评估和管理个人咨询自杀危机:基于欧洲德尔菲方法的共识指南
Aiste Lengvenyte1, Lucas Giner2, Vincent Jardon3
1Department of Emergency Psychiatry and Acute Care, CHU Montpellier, France; IGF, University of Montpellier, CNRS, INSERM, Montpellier, France; Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Spanish journal of psychiatry and mental health
|December 29, 2023
概括
这项研究制定了43条用于管理自杀危机的实际指导方针,从初步评估到长期护理. 这些建议旨在提高患者的安全性,并防止未来的自杀行为.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 由于证据和指导有限,管理自杀思想和行为是具有挑战性的.
- 这项研究解决了对实用,基于证据的建议的需求.
研究的目的:
- 制定全面的指导方针,用于评估和管理自杀危机.
- 为临床医生提供患者护理的实用工具.
主要方法:
- 德尔菲方法与80名自杀临床医生和研究专家.
- 两轮代调查,以达成一致的建议.
- 43个协商一致的建议得到了至少67%的同意.
主要成果:
- 这些指导方针涵盖临床评估,即时护理和长期方法.
- 建议包括主动查,风险评估,安全环境和后续护理.
- 强调安全规划,致命手段限制和多模式干预.
结论:
- 自杀危机护理的综合指南,从退院前到退院后,已经生成.
- 这些指导方针可以提高临床实践和患者安全.
- 旨在帮助预防未来的自杀危机.
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