在寻求自我伤害医疗服务帮助后,利用社会服务和转诊:系统性审查和叙事综合
Sarah Steeg1,2,3, Faraz Mughal4, Nav Kapur1,3,5,6
1Centre for Mental Health and Safety, Division of Psychology and Mental Health, University of Manchester, Manchester, UK.
适当的自我伤害后护理对于预防自杀至关重要. 这项审查发现自伤后社会服务推率较低,突出显示需要更好地整合卫生和社会服务.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 社会工作 社会工作 社会工作
背景情况:
- 自伤是严重的公共卫生问题,增加了自杀风险.
- 社会因素往往先于自我伤害,这表明社会服务在后照顾中发挥了作用.
- 自伤后使用社会服务的证据需要系统审查.
研究的目的:
- 审查现有关于社会服务推和自伤后寻求帮助的个人利用现有证据.
- 确定社会服务参与自我伤害后护理的模式和比例.
主要方法:
- 系统性审查和研究的叙事综合.
- 在多个数据库 (PubMed,PsycINFO,EMBASE等) 进行了搜索. 和灰色文学.
- 包括所有年龄段与自我伤害后与卫生服务接触的个人的研究,重点关注社会服务结果.
主要成果:
- 包括来自7项研究的10份报告,一般质量中等至高.
- 大多数研究都在英国进行,并在急诊室 (ED) 进行.
- 在仅针对ED的研究中,社会服务推率较低 (1% - 4%),在涉及社会工作者时增加到44%;链接数据显示15%的推率和21%的使用率超过3年.
结论:
- 在自我伤害后,推到社会服务的比例通常很低.
- 更高的费率可能表明更好的服务可用性或综合评估流程.
- 建议加强卫生和社会服务之间的整合,以改善自杀预防和自我伤害后护理.
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