实施复杂的预防自杀干预措施:洞察障碍,促进者和经验教训
概括
实施预防自杀的干预措施需要了解障碍和促进者. 定制干预措施和吸引社区是成功采用和维持在实践和政策中的关键经验教训.
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:
- 有效的自杀预防干预措施在实践和政策中没有得到一致的实施.
- 了解理论决定因素对于弥合研究与应用之间的差距至关重要.
- 实施科学提供了分析干预交付,采用和维持的框架.
研究的目的:
- 检查全球实施复杂的自杀预防干预措施的障碍,促进者和经验教训.
- 确定影响自杀预防研究转化为现实世界的设置的因素.
- 为改善基于证据的自杀预防工作的采用和可持续性的战略提供信息.
主要方法:
- 对复杂的自杀预防干预措施的系统审查的二次分析.
- 在多个数据库中搜索英语出版记录和灰色文学 (1990-2022年).
- 使用更新的实施研究综合框架 (CFIR) 进行数据映射.
主要成果:
- 关键障碍包括感知干预的适当性,规范的设定和网络维护.
- 促进者以个人动机,能力和感知的需求为中心.
- 学到的经验教训强调了定制,环境适应和社区参与的重要性.
结论:
- 记录和分析实施影响对于有效预防自杀至关重要.
- 语境决定因素和实施策略之间的相互作用是复杂的.
- 这些发现提高了对实施复杂的预防自杀干预措施的障碍和促进者的理解.
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