine (Dr Norcross), University of California San Diego Health.
The Journal of Nursing Administration
|January 5, 2018
Summary
A pilot program successfully extended suicide risk screening to nurses, identifying many at moderate to high risk. This proactive approach effectively connected nurses with vital mental healthcare services.
Area of Science:
- Nursing
- Mental Health
- Public Health
Background:
- The Healer Education, Assessment and Referral (HEAR) program previously targeted physicians for suicide risk detection.
- No similar program existed for nurses, despite local nurse suicides highlighting a critical gap.
- The HEAR program was adapted and expanded to include nurses, addressing a significant unmet need.
Purpose of the Study:
- To pilot the expansion of the Healer Education, Assessment and Referral (HEAR) program.
- To adapt the program for at-risk nurses, focusing on proactive suicide risk screening.
- To evaluate the effectiveness of the adapted program in identifying and referring nurses for mental healthcare.
Main Methods:
- Implementation of an encrypted, online, anonymous, proactive risk screening tool for nurses.
- Delivery of education and outreach to promote program participation.
- Facilitation of referrals for nurses identified as at risk for depression and suicide.
Main Results:
- Out of 2475 nurses, 172 (7%) completed the screening in the first 6 months.
- A significant proportion of participants were identified as high-risk (43%) or moderate-risk (55%).
- 12% reported active self-harm thoughts/actions, 11% reported prior suicide attempts, and 26% received counseling, with 17 accepting further treatment.
Conclusions:
- An encrypted, anonymous, proactive suicide risk screening program is effective for nurses.
- The adapted HEAR program successfully identified at-risk nurses.
- The program facilitated necessary referrals to mental healthcare services for nurses.
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