康涅狄格州提供者对使用极端风险保护令的知识和态度
Nishant Pandya1, James Dodington2, Joshua Jacob3
1Children's Hospital of Philadelphia, Pennsylvania 4435 Sansom St Apt 2, Philadelphia, PA, 19104, USA. Pandyan1@chop.edu.
Injury epidemiology
|March 20, 2025
概括
医疗服务提供者经常看到有枪支准入自杀风险的患者,但缺乏对极端风险保护令 (ERPO) 的知识. 需要增加培训和支持人员,以提高ERPO的使用率和预防自杀.
科学领域:
- 公共卫生 公共卫生
- 医疗法 法律 医疗法
- 心理健康服务 心理健康服务
背景情况:
- 极端风险保护令 (ERPO) 是一种法律工具,可以暂时限制受伤害风险的个人使用枪支.
- 康涅狄格州等州的立法允许医疗提供者直接提交ERPO.
- 据估计,17-23个ERPO可以防止一个自杀.
研究的目的:
- 评估医疗提供者对康涅狄格州ERPO使用的知识和态度.
- 确定ERPO供应商使用的障碍和促进因素.
主要方法:
- 2022年,六家医院的医疗服务提供者进行了电子调查.
- 该调查评估了供应商对ERPO法律的熟悉程度,感知到的障碍以及潜在的程序改进.
主要成果:
- 在114名接受调查的医疗服务提供者中,66%的医疗服务提供者每年至少遇到一个因使用枪支而有自杀风险的患者.
- 只有1.7%的提供者启动了ERPO,理由是缺乏时间和患者关系问题是障碍.
- 大多数供应商 (78.9%) 对ERPO不熟悉,只有一个供应商非常熟悉.
结论:
- 绝大多数医疗服务提供者都会遇到可以从ERPO中受益的患者.
- 缺乏供应商熟悉ERPO和备案流程,加上时间限制,是主要障碍.
- 提供者培训和专门的协调员对于增加ERPO启动和使用至关重要.
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