Mospan Cortney M, Hess Rick, Blackwelder Reid, Grover Susan, Dula Chris
a School of Pharmacy , Wingate University , Wingate , North Carolina , USA.
b Department of Pharmacy Practice, Gatton College of Pharmacy , East Tennessee State University , Johnson City , Tennessee , USA.
J Interprof Care. 2017 Jul;31(4):537-539. doi: 10.1080/13561820.2017.1301900. Epub 2017 Apr 7.
Suicide is the 10th leading cause of death in the U.S. and has increased in prevalence during the past 15 years. Patients who attempt suicide are more likely to have contact with their primary care provider than a mental health provider in the month before attempting suicide, highlighting the need for competency in suicide ideation (SI) assessment. The Communications Skills for Health Professionals is an interprofessional course involving first-year medical, nursing, and pharmacy students. Specific instruction regarding assessment of SI was delivered through an online module and later practiced by students with standardized patients (SP). A final Objective Structured Clinical Examination featured an SP with depression, but without SI, though an assessment of SI was indicated. Three hundred fifty six interviews were reviewed and 55.1% (196/356) of students assessed for SI. Across professions, 65.5% (93/142) of medical students, 52.5% (32/61) of nursing students, and 46.4% (71/153) of pharmacy students performed an assessment. Medical students' SI assessment was highest across the groups (p = 0.001), while pharmacy students' SI assessment was lowest (p = 0.004). Results suggest that additional educational strategies should be developed and implemented to increase SI assessment performance in all professions, but especially in pharmacy students.
自杀是美国第十大死因,且在过去15年中患病率有所上升。企图自杀的患者在自杀前一个月与初级保健提供者接触的可能性比与心理健康提供者接触的可能性更大,这凸显了具备自杀意念(SI)评估能力的必要性。《卫生专业人员沟通技巧》是一门跨专业课程,涉及医学、护理和药学专业的一年级学生。关于SI评估的具体指导通过在线模块进行,随后学生与标准化病人(SP)进行实践。最终的客观结构化临床考试中,有一名患有抑郁症但没有自杀意念的标准化病人,不过要求对自杀意念进行评估。共审查了356份访谈记录,其中55.1%(196/356)的学生接受了自杀意念评估。在各专业中,65.5%(93/142)的医学生、52.5%(32/61)的护理学生和46.4%(71/153)的药学学生进行了评估。医学生的自杀意念评估在所有组中最高(p = 0.001),而药学学生的自杀意念评估最低(p = 0.004)。结果表明,应制定并实施额外的教育策略,以提高所有专业学生的自杀意念评估表现,尤其是药学专业学生。