Warwick Medical School, University of Warwick, Coventry, UK.
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Curr Opin Psychol. 2024 Oct;59:101854. doi: 10.1016/j.copsyc.2024.101854. Epub 2024 Jul 31.
Suicide is a leading cause of death for young people globally. Professional organizations such as the American Academy of Pediatrics (AAP) recommend suicide screening for every young person at every healthcare contact and these guidelines are now being implemented across the US. To optimize deployment of these guidelines, we draw on insights from two parallel fields, implementation science - or the study of how to support clinicians in providing evidence-based care within organizational constraints - and behavioral economics, which centers human decision-making. In this brief review, we offer potential barriers to suicide screening and strategies to address barriers drawing on these two literatures, illustrating how best to integrate insights from these fields for maximal impact.
自杀是全球年轻人的主要死因之一。美国儿科学会(AAP)等专业组织建议在每次医疗保健接触时对每个年轻人进行自杀筛查,这些指南现在正在全美范围内实施。为了优化这些指南的实施,我们借鉴了两个平行领域的见解,即实施科学——或研究如何在组织限制内支持临床医生提供基于证据的护理——以及行为经济学,其中心是人类决策。在这篇简短的综述中,我们提供了自杀筛查的潜在障碍,并提出了利用这两个文献来解决障碍的策略,说明了如何最好地整合这些领域的见解以产生最大影响。