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支持全科医生评估和管理年轻人的自杀风险:初级保健中教育资源的评估。

Supporting general practitioners in the assessment and management of suicide risk in young people: an evaluation of an educational resource in primary care.

机构信息

Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK.

Faculty of Health and Medicine, Lancaster University, Lancaster, UK.

出版信息

Prim Health Care Res Dev. 2022 Aug 31;23:e50. doi: 10.1017/S1463423622000433.

Abstract

AIM

To conduct a local evaluation of the use of the educational resource: Suicide in Children and Young People: Tips for GPs, in practice and its impact on General Practitioners (GPs)' clinical decision making.

BACKGROUND

This Royal College of General Practitioners (RCGP) resource was developed to support GPs in the assessment and management of suicide risk in young people.

METHOD

The dissemination of the educational resource took place over a nine month period (February 2018-October 2018) across two Clinical Commissioning Groups in West Midlands. Subsequently, a survey questionnaire on GPs' experiences of using the resource was sent to GPs in both Clinical Commissioning Groups (CCGs).

FINDINGS

Sixty-two GPs completed the survey: 21% reported that they had used the resource; most commonly for: (1) information; (2) assessing a young person; and (3) signposting themselves and young people to relevant resources. Five out of thirteen GPs (38.5%), who responded to the question about whether the resource had an impact on their clinical decision making, reported that it did; four (30.7%) responded that it did not; and four (30.7%) did not answer this question. Twenty out of thirty-two GPs (62.5%) agreed that suicide prevention training should be part of their NHS revalidation cycle. The generalizability of the findings is limited by the small sample size and possible response and social desirability bias. The survey questionnaire was not validated. Despite the limitations, this work can be useful in informing a future large-scale evaluation of the RCGP online resource to identify barriers and facilitators to its implementation.

摘要

目的

对教育资源“儿童和青少年自杀:全科医生的提示”的使用进行局部评估,了解其在实践中的应用情况及其对全科医生临床决策的影响。

背景

该资源由皇家全科医师学院(RCGP)开发,旨在支持全科医生评估和管理青少年自杀风险。

方法

该教育资源的传播历时九个月(2018 年 2 月至 2018 年 10 月),覆盖西米德兰兹地区的两个临床委员会。随后,向两个临床委员会的全科医生发送了一份关于他们使用该资源的经验的调查问卷调查表。

发现

共有 62 名全科医生完成了调查:21%的人报告说他们使用过该资源;最常用于:(1)获取信息;(2)评估年轻人;(3)为自己和年轻人找到相关资源。在回答该资源是否影响其临床决策的 13 名全科医生中,有 5 名(38.5%)表示有影响;4 名(30.7%)表示没有影响;4 名(30.7%)未回答此问题。在 32 名全科医生中,有 20 名(62.5%)同意将预防自杀培训纳入其国民保健制度再认证周期。研究结果的普遍性受到样本量小以及可能的回应和社会期望偏差的限制。调查问卷调查表未经验证。尽管存在局限性,但这项工作有助于为未来对 RCGP 在线资源的大规模评估提供信息,以确定其实施的障碍和促进因素。

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Suicide prevention in young people: optimising primary care.青少年自杀预防:优化初级保健
Br J Gen Pract. 2020 Feb 27;70(692):104-105. doi: 10.3399/bjgp20X708329. Print 2020 Mar.

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