Ballard Elizabeth D, Pao Maryland, Horowitz Lisa, Lee Laura M, Henderson David K, Rosenstein Donald L
National Institute of Mental Health, Clinical Research Center, Building 10, Room 6-5340, Bethesda, MD 20892, USA.
Psychosomatics. 2008 Nov-Dec;49(6):461-9. doi: 10.1176/appi.psy.49.6.461.
A suicide can be a devastating event in the hospital, and few guidelines exist to aid an institution's response.
The authors describe a framework of immediate, short-term and long-term responses in the event of an in-hospital suicide.
Implications for administration, communication, assessment, physical environment, and standards of care throughout the hospital are discussed that are relevant to both general-medical and psychiatric settings. Suggestions for the successful management of the aftermath of a suicide, such as the formation of a multidisciplinary leadership team, are included.
自杀在医院可能是一件极具破坏性的事件,而几乎没有指导方针来协助机构应对。
作者描述了医院内发生自杀事件时的即时、短期和长期应对框架。
讨论了对医院管理、沟通、评估、物理环境及护理标准的影响,这些影响在综合医疗和精神科环境中均相关。文中还包括了对自杀事件后续成功管理的建议,如组建多学科领导团队。