Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Asheville, NC, USA.
Center of Excellence for Suicide Prevention, Canandaigua VA Medical Center, US Department of Veterans Health Affairs, Canandaigua, NY, USA.
Suicide Life Threat Behav. 2021 Apr;51(2):220-228. doi: 10.1111/sltb.12697.
To develop an online suicide prevention gatekeeper training program to prepare community pharmacy staff to communicate with patients who exhibit warning signs of suicide.
A convenience sample of 17 community pharmacy staff members completed a 1-hr semi-structured interview during which they viewed content from an existing gatekeeper training program and provided suggestions for improvement. Once thematic saturation was achieved, interviews were digitally recorded, transcribed, and analyzed by two independent coders who reached consensus on the themes present in each transcript.
Participants noted barriers to communicating about suicide, including lack of time and privacy, discomfort with using the word "suicide" and limited referral options. Participants wanted gatekeeper training to include local suicide prevention referral resources, take less than 30 min to complete, and incorporate 3-4 realistic role play scenarios, including a phone interaction.
Many environmental, interpersonal, and individual-level barriers complicate pharmacy staff members' ability to act as gatekeepers and communicate about suicide with at-risk patients. To maximize the public health impact of pharmacy staff, skills-based training on how to identify, communicate with, and refer at-risk patients is needed. Gatekeeper training should model brief, realistic interactions with patients and provide pharmacy staff with local referral resources.
开发在线自杀预防守门人培训计划，以培训社区药剂师人员与出现自杀警示迹象的患者进行沟通。
17 名社区药房工作人员随机抽取完成了 1 小时的半结构化访谈，在此期间，他们观看了现有守门人培训计划的内容，并提出了改进建议。一旦达到主题饱和，采访将被数字记录、转录，并由两名独立的编码员进行分析，他们对每个记录中的主题达成共识。
参与者注意到沟通自杀问题的障碍，包括缺乏时间和隐私、使用“自杀”一词的不适感和有限的转介选择。参与者希望守门人培训包括当地的自杀预防转介资源，用时少于 30 分钟，并包含 3-4 个现实的角色扮演场景，包括电话互动。
许多环境、人际和个人层面的障碍使药剂师难以充当守门人和与有风险的患者沟通自杀问题。为了最大限度地发挥药剂师的公共卫生影响，需要对如何识别、与有风险的患者沟通和转介患者的技能进行培训。守门人培训应该模拟与患者的简短、现实的互动，并为药剂师提供当地的转介资源。
