在儿童初级保健中实施自杀风险查的障碍和促进者:质量研究
Erin R Orlins1, Katherine Winner2, Shilpa Sangvai3
1Center for Suicide Prevention and Research, Nationwide Children's Hospital, Columbus, OH, United States of America.
Academic pediatrics
|February 16, 2026
概括
由于诊所,提供者和患者的障碍,儿童诊所面临实施普遍自杀风险查的挑战. 加强团队护理和隐私等促进者可以改善青年自杀预防工作.
科学领域:
- 儿科初级护理 儿科初级护理
- 心理健康服务 心理健康服务
- 公共卫生 公共卫生
背景情况:
- 建议进行普遍的自杀风险查,但在儿科初级保健中尚未广泛实施.
- 这项研究重点关注尚未使用这种查的诊所的障碍和促进因素.
研究的目的:
- 探索在儿科初级保健中实施普遍自杀风险查的障碍和促进因素.
- 确定改善青少年自杀预防实践的策略.
主要方法:
- 使用半结构面试对55名初级保健临床医生和工作人员进行定性研究.
- 来自美国中西部15家儿科诊所的参与者.
- 对转录的采访进行主题分析.
主要成果:
- 在诊所 (时间,工作流程,人员),提供者 (培训,倦怠) 和患者 (耻辱,买入) 层面确定了障碍.
- 促进者包括感知价值,舒适度,临床支持,团队方法,隐私和背景.
- 临床医生和工作人员建议加强自杀预防实践.
结论:
- 临床医生和工作人员认识到儿童初级保健中自杀风险查的价值.
- 解决障碍和加强促进者对于扩大青少年自杀预防至关重要.
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