Department of Social Work, Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Victoria, Australia.
Soc Work Health Care. 2013;52(2-3):239-57. doi: 10.1080/00981389.2012.737903.
There is a striking absence of literature articulating and evaluating clinical social work contributions to suicide prevention, despite considerable practice in this important field. This article reports on a model of assertive brief psychotherapeutic intervention and facilitated linkage to community services utilized in a prospective cohort study of emergency department suicide attempt aftercare. A key outcome measure, the Manchester Short Assessment of Quality of Life (MANSA), was used with 65 patients to assess psychosocial domains at initial presentation, 4-weeks, 3-months, and 6-months. There were significant improvements in the domains of work, finance, leisure, social life, living situation, personal safety and health by 3 months. There were highly significant correlations between psychosocial improvements and improved depression scores.
尽管在这个重要领域有相当多的实践，但令人惊讶的是，文献中缺乏阐述和评估临床社会工作在预防自杀方面的贡献的内容。本文报告了一种在急诊部门自杀后护理的前瞻性队列研究中使用的果断简短心理治疗干预和促进与社区服务联系的模式。使用关键的结果衡量标准——曼彻斯特简短生活质量评估量表（MANSA）对 65 名患者进行评估，以评估初始就诊时、4 周、3 个月和 6 个月时的社会心理领域。在工作、财务、休闲、社交生活、居住情况、人身安全和健康等方面，3 个月后有显著改善。社会心理改善与抑郁评分改善之间存在高度显著的相关性。
