Snyder Deborah J, Ballard Elizabeth D, Stanley Ian H, Ludi Erica, Kohn-Godbout Julie, Pao Maryland, Horowitz Lisa M
National Institute of Mental Health Intramural Research Program, Bethesda, Maryland, USA.
Florida State University, Tallahassee, Florida, USA.
J Behav Health Serv Res. 2017 Jul;44(3):364-372. doi: 10.1007/s11414-016-9498-7.
As hospital clinicians and administrators consider implementing suicide risk screening on medical inpatient units, patient reactions to screening can provide essential input. This post hoc analysis examined patient opinions about screening for suicide risk in the medical setting. This analysis includes a subsample of a larger quality improvement project designed to screen medically hospitalized patients for suicide risk. Fifty-three adult medical inpatients at a clinical research hospital provided opinions about suicide risk screening. A qualitative analysis of responses to an opinion question about screening was conducted to identify major themes. Forty-three (81%) patients supported screening medical inpatients for suicide risk. Common themes emphasized asking patients directly about suicide, connection between mental/physical health, and the role of screening in suicide prevention. Adult medical inpatients supported screening for suicide risk on medical/surgical inpatient units. Behavioral health clinicians are uniquely poised to champion suicide detection and intervention in the general medical hospital setting. Patient opinions can be utilized to inform thoughtful implementation of universal suicide risk screening in the medical setting.
由于医院临床医生和管理人员考虑在内科住院病房实施自杀风险筛查，患者对筛查的反应可提供重要信息。这项事后分析考察了患者对在医疗环境中进行自杀风险筛查的看法。该分析包括一个更大的质量改进项目的子样本，该项目旨在对住院治疗的患者进行自杀风险筛查。一家临床研究医院的53名成年内科住院患者对自杀风险筛查发表了看法。对关于筛查的意见问题的回答进行了定性分析，以确定主要主题。43名（81%）患者支持对内科住院患者进行自杀风险筛查。常见主题强调直接询问患者关于自杀的问题、心理/身体健康之间的联系以及筛查在预防自杀中的作用。成年内科住院患者支持在内科/外科住院病房进行自杀风险筛查。行为健康临床医生在综合医院环境中特别有能力倡导自杀检测和干预。患者的意见可用于为在医疗环境中深思熟虑地实施普遍自杀风险筛查提供参考。
