School of Applied Sciences, University of Huddersfield, Huddersfield, UK.
Centre for Pharmacy Postgraduate Education (CPPE), University of Manchester, Manchester, UK.
Res Social Adm Pharm. 2023 Mar;19(3):517-525. doi: 10.1016/j.sapharm.2022.09.011. Epub 2022 Sep 22.
Community pharmacists are increasingly recognized as integral members in suicide prevention programs, as part of a multidisciplinary and multifaceted approach. However, further research is required to understand then optimize the whole pharmacy teams' role across sectors.
To explore pharmacy teams' experience of, and attitudes towards, suicide prevention in England.
A cross-sectional survey was purposively distributed to pharmacy staff in England before accessing an optional suicide awareness raising video, hosted by Centre for Pharmacy Postgraduate Education (CPPE), in September 2019-March 2021. Questions included demographics and experience of, attitudes towards, and preparedness for, suicide prevention. The 14-item Attitudes to Suicide Prevention (ASP) scale was used (possible range 14-70 with lower scores representing positive attitudes). Descriptive and comparative statistics were reported. Free-text comments were invited to explore respondents' experience of suicide prevention and reflexive thematic analysis used.
Of 403 respondents, 82% were female; most were pharmacists (59%) or pharmacy technicians (21%), with the remainder having other roles. Eighty-five percent worked in community pharmacy. Eleven percent had prior suicide prevention training, and 71% reported interacting with at least one patient about suicide. Most often, suicidality was disclosed by the patient (40%), with 6% of pharmacy staff having directly asked a patient about suicidal behavior or plans. The aggregated ASP score was 31.51 (SD 6.23), and role did not affect experience or attitude. Pharmacy teams' experiences of suicide prevention can be summarized by three major themes i) Exposure to suicide; ii) Responsibility for action; and iii) Access to means of suicide.
Pharmacy teams felt responsibility in caring for those at risk of suicide and had experience of this. Further training should include understanding of medicines means restriction and involve all roles and sectors of pharmacy. Pharmacy teams should be integrated into the 'circle of care' to access referral pathways.
社区药剂师越来越被认为是预防自杀计划中不可或缺的成员，是多学科和多方面方法的一部分。然而，需要进一步的研究来了解并优化整个药剂团队在各个领域的角色。
探讨英格兰药剂团队在预防自杀方面的经验和态度。
在 2019 年 9 月至 2021 年 3 月期间，通过英国药剂师协会向英格兰的药剂工作人员进行了一项横断面调查，调查之前他们先观看了由药剂师继续教育中心（CPPE）主持的可选自杀意识提高视频。问题包括人口统计学、预防自杀的经验、态度和准备情况。使用了 14 项自杀预防态度量表（ASP）（可能范围为 14-70，得分越低表示态度越积极）。报告了描述性和比较性统计数据。邀请了自由文本评论，以探讨受访者预防自杀的经验，并使用了反思性主题分析。
在 403 名受访者中，82%为女性；大多数是药剂师（59%）或药剂技师（21%），其余的则有其他角色。85%的人在社区药房工作。11%的人接受过预防自杀培训，71%的人报告至少与一位患者就自杀问题进行过交流。最常见的是，患者透露了自杀倾向（40%），而 6%的药剂师曾直接询问过患者是否有自杀行为或计划。汇总的 ASP 得分为 31.51（SD 6.23），角色并未影响经验或态度。药剂团队的预防自杀经验可以总结为三个主要主题：i）接触自杀；ii）采取行动的责任；iii）获取自杀手段。
药剂团队感到有责任照顾那些有自杀风险的人，并在这方面有经验。进一步的培训应包括对限制药物手段的理解，并应涉及药剂师的所有角色和部门。药剂团队应纳入“关怀圈”，以获取转介途径。
