基于社区的自杀预防的危机拦截映射:对危机基础设施的评估和对988年的未来考虑
Brett R Harris1,2, Donald Harris3, Elizabeth Flanagan4
1Public Health Research Department, NORC at the University of Chicago, 4350 East-West Highway, 8th Floor, Bethesda, MD, 20814, USA. harris-brett@norc.org.
Community mental health journal
|July 31, 2024
概括
988 自杀与危机救生线
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
- 自杀学 自杀学
背景情况:
- 自杀仍然是一个关键的公共卫生问题,持续存在治疗准入障碍.
- 988自杀与危机救生线是为了改善获得自杀预防服务的目的而设立的.
- 呼叫量增加需要加强基于社区的危机护理能力.
研究的目的:
- 评估988生命线实施后社区危机服务的准备情况.
- 在社区层面实施基于证据的自杀护理实践中识别障碍和促进者.
主要方法:
- 从危机拦截映射 (CIM) 技术援助研讨会 (2020-2022) 的数据分析.
- 全国各地的参与社区都在接受为危机护理提供技术援助.
- 报告的障碍,促进者和实施的实践的定性评估.
主要成果:
- 对自杀风险查,安全规划,致命手段安全和后续行动的有限和不一致的培训和实施.
- 可变的社区间合作阻碍了有效的护理过渡.
- 确定了基于证据的日常护理的众多障碍,并提出了潜在的解决方案.
结论:
- 在基于社区的危机护理基础设施和最佳实践的实施方面存在重大差距.
- 有针对性的教育,培训和关系建设对于满足不断增长的危机服务需求至关重要.
- 解决已识别的障碍对于加强国家预防自杀网络至关重要.
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