University of Rochester Medical Center, <location>Rochester, NY, USA</location>
Crisis. 2012 Jan 1;33(1):30-8. doi: 10.1027/0227-5910/a000099.
Finding effective and efficient options for training mental health professionals to assess and manage suicide risk is a high priority.
To test whether an innovative, brief workshop can improve provider knowledge, confidence, and written risk assessment in a multidisciplinary sample of ambulatory and acute services professionals and trainees.
We conducted a pre/post evaluation of a 3 h workshop designed to improve clinical competence in suicide risk assessment by using visual concept mapping, medical records documentation, and site-specific crisis response options. Participants (N = 338 diverse mental health professionals) completed pre- and postworkshop questionnaires measuring their knowledge and confidence. Before and after the workshop, participants completed documentation for a clinical vignette. Trained coders rated the quality of risk assessment formulation before and after training.
Participants' knowledge, confidence, and objectively-rated documentation skills improved significantly (p < .001), with large effect sizes. Participants' expectation of their ability to transfer workshop content to their clinical practice was high (mean = 4.10 on 1-5 scale).
Commitment to Living is a promising, innovative, and efficient curriculum for educating practicing clinicians to assess and respond to suicide risk. Well-designed, brief, suicide risk management programs can improve clinicians' knowledge, confidence, and skill.
寻找有效且高效的培训方案，以提高心理健康专业人员评估和管理自杀风险的能力，是当务之急。
测试一个创新的、简短的工作坊是否可以提高多学科的门诊和急症服务专业人员和学员的提供者的知识、信心和书面风险评估能力。
我们对一个 3 小时的工作坊进行了预/后评估，该工作坊旨在通过使用视觉概念映射、病历记录文档和特定地点的危机应对选项，提高自杀风险评估方面的临床能力。参与者（共 338 名不同专业的心理健康专业人员）完成了课前和课后问卷，以衡量他们的知识和信心。在工作坊之前和之后，参与者为一个临床案例完成了记录。经过培训的编码员在培训前后对风险评估的质量进行了评分。
参与者的知识、信心和客观评估的记录技能显著提高（p <.001），具有较大的效应量。参与者对自己将工作坊内容应用于临床实践的能力的期望很高（1-5 分制，平均得分为 4.10）。
“活着的承诺”是一个很有前途、创新和高效的课程，可用于教育实践临床医生评估和应对自杀风险。精心设计的、简短的、自杀风险管理方案可以提高临床医生的知识、信心和技能。
