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增强“培训与希望”,促进青少年自杀预防领域的可扩展、具有成本效益的专业发展。

Enhanced "Train and Hope" for Scalable, Cost-Effective Professional Development in Youth Suicide Prevention.

机构信息

1 University of Washington, Department of Psychiatry and Behavioral Sciences, Seattle, WA, USA.

2 Seattle Children's Research Institute, Center for Child Health, Behavior, and Development, Seattle, WA, USA.

出版信息

Crisis. 2018 Jul;39(4):235-246. doi: 10.1027/0227-5910/a000489. Epub 2017 Nov 29.

Abstract

BACKGROUND

The knowledge base surrounding how to most effectively prepare and sustain practitioner knowledge and skills for suicide risk assessment and management is limited.

AIMS

This study examined the impact of a 6-hr continuing education training, and the effect of a posttraining reminder system, on mental health practitioners' knowledge, attitudes, and behavior surrounding suicide assessment and intervention.

METHOD

Data were obtained prior to the training, immediately after the training, and at the 3-month follow-up. Medical record data were abstracted for a subsample of practitioners. Participants were randomly assigned to an e-mail reminder condition or no reminder condition that provided information related to the training.

RESULTS

All practitioners demonstrated increase s in suicide assessment knowledge and attitudes for engaging in suicide risk assessments from pre- to posttest, and gains were maintained at the 3-month follow-up. There was no effect of the e-mail reminder on practitioner knowledge, attitudes, or behaviors compared with the condition without the e-mail reminder. The use of e-mail reminders was not associated with any additional changes.

LIMITATIONS

Limitations include predominantly self-report and small sample.

CONCLUSION

Strategies to effectively change practitioner knowledge, attitudes, and behaviors toward suicidal clients may include continuing education. Efficient and effective designs of reminder systems for augmenting and supporting suicide assessment management training are needed.

摘要

背景

关于如何最有效地准备和维持从业者的自杀风险评估和管理知识和技能的知识库有限。

目的

本研究考察了 6 小时继续教育培训的影响,以及培训后提醒系统对心理健康从业者在自杀评估和干预方面的知识、态度和行为的影响。

方法

在培训前、培训后立即和 3 个月随访时收集数据。对从业者的一个子样本进行了病历数据的摘录。参与者被随机分配到电子邮件提醒条件或没有提醒条件,提醒条件提供与培训相关的信息。

结果

所有从业者在自杀评估知识和态度方面都表现出了从测试前到测试后的提高,并且在 3 个月的随访中得到了维持。与没有电子邮件提醒的条件相比,电子邮件提醒对从业者的知识、态度或行为没有影响。使用电子邮件提醒并没有带来任何额外的变化。

局限性

限制包括主要是自我报告和小样本。

结论

有效的改变从业者对自杀患者的知识、态度和行为的策略可能包括继续教育。需要有效的提醒系统设计,以增强和支持自杀评估管理培训。

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