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枪支管制作为预防自杀的手段:城市急诊部门提供者在信念和实践方面的差异。

Firearm restriction as suicide prevention: variation in belief and practice among providers in an urban emergency department.

机构信息

Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado 80045, USA.

出版信息

Inj Prev. 2010 Aug;16(4):278-81. doi: 10.1136/ip.2009.025296. Epub 2010 May 25.

DOI:10.1136/ip.2009.025296
PMID:20501472
Abstract

Providers in an urban emergency department (ED) responded to a confidential, online survey assessing their beliefs and practices with respect to reducing a suicidal person's access to lethal means of suicide. 26% of respondents (37% of ED nurses, 23% of ED physicians, and 9% of psychiatrists) believed that all of the jumpers from the Golden Gate Bridge would have found a lethal suicide alternative had a barrier been present, and an additional 38% thought that most would have. Two-thirds of respondents believed that providers in the ED should always ask suicidal patients about access to firearms, yet 52% (67% of nurses, 54% of ED physicians, and 13% of psychiatrists) reported rarely or never doing so. Psychiatrists were more likely than ED staff to report always asking. Further understanding these attitudes and behaviours could enhance suicide prevention activities in the ED.

摘要

城市急诊科的医护人员对一项关于减少自杀者获取自杀手段的保密性在线调查做出了回应,该调查评估了他们的信念和做法。26%的受访者(37%的急诊护士、23%的急诊医生和 9%的精神科医生)认为,如果有障碍物存在,所有从金门大桥跳下的人都会找到致命的自杀替代品,另有 38%的人认为大多数人会这样做。三分之二的受访者认为急诊科的医护人员应该经常询问有自杀倾向的患者是否接触过枪支,但 52%(67%的护士、54%的急诊医生和 13%的精神科医生)报告称很少或从未这样做过。精神科医生比急诊医护人员更有可能表示会经常询问。进一步了解这些态度和行为可以加强急诊科的自杀预防活动。

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