Harris Brett R, Harris Donald, Flanagan Elizabeth, Mariani Abigail, Hay Terri A
Public Health Research Department, NORC at the University of Chicago, 4350 East-West Highway, 8th Floor, Bethesda, MD, 20814, USA.
Department of Health Policy, Management, and Behavior, University at Albany School of Public Health, One University Place, Rensselaer, NY, 12144, USA.
Community Ment Health J. 2025 Jan;61(1):87-94. doi: 10.1007/s10597-024-01329-9. Epub 2024 Jul 31.
Suicide is a significant public health problem, yet barriers to treatment remain. To address barriers and meet needs, Congress designated a new 988 dialing code to increase utilization of the National Suicide Prevention Lifeline. As a result, call volume increased, and demand for community-based crisis services is expected. To examine the availability of community-based crisis care, we analyzed information collected from 2020 to 2022 Crisis Intercept Mapping (CIM) technical assistance workshops conducted with communities across the country. We found that training and implementation of suicide risk screening, safety planning, lethal means safety, and follow-up were limited and inconsistent among communities in our study. Collaboration was variable, impacting the ability of communities to support care transitions. Participants described multiple barriers to the routine implementation of evidence-based care and identified potential solutions for addressing them. Findings suggest a need for relationship building and targeted education and training to meet future demand for crisis care.
自杀是一个重大的公共卫生问题，但治疗障碍依然存在。为了消除障碍并满足需求，国会指定了新的988拨号代码，以提高国家预防自杀生命线的利用率。结果，呼叫量增加了，对社区危机服务的需求也随之而来。为了研究社区危机护理的可及性，我们分析了2020年至2022年期间与全国各地社区举办的危机拦截映射（CIM）技术援助研讨会收集的信息。我们发现，在我们的研究中，自杀风险筛查、安全规划、致命手段安全和后续跟进的培训与实施在各社区中有限且不一致。协作情况各不相同，影响了社区支持护理过渡的能力。参与者描述了循证护理常规实施的多重障碍，并确定了应对这些障碍的潜在解决方案。研究结果表明，需要建立关系以及进行有针对性的教育和培训，以满足未来对危机护理的需求。
