零自杀模型的实施和自杀企图率在门诊心理健康护理中
Brian K Ahmedani1,2, Robert B Penfold3, Cathrine Frank2
1Center for Health Policy & Health Services Research, Henry Ford Health, Detroit, Michigan.
JAMA network open
|April 7, 2025
概括
在美国门诊精神卫生保健机构实施零自杀 (Zero Suicide,简称ZS) 模型与自杀未遂率的降低有关. 这项质量改进研究支持ZS模型在卫生系统中广泛采用.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康护理 心理健康护理
背景情况:
- 自杀是一个重要的公共卫生问题,需要在医疗保健系统内制定有效的预防策略.
- 零自杀 (Zero Suicide,简称ZS) 模式是推用于卫生系统中预防自杀的,但需要进一步的证据才能广泛实施.
研究的目的:
- 评估零自杀 (Zero Suicide,简称ZS) 模型对门诊精神卫生保健中自杀未遂率的影响.
- 评估6个美国卫生系统中ZS模型实施和自杀企图率之间的关联.
主要方法:
- 一个使用中断时间序列设计的质量改进研究.
- 从2012年1月至2019年12月收集的数据来自门诊精神卫生专业机构的13岁以上患者.
- 在ZS模型实施之前和之后的自杀企图率比较,包括查,评估和干预协议.
主要成果:
- 在ZS模型实施后的四个干预卫生系统中的三个,自杀企图率下降.
- 观察到的具体减少:健康系统A和B每月0.7/100,000,系统C每月0.1/100,000.
- 在ZS模型实施后,两个系统显示自杀死亡率有所降低.
结论:
- 在门诊精神卫生保健机构实施零自杀 (Zero Suicide,简称ZS) 模式与减少自杀未遂率有关.
- 研究结果支持在美国卫生系统中更广泛地采用ZS模型来预防自杀.
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