Baruch Ivcher School of Psychology, Reichman University, Herzliya, Israel.
Department of Psychology, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Front Public Health. 2024 Jan 8;11:1266717. doi: 10.3389/fpubh.2023.1266717. eCollection 2023.
Continuity of Care (CoC) is central to suicide prevention. The present study aims to review contemporary definitions, operationalization in research, and key components of CoC in the prevention of suicide.
The present study is a narrative review. A thorough search of available literature on CoC and suicidality was conducted. Studies published between 1995 and 2021 were reviewed and selected based on relevance to CoC and suicidality. Selected research was subsequently summarized to outline definitions of CoC, its operationalization in research, and key components for suicide prevention.
The definition, measurement, and operationalization of CoC in suicide prevention varies tremendously, derailing clinical practice. Key elements of CoC identified across the literature include (1) CoC across multiple levels of care, (2) the role of primary care providers and case managers in CoC of suicidal patients, (3) the importance of follow up contact with suicidal patients post-treatment, and (4) the role of national and institutional guidelines for CoC of suicidal patients. Limitations: There is a dearth of randomized controlled trials and insufficient evidence on specific populations.
CoC refers to a wide, complex concept that must be broken down into specific categories that can provide more nuanced guidance of research and clinical implications.
连续性护理（CoC）是预防自杀的核心。本研究旨在回顾当前关于预防自杀的 CoC 的定义、研究中的操作化以及关键组成部分。
本研究是一篇叙述性综述。对 CoC 和自杀相关的现有文献进行了全面搜索。根据与 CoC 和自杀相关的相关性，对 1995 年至 2021 年期间发表的研究进行了综述和选择。随后对选定的研究进行总结，概述 CoC 的定义、在研究中的操作化以及预防自杀的关键组成部分。
预防自杀中 CoC 的定义、测量和操作化差异极大，扰乱了临床实践。文献中确定的 CoC 的关键要素包括：（1）在多个护理层次上的 CoC；（2）初级保健提供者和病例管理者在自杀患者的 CoC 中的作用；（3）治疗后与自杀患者进行随访接触的重要性；（4）国家和机构指南在自杀患者的 CoC 中的作用。局限性：随机对照试验稀缺，特定人群的证据不足。
CoC 是一个广泛而复杂的概念，必须细分为特定类别，以便为研究和临床意义提供更细致的指导。
