基层医疗专业自杀预防培训的不足：对培训主任的调查
Deficiencies in suicide training in primary care specialties: a survey of training directors.
作者信息
Sudak Donna, Roy Alec, Sudak Howard, Lipschitz Alan, Maltsberger John, Hendin Herbert
机构信息
Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
出版信息
Acad Psychiatry. 2007 Sep-Oct;31(5):345-9. doi: 10.1176/appi.ap.31.5.345.
OBJECTIVE
A high percentage of suicide victims have seen a primary care physician in the months before committing suicide. Thus, primary care physicians may play an important role in suicide prevention.
METHOD
The authors mailed a survey to directors of training programs in family practice, internal medicine, and pediatrics, and 50.5% responded. Data obtained were analyzed with WebStat.
RESULTS
Training directors reported deficiencies in training in suicide and depression. Notably, less than half of the internal medicine and pediatrics training directors who replied reported that teaching about suicide was adequate. The majority of them indicated a need for standardized curricular materials on suicide and depression.
CONCLUSIONS
Experts could provide standardized curricula to primary care residencies in the recognition and management of suicide and depression. More robust training about these vital mental health concerns in primary care could reduce morbidity and mortality.
目的
很大比例的自杀受害者在自杀前数月曾看过初级保健医生。因此，初级保健医生可能在预防自杀方面发挥重要作用。
方法
作者向家庭医学、内科和儿科培训项目主任邮寄了一份调查问卷，50.5%的人进行了回复。使用WebStat对获得的数据进行分析。
结果
培训主任报告了自杀和抑郁症培训方面的不足。值得注意的是，回复的内科和儿科培训主任中，不到一半的人报告称关于自杀的教学是充分的。他们中的大多数人表示需要关于自杀和抑郁症的标准化课程材料。
结论
专家可以为初级保健住院医师提供关于识别和管理自杀及抑郁症的标准化课程。在初级保健中对这些重要的心理健康问题进行更有力的培训可以降低发病率和死亡率。
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