Pompili Maurizio, Girardi Paolo, Ruberto Amedeo, Kotzalidis Giorgio D, Tatarelli Roberto
Department of Psychiatry, Sant'Andrea Hospital, University of Rome La Sapienza, Rome, Italy.
Eur J Emerg Med. 2005 Aug;12(4):169-78. doi: 10.1097/00063110-200508000-00005.
Staff in the emergency departments of hospitals are reported as being negative or ambivalent toward suicidal or self-harming individuals. According to the literature, these patients are subjected to stigmatization and lack of empathy. This phenomenon has been linked to a decreased quality of care offered to these individuals and to missing an important opportunity to prevent further suicidal behavior or repetition of deliberate self-harm. Also, protocols, proper guidelines and education for the emergency staff call for a revision and an implementation. In this paper, evidence suggesting staff attitudes toward suicidal and self-harming patients is reviewed. An overview of related issues such as clinical judgment, the use of scales and nurses' role is also included in this report.
据报道，医院急诊科的工作人员对有自杀或自我伤害行为的个体持消极或矛盾的态度。根据文献记载，这些患者受到了污名化且缺乏同情。这种现象与为这些个体提供的护理质量下降以及错过预防进一步自杀行为或重复故意自我伤害的重要机会有关。此外，针对急诊工作人员的规程、适当的指导方针和培训需要修订并实施。本文回顾了表明工作人员对自杀和自我伤害患者态度的证据。本报告还概述了相关问题，如临床判断、量表的使用和护士的作用。
