Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, U.S. Department of Veterans Affairs (VA), Portland, OR, USA.
Department of Psychiatry, Oregon Health & Science University (OHSU), Portland, OR, USA.
Implement Sci. 2024 Feb 26;19(1):20. doi: 10.1186/s13012-024-01350-2.
Implementation strategies can be a vital leveraging point for enhancing the implementation and dissemination of evidence-based suicide prevention interventions and programming. However, much remains unknown about which implementation strategies are commonly used and effective for supporting suicide prevention efforts.
In light of the limited available literature, a scoping review was conducted to evaluate implementation strategies present in current suicide prevention studies. We identified studies that were published between 2013 and 2022 that focused on suicide prevention and incorporated at least one implementation strategy. Studies were coded by two independent coders who showed strong inter-rater reliability. Data were synthesized using descriptive statistics and a narrative synthesis of findings.
Overall, we found that studies most commonly utilized strategies related to iterative evaluation, training, and education. The majority of studies did not include direct measurement of suicide behavior outcomes, and there were few studies that directly tested implementation strategy effectiveness.
Implementation science strategies remain an important component for improving suicide prevention and intervention implementation. Future research should consider the incorporation of more type 3 hybrid designs as well as increased systematic documentation of implementation strategies.
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实施策略可以成为增强基于证据的自杀预防干预措施和计划实施和传播的重要着力点。然而，对于哪些实施策略常用于支持自杀预防工作以及哪些策略是有效的，我们仍知之甚少。
鉴于现有文献有限，我们进行了范围综述，以评估当前自杀预防研究中存在的实施策略。我们确定了发表于 2013 年至 2022 年期间、专注于自杀预防并纳入至少一种实施策略的研究。研究由两名独立的编目员进行编码，他们的评分具有很强的一致性。使用描述性统计和发现的叙述性综合来对数据进行综合。
总体而言，我们发现研究最常使用与迭代评估、培训和教育相关的策略。大多数研究没有直接测量自杀行为的结果，并且很少有研究直接测试实施策略的有效性。
实施科学策略仍然是改善自杀预防和干预措施实施的重要组成部分。未来的研究应考虑更多的 3 型混合设计，以及更系统地记录实施策略。
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