Zitelli Lori, Palmer Catherine V
Department of Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Otolaryngology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Semin Hear. 2018 Feb;39(1):83-90. doi: 10.1055/s-0037-1613708. Epub 2018 Feb 7.
Evidence-based suggestions for developing an effective clinician-client relationship built upon trust and honesty will be shared, as well as a review of relevant scope of practice issues for audiologists. Audiologists need to be prepared if a patient threatens self-harm. Many patients do not spontaneously report their suicidal thoughts and intentions to their care providers, so we need to be alert to warning signs. Information about the strongest predictors of suicide, how to ask about suicidal intentions, and how to assess the risk of suicide will be presented. Although it is our responsibility to recognize suicidal tendencies and have a plan for preventive intervention, it is not our responsibility to conduct a suicide evaluation. Tips for collecting critical information to be provided to qualified professionals will be shared, as well as additional information about how and to whom to disclose this information. A list of suicide warning signs will be reviewed as well as some additional suggestions for how to react when a patient discloses his or her suicidal intent. A review of available resources (for both the patient and the clinician) will be provided, along with instructions for how and when it is appropriate to access them.
将分享基于证据的建议，以建立基于信任和诚实的有效临床医生与患者关系，同时还将对听力学家的相关执业范围问题进行回顾。如果患者威胁要自我伤害，听力学家需要做好准备。许多患者不会主动向他们的护理人员报告自己的自杀想法和意图，因此我们需要警惕警示信号。将介绍有关自杀最强预测因素的信息、如何询问自杀意图以及如何评估自杀风险。虽然识别自杀倾向并制定预防性干预计划是我们的责任，但进行自杀评估并非我们的责任。将分享收集关键信息以提供给合格专业人员的技巧，以及有关如何以及向谁披露此信息的更多信息。将回顾自杀警示信号列表，以及当患者披露其自杀意图时如何做出反应的一些其他建议。将提供可用资源（针对患者和临床医生）的回顾，以及有关如何以及何时适当获取这些资源的说明。
