在密苏里州988个危机中心实施安全规划:混合方法研究
Morgan C Shields1, Danielle R Adams2, Theresa Anasti1
1Washington University in St. Louis.
Research square
|December 3, 2025
概括
密苏里州988危机线工作人员支持基于证据的实践安全规划. 组织支持促进了其使用,但呼叫者的情况和护理结构构成了障碍,影响了其在自杀预防工作中的有效性.
科学领域:
- 行为健康 行为健康
- 公共卫生 公共卫生
- 危机干预 危机干预
背景情况:
- 美国正在经历一场严重的行为健康危机.
- 国家预防自杀救生网于2022年7月推出9-8-8以改善危机服务的获取.
- 在988危机线上了解护理质量,特别是使用基于证据的实践,如安全规划,至关重要但有限.
研究的目的:
- 为了检查员工对密苏里州988危机线路安全规划的态度.
- 调查安全规划如何在实践中运行.
- 确定影响安全规划实施的因素.
主要方法:
- 采用了融合三角测量混合方法设计.
- 通过调查收集的定量数据使用IAM,FIM和AIM评估了人们的态度.
- 从半结构面试中获得的定性数据深入探讨了员工的经验.
主要成果:
- 报告显示,安全规划的适当性,可行性和可接受性平均得分很高.
- 研究生教育与这些分数有负面关联.
- 采访显示,对安全规划有强烈的支持,障碍和促进者与呼叫者的情况和组织支持有关.
结论:
- 密苏里988危机线工作人员对安全规划的看法是积极的,有组织因素的支持.
- 安全规划的实用性包括呼叫者的情况和基于电话的护理模式.
- 需要进一步的研究来完善质量指标,并了解988个中心的基于证据的实践变化.
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