From the Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine.
Pediatr Emerg Care. 2022 Feb 1;38(2):e1009-e1013. doi: 10.1097/PEC.0000000000002506.
Given the increasing rates of youth suicide, it is important to understand the barriers to suicide screening in emergency departments. This review describes the current literature, identifies gaps in existing research, and suggests recommendations for future research.
A search of PubMed, MEDLINE, CINAHL, PsycInfo, and Web of Science was conducted. Data extraction included study/sample characteristics and barrier information categorized based on the Exploration, Preparation, Implementation, Sustainment model.
All studies focused on inner context barriers of implementation and usually examined individuals' attitudes toward screening. No study looked at administrative, policy, or financing issues.
The lack of prospective, systematic studies on barriers and the focus on individual adopter attitudes reveal a significant gap in understanding the challenges to implementation of universal youth suicide risk screening in emergency departments.
鉴于青少年自杀率不断上升，了解急诊科自杀筛查的障碍至关重要。本综述描述了现有文献，确定了现有研究中的空白，并为未来的研究提出了建议。
对 PubMed、MEDLINE、CINAHL、PsycInfo 和 Web of Science 进行了检索。数据提取包括研究/样本特征和根据探索、准备、实施、维持模型分类的障碍信息。
所有研究都集中在实施的内在情境障碍上，并且通常研究了个体对筛查的态度。没有研究关注行政、政策或融资问题。
缺乏关于障碍的前瞻性、系统性研究以及对个体采用者态度的关注，表明在理解在急诊科实施普遍的青少年自杀风险筛查所面临的挑战方面存在重大空白。
