McAuliffe Nora, Perry Lynda
Trilium Health Centre, 100 Queensway West, Mississauga, ON, Canada, L5B 1B8.
Psychiatr Q. 2007 Dec;78(4):295-307. doi: 10.1007/s11126-007-9047-x.
Developing and implementing consistent methodology for suicide assessment and intervention is challenging, particularly in a large community hospital which provides both inpatient care and a wide range of ambulatory and community based mental health programs. Patients, families, staff, and ongoing evaluation contributed to the development of an initiative to determine what is best practice and in effecting changes in clinical and organizational practices. The Suicide Assessment project resulted in improved clinical outcomes for patients and clients. Staff report that they feel more supported in probing for suicidal ideation and have the skills required to effectively intervene with the 'suicidal' patient/client. This project advanced our knowledge of suicide assessment and risk management and provided new insights to assist professionals in the aftermath of a client's suicide when, as Valente describes, clinicians report 'feeling overwhelmed with feelings of guilt, self-blame, and responsibility (Valente S: Journal of Psychosocial Nursing 40:7 22-23, 2002).
制定并实施一致的自杀评估与干预方法具有挑战性，尤其是在一家提供住院护理以及广泛门诊和社区心理健康项目的大型社区医院。患者、家属、工作人员以及持续评估推动了一项倡议的开展，以确定最佳实践并切实改变临床和组织实践。自杀评估项目改善了患者和客户的临床结局。工作人员报告称，他们在探究自杀意念时感到更受支持，并且具备有效干预“有自杀倾向”患者/客户所需的技能。该项目增进了我们对自杀评估和风险管理的认识，并提供了新的见解，以协助专业人员在客户自杀后应对，正如瓦伦特所描述的，临床医生报告“感到被内疚、自责和责任感压得喘不过气来”（瓦伦特S：《心理社会护理杂志》40:7 22 - 23，2002年）。
