小児のプライマリケアにおける自殺リスクスクリーニングの実施の障壁とファシリテーター: 質的研究
Erin R Orlins1, Katherine Winner2, Shilpa Sangvai3
1Center for Suicide Prevention and Research, Nationwide Children's Hospital, Columbus, OH, United States of America.
Academic pediatrics
|February 16, 2026
まとめ
小児科クリニックは,診療所,提供者,患者の障壁により,ユニバーサルな自殺リスクスクリーニングを実施する上で課題に直面しています. チームケアやプライバシーなどのファシリテーターの強化は,若者の自殺予防の取り組みを向上させることができます.
科学分野:
- 小児小児初等保健医療について
- メンタルヘルスサービスとは
- 公衆衛生は公衆衛生である.
背景:
- ユニバーサルな自殺リスクスクリーニングは推奨されていますが,小児のプライマリケアでは広く実施されていません.
- この研究は,まだこのスクリーニングを使用していないクリニックの障壁とファシリテーターに焦点を当てています.
研究 の 目的:
- 小児のプライマリケアにおける普遍的な自殺リスクスクリーニングを実施するための障壁とファシリテーターを調査する.
- 若者の自殺予防の改善のための戦略を特定する.
主な方法:
- 55人の初等保健医療従事者およびスタッフとの半構造面接を用いた定性研究.
- 米国中西部にある15の小児科クリニックから募集された参加者.
- トランスクリプトされたインタビューのテーマ分析.
主要な成果:
- クリニック (時間,ワークフロー,スタッフ),提供者 (トレーニング,バーンアウト),患者 (スティグマ,バイイン) レベルでの障壁を特定しました.
- ファシリテーターには,認知価値,快適さ,クリニックのサポート,チームアプローチ,プライバシー,文脈などが含まれていました.
- 臨床医とスタッフは,自殺予防の改善方法を提案しました.
結論:
- 臨床医とスタッフは,小児のプライマリケアにおける自殺リスクスクリーニングの価値を認識しています.
- 障壁を取り除き,ファシリテーターを強化することは,若者の自殺予防の拡大に不可欠です.
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