儿童初级保健提供者对普遍自杀查的观点
Katie Plax1, Edan Leshem1, Sherry Dodd1
1Washington University in St. Louis, St. Louis, MO, USA.
Journal of primary care & community health
|August 20, 2024
概括
儿科临床医生支持对青少年进行普遍的自杀查,但面临时间和培训等障碍. 他们需要资源和实践支持,以有效地实施这些美国儿科学会的建议.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 心理健康查 心理健康查
- 青少年健康 青少年健康
背景情况:
- 年轻人的心理健康问题越来越多.
- 美国儿科学会 (AAP) 建议12岁以上的儿童进行普遍的自杀查.
- 儿科临床医生对这些建议的实施情况尚不清楚.
研究的目的:
- 探索儿科临床医生关于自杀查的当前做法.
- 了解儿科临床医生对自杀查建议的态度.
- 确定在初级保健中实施普遍自杀查的障碍.
主要方法:
- 这是一项定性研究,涉及圣路易斯地区的18名社区儿科初级保健提供者.
- 半结构面试使用演和归纳方法进行和分析.
- 参与者自我报告为患者提供心理健康护理.
主要成果:
- 医生普遍同意AAP的自杀查建议,但表示犹.
- 确定的主要障碍包括时间限制,缺乏适当的培训,以及后续护理资源不足.
- 通过质量改进干预措施,PCP对学习和改进持乐观态度.
结论:
- 儿科临床医生需要额外的支持,包括节省时间的策略,资源和培训,以有效地实施自杀查.
- 实践变革支持对于成功整合自杀查建议至关重要.
- 解决已识别的障碍对于改善初级环境中的青少年心理健康护理至关重要.
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