临床医生对中等保健成人心理健康服务中有效预防自杀的观点:一种欣赏性调查方法
P Holland1, S Haldane1, T R Kake1
1School of Nursing, Faculty of Medical & Health Sciences, The University of Auckland, Auckland, New Zealand.
International journal of mental health nursing
|January 21, 2025
概括
临床医生认为,了解个人,使用基于证据的策略,有效的服务结构和员工支持是心理健康服务中预防自杀的关键. 量身定制的方法对原住民毛利和LGBTQIA+社区至关重要.
科学领域:
- 心理健康研究 心理健康研究
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 自杀是一个重大的全球健康挑战,具有深刻的社会影响.
- 新西兰面临着不断上升的自杀率,不成比例地影响年轻人,男性,毛利人和LGBTQIA+个人.
- 新西兰现有的研究在很大程度上忽视了心理健康服务中的临床人群,造成了关键的证据差距.
研究的目的:
- 探索临床医生对成年二级保健社区心理健康服务中有效的自杀预防策略的观点.
- 确定个人,家庭和服务层面的方法,这些方法被认为有利于降低自杀风险.
主要方法:
- 采用欣赏性调查和主题分析的定性研究.
- 采访和重点小组与一家大型大都会精神卫生服务机构的11名临床医生进行了采访.
- 这项研究遵循了COREQ (报告定性研究的综合标准) 的指导方针.
主要成果:
- 出现了四个主要主题:对个体的深入理解 (包括毛利人的文化实践),基于证据的各种预防策略,更广泛的系统中的综合服务结构,以及员工支持的重要性.
- 临床医生在个人,家庭和服务层面提出了策略,与现有文献在很大程度上一致.
- 在高风险群体 (如毛利人和LGBTQIA+) 中,预防自杀的有效性需要进一步调查.
结论:
- 在二级精神卫生保健中,有效的自杀预防需要采用整体方法,包括个人理解,基于证据的干预,系统整合和强有力的员工支持.
- 进一步的研究对于完善和验证自杀预防策略至关重要,特别是在临床环境中的弱势群体.
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