Department of Psychiatry, Massachusetts General Hospital, Boston, MA.
Department of Psychiatry, Massachusetts General Hospital, Boston, MA.
Psychosomatics. 2020 Jan-Feb;61(1):1-7. doi: 10.1016/j.psym.2019.08.009. Epub 2019 Sep 12.
Suicide is a major public health concern and a leading cause of death both globally and in the United States. Health-care systems and accreditation bodies, such as The Joint Commission (TJC), have placed growing emphasis on the importance of screening for suicide risk in health-care settings. Providers and administrators interested in implementing screening programs must choose from a number of existing validated screening tools. These tools vary in terms of their ease of use, the age range of their target population, as well as the quality of data supporting their use.
Here, we review and summarize the properties of brief suicide risk-screening tools described in the literature and discuss the benefits of using these tools for universal screening in the general hospital setting, as well as the significant limitations in their use in the general hospital setting.
自杀是一个重大的公共卫生关注点,也是全球和美国的主要死亡原因之一。医疗保健系统和认证机构,如联合委员会(TJC),越来越重视在医疗保健环境中筛查自杀风险的重要性。有兴趣实施筛查计划的提供者和管理人员必须从许多现有的经过验证的筛查工具中进行选择。这些工具在易用性、目标人群的年龄范围以及支持其使用的数据质量方面存在差异。
在这里,我们回顾和总结了文献中描述的简短自杀风险筛查工具的特性,并讨论了在综合医院环境中使用这些工具进行普遍筛查的好处,以及在综合医院环境中使用这些工具的显著局限性。