Lang Michelle, Uttaro Thomas, Caine Eric, Carpinello Sharon, Felton Chip
Research Foundation for Mental Hygience, Inc., Albany, New York, USA.
Arch Suicide Res. 2009;13(2):160-8. doi: 10.1080/13811110902835098.
The objective of this study was to acquire process information, clinician and client feedback during implementation of a routine suicide risk screening program for outpatients with serious mental disorders. We studied implementation of a suicide-screening tool in a large public mental health outpatient facility in New York City. Most clinical staff who provided an opinion indicated screening was useful, feasible and helpful; most clients did not mind screening. Facilitators to program implementation included administrative support and ease of use. Barriers included consent, misperceptions, and concerns regarding potential liability. It is feasible to implement a suicide-screening tool in a public outpatient clinic. However, even experienced clinicians harbor unfounded myths. Effective large scale use will require vigorous training and oversight.
本研究的目的是在为患有严重精神障碍的门诊患者实施常规自杀风险筛查项目的过程中获取过程信息、临床医生和患者的反馈。我们在纽约市一家大型公共心理健康门诊机构研究了一种自杀筛查工具的实施情况。大多数发表意见的临床工作人员表示筛查是有用的、可行的且有帮助的；大多数患者不介意筛查。项目实施的促进因素包括行政支持和易用性。障碍包括同意问题、误解以及对潜在责任的担忧。在公共门诊诊所实施自杀筛查工具是可行的。然而，即使是经验丰富的临床医生也存在毫无根据的误解。有效的大规模使用将需要大力培训和监督。
