在零自杀实施期间,自杀查,风险评估和致命手段咨询
Jennifer M Boggs1, Julie Richards1, Gregory Simon1
1Kaiser Permanente Colorado, Aurora (Boggs, Beck, Buckingham, Richardson); Kaiser Permanente Washington, Seattle (Richards, Simon, Penfold, Stewart); Kaiser Permanente Southern California, Pasadena (Aguirre-Miyamoto, Barton, Coleman); Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago (Beidas); Kaiser Permanente Program Office, Oakland, California (Bruschke); Kaiser Permanente Northern California, Oakland (Buttlaire, Sterling); Kaiser Permanente Northwest, Portland, Oregon (Clarke, Ryan, Yarborough); Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Flores); Henry Ford Health System, Detroit (Frank, Yeh, Ahmedani); NIMH, Bethesda (Schoenbaum).
零自杀 (Zero Suicide,简称ZS) 的实施在各个医疗机构之间存在很大差异. 扩大查和整合风险评估与致命手段辅导在初级保健是提高自杀预防的关键机会.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 公共卫生倡议 公共卫生倡议
- 自杀学 自杀学
背景情况:
- 零自杀 (Zero Suicide,简称ZS) 是一个框架,旨在改善自杀风险的识别和减轻.
- 在不同的医疗保健环境中,ZS临床实践的实施有所不同.
- 了解当前的实践模式对于优化自杀预防策略至关重要.
研究的目的:
- 测量零自杀 (ZS) 临床实践的实施情况.
- 评估自杀风险查,风险评估和致命手段咨询率.
- 为了比较心理健康专业和初级保健机构之间的这些做法.
主要方法:
- 从六个医疗保健系统 (2010-2019) 的数据分析.
- 包括13岁及以上的成员 (N=7,820,524名患者).
- 对查,风险评估和致命手段咨询的比例估计.
主要成果:
- 2019年,自杀念头查发生在27.1%的心理健康访问和2.5%的初级保健访问中.
- 心理健康的积极查率为10.2%,初级保健的3.8%.
- 高风险患者接受了风险评估 (76.8%的心理健康,43.2%的初级保健) 和致命手段咨询 (82.4%在两个设置).
结论:
- 在整个卫生系统中,ZS实践的实施存在显著差异.
- 改进的机会包括扩大查范围,超越定期访问.
- 建议在初级保健中综合风险评估和致命手段咨询进行选后的初级保健.
相关概念视频
Psychosurgery
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Ethical Dilemmas II
Preventive Healthcare Services
Cancer Survival Analysis


