实现零自杀的五年实施:从学术卫生系统中吸取的教训
Seethalakshmi Ramanathan1, Lianne De La Cruz1, Michiko Ueda1,2,3
1Department of Psychiatry Norton College of Medicine SUNY Upstate Medical University Syracuse New York USA.
在行为健康环境中实施零自杀 (Zero Suicide,简称ZS) 模式存在挑战. 社会人口学差异影响干预措施的采用,强调需要针对性策略来改善自杀预防的质量.
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
- 心理健康干预 心理健康干预
背景情况:
- 美国不断上升的自杀率需要医疗系统的干预.
- 零自杀 (Zero Suicide,简称ZS) 模式是一个领先的质量改进方法.
- 在卫生系统中,ZS的实施尚未得到充分利用和研究.
研究的目的:
- 评估ZS倡议在行为健康住院患者环境中的5年实践实施情况.
- 了解与ZS实施相关的战略和挑战.
- 在 ZS 领域实施中识别社会人口统计差异.
主要方法:
- 利用了5年的电子病历 (EMR) 数据 (2020年1月至2024年6月).
- 评估了三个ZS领域的实施率:识别,参与和过渡.
- 采用逻辑模型来检查实施率的人口变化.
主要成果:
- 分析了8810例住院病例 (5703个独特个体).
- 100%的风险查;80%的高风险受到了安全规划.
- 53.3%的人接受过渡干预,在所有领域观察到种族和性别差异.
结论:
- ZS实现为行为健康设置提供了有价值的见解.
- 集成EMR是ZS倡议的一个关键策略.
- 社会人口学差异对ZS质量改善构成重大挑战.
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