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自杀预防培训:基层医疗保健专业人员的自我感知能力。

Suicide prevention training: self-perceived competence among primary healthcare professionals.

机构信息

Mental Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.

出版信息

Scand J Prim Health Care. 2021 Sep;39(3):332-338. doi: 10.1080/02813432.2021.1958462. Epub 2021 Aug 3.

Abstract

The aim is to report the outcomes of the suicide prevention training in terms of the self-perceived impact on the participants. The three-hour training consisted areas of risk and protective factors, screening and evaluating suicide risk, raising concerns and confronting suicidal patients, and treating suicidal ideation in primary healthcare and the associated referral processes. The studied participants consisted of general practitioners, nurses, public health nurses and social work professionals. Participants assessed their own competence on online form regarding four training areas prior to and two weeks after the training. The response rate was 25%. The self-perceived competence of the healthcare professionals increased in all training areas and in all occupational groups. The healthcare professionals' competence regarding the training area saw the greatest increase across all professional groups except nurses. There were, however, differences between the groups. Suicide prevention training for primary healthcare professionals did increase the self-perceived competence of the participants in all areas covered by the training. Regular follow-up training is required in order for these improvements to be further developed and retained.Key pointsAfter the suicide prevention training all participants self-perceived increase in their competence in all training areas.The GPs self-perceived most increase in risk and protective factors and nurses in raising concerns and confronting suicidal patients.The GPs' lowest increase was in the area of treating suicidal ideation in primary health care and the referral processes.

摘要

目的在于报告预防自杀培训的结果,即参与者对培训的自我感知影响。该三小时的培训涵盖了风险和保护因素、筛查和评估自杀风险、关注和面对自杀患者、以及在初级保健中治疗自杀意念和相关转介流程等领域。研究对象包括全科医生、护士、公共卫生护士和社会工作专业人员。参与者在培训前和培训后两周在线上评估自己在四个培训领域的能力。回应率为 25%。所有培训领域和所有职业群体的医疗保健专业人员的自我感知能力都有所提高。除了护士,所有专业群体的培训领域的自我感知能力都有所增加。然而,不同群体之间存在差异。对初级保健专业人员进行的预防自杀培训确实提高了所有培训领域的参与者的自我感知能力。为了进一步发展和保持这些改进,需要定期进行后续培训。

关键点

预防自杀培训后,所有参与者都自我感知到在所有培训领域的能力都有所提高。

全科医生自我感知到在风险和保护因素方面的提高最大,而护士则在关注和面对自杀患者方面的提高最大。

全科医生在初级保健中治疗自杀意念和转介流程方面的提高最小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce56/8475147/93a4f9dc62a7/IPRI_A_1958462_F0001_C.jpg

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