一项针对一线卫生专业人员进行自杀患者评估与管理的教育干预措施（STORM项目）。

An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project).

作者信息

Appleby L, Morriss R, Gask L, Roland M, Perry B, Lewis A, Battersby L, Colbert N, Green G, Amos T, Davies L, Faragher B

机构信息

School of Psychiatry and Behaviotral S ciences, University of Manchester, Withington Hospital.

出版信息

Psychol Med. 2000 Jul;30(4):805-12. doi: 10.1017/s0033291799002494.

DOI:10.1017/s0033291799002494

PMID:11037088

Abstract

BACKGROUND

Suicide prevention is a health priority in many countries. Improved management of suicide risk may improve suicide prevention. This study aimed to assess the feasibility of health district-wide training in the assessment and management of people at risk of suicide; and to assess the impact of training on assessment and management skills.

METHODS

Staff in three health care settings, namely primary care, accident and emergency departments and mental health services (N = 359), were offered suicide risk management training in a district-wide programme, using a flexible 'facilitator' approach. The main outcomes were the rate of attendance at training, and changes in suicide risk assessment and management skills following training.

RESULTS

It was possible to deliver training to 167 health professionals (47 % of those eligible) during a 6 month training period. This included 95 primary care staff (39%), 21 accident and emergency staff(42%) and 51 mental health staff (78%). Of these, 103 (69%) attended all training. A volunteer sample of 28 staff who underwent training showed improvements in skills in the assessment and management of suicide risk. Satisfaction with training was high. The expected costs of district-wide training, if it were able to produce a 2.5% reduction in the suicide rate, would be 99,747 pound sterling per suicide prevented and 3,391 pound sterling per life year gained.

CONCLUSIONS

Training in the assessment and management of suicide risk can be delivered to approximately half the targeted staff in primary care, accident and emergency departments and mental health services. The current training package can improve skills and is well accepted. If it were to produce a modest fall in the suicide rate, such training would be cost-effective. However, a future training programme should develop a broader training package to reach those who will not attend.

摘要

背景

预防自杀是许多国家的一项卫生重点工作。改善自杀风险管理可能有助于提高自杀预防水平。本研究旨在评估在全区范围内开展针对有自杀风险人群的评估与管理培训的可行性；并评估培训对评估和管理技能的影响。

方法

在一项全区范围的项目中，采用灵活的“促进者”方法，为三个医疗保健机构（即初级保健机构、急诊科和精神卫生服务机构，N = 359）的工作人员提供自杀风险管理培训。主要结果是培训的出勤率，以及培训后自杀风险评估和管理技能的变化。

结果

在为期6个月的培训期间，有可能为167名卫生专业人员（占 eligible人员的47%）提供培训。其中包括95名初级保健工作人员（39%）、21名急诊科工作人员（42%）和51名精神卫生工作人员（78%）。其中，103人（69%）参加了所有培训。对28名接受培训的工作人员的志愿者样本进行评估，结果显示他们在自杀风险评估和管理技能方面有所提高。对培训的满意度很高。如果全区范围的培训能够使自杀率降低2.5%，那么预防每一例自杀的预期成本将为99,747英镑，每获得一个生命年的成本将为3,391英镑。