自杀预防干预措施实施的促进因素和障碍:范围审查
Alexandr Kasal1,2, Roksana Táborská1, Laura Juríková1,3
1Department of Public Mental Health, National Institute of Mental Health, Klecany, Czech Republic.
自杀预防干预面临实施挑战. 绘制障碍物和促进因素的地图,特别是患者需求和干预特征,如适应性和成本,对于成功的全球采用至关重要.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 心理健康研究 心理健康研究
背景情况:
- 自杀是一种可预防的全球健康危机,每年有数十万人死亡.
- 有许多有效和有前途的自杀预防干预措施存在.
- 当在新的环境中实施这些干预措施时,会出现挑战,通常是由于不可预见的障碍和缺乏促进者增强.
研究的目的:
- 综合地绘制实施预防自杀干预措施的促进者和障碍.
- 使用实施研究综合框架 (CFIR) 将这些因素分类.
- 为全球未来的实施活动提供信息.
主要方法:
- 使用了一个范围审查方法.
- 包括64项检查自杀预防干预措施的研究.
- 使用CFIR域名和子域名进行分类的实施促进者和障碍.
主要成果:
- 在CFIR的外部设置领域中,最常被发现的促进者和障碍者,特别是患者的需求和资源.
- 干预特征 (相对优势,适应性,成本) 是关键的促进因素.
- 干预的复杂性是干预特征领域中最常见的障碍.
结论:
- 调整干预措施以满足目标人群的具体需求是必不可少的.
- 根据适应性,成本和复杂性,仔细选择干预措施对于成功实施至关重要.
- 这些发现对自杀预防实施的实践和未来研究都有影响.
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