增加致命手段的可接受性 枪支安全咨询:提示和脚本
Journal of psychiatric practice
|March 25, 2024
概括
临床医生可以通过使用非判断性的方法和定制枪支安全建议来改善致命手段安全咨询 (LMSC). 策略包括承认枪支.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 临床心理学 临床心理学
背景情况:
- 致命手段安全咨询 (LMSC) 是一种基于证据的干预措施,通过限制使用致命方法,特别是枪支,来降低自杀风险.
- 临床医生可能会犹是否提供LMSC,因为担心患者的接受度和潜在的负面反应.
- 以前的研究强调,需要有效的策略来加强患者参与LMSC讨论.
研究的目的:
- 根据对定性研究的全面审查,确定和讨论提高LMSC在患者中可接受性的策略.
- 为临床医生提供实用工具,包括脚本,理由和资源,以促进有效的LMSC.
- 来自患者,临床医生和枪支所有者的LMSC的不同观点.
主要方法:
- 进行了对18项定性研究的系统审查,检查了患者和临床医师对枪支LMSC的观点.
- 分析了各种临床环境和人群的研究,以综合关于可接受性和障碍的发现.
- 提取和合成了提供LMSC的推策略.
主要成果:
- 建议的策略包括非判断性交付,文化能力,承认枪支的作用,并适应患者的经验.
- 临床医生应该将LMSC置于背景,考虑直接询问枪支准入情况,并提供量身定制的存储解决方案.
- 提供免费的锁定设备或折扣券可以提高LMSC的可接受性和有效性.
结论:
- 基于全面审查的确定策略,提供了一种提高LMSC可接受性的新方法.
- 实施这些策略可以提高临床医生的信心和患者参与枪支安全讨论.
- 需要进一步的研究来验证这些策略在可接受性,可行性和有效性方面的有效性.
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