将自杀护理纳入初级保健的有效性:一个阶段性,集群随机化实施试验的二次分析
Julie Angerhofer Richards1, Maricela Cruz2, Christine Stewart3
1Kaiser Permanente Washington Heath Research Institute and Department of Health Systems and Population Health, University of Washington, Seattle, Washington (J.A.R.).
在初级保健中实施基于人口的自杀护理 (SC) 减少了25%的自杀企图. 这种方法与抑郁症和物质使用服务相结合,改善了安全规划,并减少了成人患者的自杀相关事件.
科学领域:
- 公共卫生 公共卫生
- 提供心理健康护理 提供心理健康护理
- 实施科学 实施科学
背景情况:
- 初级保健机构经常遇到有自杀风险的患者.
- 有效的自杀护理策略对于预防自杀企图至关重要.
研究的目的:
- 评估在初级保健中实施基于人口的自杀护理 (SC) 的有效性,以预防自杀企图.
- 评估SC对安全规划和自杀企图率的影响.
主要方法:
- 一个阶段,集群随机实施试验的二次分析,涉及19个初级保健实践.
- 从2015年1月到2018年7月的成年患者 (年龄≥18岁) 的数据使用电子医疗记录和保险索赔进行了分析.
- 干预措施包括实践促进者,EMR临床决策支持,以及对抑郁症查,自杀风险评估和安全规划的绩效监测.
主要成果:
- 与通常护理相比,SC组的安全规划率增加 (38.3对10,000名患者的32.8).
- 在90天内自杀的尝试在SC组较低 (每10,000名患者4.5对6.0),相当于25%的减少.
- SC的实施与抑郁症和物质使用护理计划并发.
结论:
- 基于人口的自杀护理,当在初级保健中与药物使用计划同时实施时,可以显著降低自杀未遂率.
- 将全面的自杀护理整合到初级保健中,是预防自杀的有效策略.
更多相关视频
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
相关概念视频
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Acute Coronary Syndrome IV: Interprofessional Care
Elements Crucial for Effective Psychotherapy
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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...
