West Virginia University School of Social Work, 119 Knapp Hall, Morgantown, WV 26505, United States of America.
Valley Health Systems, 1417 Johns Creek Rd., Milton, WV 25541, United States of America.
Gen Hosp Psychiatry. 2021 Jul-Aug;71:102-107. doi: 10.1016/j.genhosppsych.2021.03.009. Epub 2021 Mar 26.
This study gathered data from rural adult primary care patients regarding the acceptability of universal suicide risk screening and preferred methods of implementation.
Patients from a rural primary care clinic in southern West Virginia participating in a pilot test of a suicide risk screening program were administered a Screening Opinions Survey and resulting data were evaluated using descriptive and content analyses.
The majority of participants (96%) believed that primary care providers (PCPs) should screen patients for suicide and noted multiple benefits to screening. Most participants described the experience of screening in primary care as positive or neutral and preferred a personalized screening process where the provider asked questions directly. Demographic analyses indicated that males and older adults were less likely to report being previously screened for suicide and that older adults were less likely to support the practice of screening.
Results provide support for the acceptability of universal suicide risk screening programs to patients in rural primary care and suggest that PCP involvement in the screening process may encourage patient participation. Additional training for PCPs and psychoeducational interventions for older adults may help to address demographic influences on screening practices and engagement.
本研究收集了农村成年初级保健患者对普遍自杀风险筛查的可接受性以及首选实施方法的相关数据。
来自西弗吉尼亚州南部农村初级保健诊所的患者参与了自杀风险筛查项目的试点测试，他们接受了筛查意见调查，调查结果使用描述性和内容分析进行评估。
大多数参与者（96%）认为初级保健提供者（PCP）应该对患者进行自杀筛查，并指出筛查有多种好处。大多数参与者描述了在初级保健中进行筛查的积极或中性体验，并更喜欢由提供者直接提问的个性化筛查过程。人口统计学分析表明，男性和老年人以前接受过自杀筛查的可能性较小，而老年人支持筛查做法的可能性较小。
结果支持农村初级保健患者对普遍自杀风险筛查项目的可接受性，并表明 PCP 参与筛查过程可能会鼓励患者参与。为 PCP 提供额外的培训和针对老年人的心理教育干预措施可能有助于解决筛查实践和参与方面的人口统计学影响。
