O'Riley Alisa, Nadorff Michael R, Conwell Yeates, Edelstein Barry
Department of Psychiatry, School of Medicine and Dentistry, University of Rochester, Rochester, NY.
Department of Psychology, Mississippi State University, Mississippi State, MS.
Ann Longterm Care. 2013 Jun;21(6):28-34. Epub 2013 Jun 17.
Little information about suicidal ideation and behavior in long-term care (LTC) facilities is available. Nonetheless, the implementation of the Minimum Data Set 3.0 requires that LTC facilities screen their residents for suicide risk and have protocols in place to effectively manage residents' responses. In this article, the authors briefly discuss the risk factors of suicide in the elderly and the problems that suicidal ideation and behavior pose in the LTC environment. The authors explain issues that arise when trying to manage suicide risk in the elderly LTC population with general, traditional approaches. These inherent issues make it difficult to develop an effective protocol for managing suicide risk in LTC facilities, leading the authors to propose their own framework for assessing and managing suicide risk in the LTC setting.
关于长期护理（LTC）机构中自杀意念和行为的信息很少。尽管如此，《最低数据集3.0》的实施要求长期护理机构对其居民进行自杀风险筛查，并制定有效管理居民应对措施的方案。在本文中，作者简要讨论了老年人自杀的风险因素以及自杀意念和行为在长期护理环境中所带来的问题。作者解释了在试图用一般的传统方法管理老年长期护理人群的自杀风险时出现的问题。这些内在问题使得难以制定出有效的长期护理机构自杀风险管理方案，促使作者提出自己在长期护理环境中评估和管理自杀风险的框架。
