Paxton R, MacDonald F, Allott R, Mitford P, Proctor S, Smith M
Northumberland Mental Health NHS Trust, Morpeth, Northumberland, UK.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 2001;14(2-3):133-8. doi: 10.1108/09526860110391630.
Standards for assessing and managing suicide risk were developed and incorporated into a guidance manual for general practitioners. The effects of the manual on opinions and practice were evaluated using a quasi-experimental controlled before/after design, comparing participating general practitioners with others who did not use the manual. Thirty four general practitioners participated over a six-month period. The intervention group showed changes in perceptions, with increased satisfaction with their own methods and in their recognition and assessment of suicide risk. Their practice changed, with increased recording of relevant factors in notes. The comparison group did not change in these ways. It is concluded that general practitioners' practice and opinions in assessing and managing suicide risk were significantly improved using a minimal intervention. Given the importance of the topic and the small size of this study, further research is needed, examining changes in professional practice, knowledge and attitudes.
制定了评估和管理自杀风险的标准，并将其纳入了全科医生指导手册。使用准实验性前后对照设计评估了该手册对观点和实践的影响，将参与的全科医生与未使用该手册的其他医生进行了比较。在六个月的时间里，有34名全科医生参与。干预组在认知方面出现了变化，对自身方法以及对自杀风险的识别和评估的满意度有所提高。他们的实践也发生了变化，在记录中增加了相关因素的记录。对照组在这些方面没有变化。得出的结论是，通过最小程度的干预，全科医生在评估和管理自杀风险方面的实践和观点得到了显著改善。鉴于该主题的重要性以及本研究规模较小，需要进一步研究，以考察专业实践、知识和态度的变化。
