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军事心理健康服务提供者的自杀专项培训经历与需求

Suicide-Specific Training Experiences and Needs Among Military Mental Health Providers.

作者信息

Schmied E A, Glassman L H, Carinio S R, Dell'Acqua R G, Bryan C J, Thomsen C J

出版信息

Arch Suicide Res. 2023 Jul-Sep;27(3):851-865. doi: 10.1080/13811118.2022.2067510. Epub 2022 May 5.

Abstract

BACKGROUND

Military suicide rates have risen over the past two decades, with a notable spike in recent years. To address this issue, military mental health providers must be equipped with the skills required to provide timely and effective care; yet little is known about the suicide-specific training experiences or needs of these professionals.

METHODS

Thirty-five mental health care providers who treat active duty personnel at military treatment facilities participated in this mixed-methods study. All participants completed a survey assessing training and clinical experiences, comfort and proficiency in working with patients at risk for suicide, and perceived barriers to obtaining suicide-specific training. A sub-set of participants ( = 8) completed a telephone interview to further describe previous experiences and perceived challenges to obtaining training.

RESULTS

The majority of participants (79.4%) had 6+ years of clinical experience, had a patient who had attempted suicide (85.3%), and completed at least one suicide-related training since finishing their education (82.4%). Survey results showed the leading barrier to enrolling in suicide-specific trainings was perceived lack of training opportunities (40.7% reported it was a barrier "quite often" or more), followed by lack of time (25%). Interview results revealed lack of time, location and logistical issues, and low perceived need for additional training among providers could impede enrollment.

CONCLUSIONS

Study results identified several modifiable barriers to receiving suicide-specific continuing education among military mental health providers. Future efforts should develop accessible training programs that can be easily integrated into routine clinical operations to mount the best defense against suicide. HIGHLIGHTSMilitary mental health providers report significant experience and relatively high degrees of comfort and proficiency working with patients at high risk for suicide.Most providers reported receiving training in suicide assessment and screening; few reported prior training in management of suicidality.Study results identified several modifiable barriers to receiving suicide-prevention continuing education among military mental health care providers; future efforts should seek to develop accessible training programs that can be easily integrated into routine clinical operations to mount the best defense against suicide.

摘要

背景

在过去二十年中,军队自杀率有所上升,近年来更是显著飙升。为解决这一问题,军队心理健康服务提供者必须具备提供及时有效护理所需的技能;然而,对于这些专业人员的自杀专项培训经历或需求却知之甚少。

方法

35名在军队治疗机构为现役人员提供治疗的心理健康服务提供者参与了这项混合方法研究。所有参与者都完成了一项调查,评估培训和临床经验、与有自杀风险患者合作时的舒适度和熟练程度,以及获得自杀专项培训的感知障碍。一部分参与者(n = 8)完成了电话访谈,以进一步描述以往经历和获得培训的感知挑战。

结果

大多数参与者(79.4%)有6年以上临床经验,有过企图自杀的患者(85.3%),并且自完成学业后至少参加过一次自杀相关培训(82.4%)。调查结果显示,参加自杀专项培训的主要障碍是认为缺乏培训机会(40.7%报告称这是“经常”或更频繁出现的障碍),其次是缺乏时间(25%)。访谈结果显示,缺乏时间、地点和后勤问题,以及提供者认为对额外培训的需求较低,可能会阻碍参与培训。

结论

研究结果确定了军队心理健康服务提供者接受自杀专项继续教育的几个可改变的障碍。未来的努力应开发易于获得的培训项目,使其能够轻松融入日常临床操作,以构筑预防自杀的最佳防线。要点军队心理健康服务提供者报告称,在与有高自杀风险的患者合作方面有丰富经验,并且舒适度和熟练程度相对较高。大多数提供者报告接受过自杀评估和筛查方面的培训;很少有人报告之前接受过自杀管理方面的培训。研究结果确定了军队心理健康服务提供者接受自杀预防继续教育的几个可改变的障碍;未来的努力应寻求开发易于获得的培训项目,使其能够轻松融入日常临床操作,以构筑预防自杀的最佳防线。

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