Shin Hwayeon Danielle, Kemp Jessica, Groves Samantha, Bennett-Poynter Laura, Pape Charlotte, Lascelles Karen, Strudwick Gillian
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
J Psychiatr Ment Health Nurs. 2025 Feb;32(1):217-241. doi: 10.1111/jpm.13102. Epub 2024 Sep 8.
Prior mental healthcare utilisation presents an important window of opportunity for providing suicide prevention interventions. To date, no reviews have consolidated the help-seeking needs of individuals in contact with mental health services. This warrants further attention given this group may have different needs for interventions compared with the general population who have not sought help previously.
The purpose of this rapid scoping review was to summarise the available literature on help-seeking needs related to suicide prevention among individuals in contact with mental health services from healthcare settings.
Cochrane rapid review and Joanna Briggs Institute scoping review methodologies were adapted, and databases, including MEDLINE, Scopus, CINAHL, PsycInfo and EMBASE, were searched.
A total of 42 primary studies were included in analysis. Reported barriers and facilitators to help-seeking behaviours identified within studies were mapped onto the socio-ecological model. Barriers and facilitators identified included knowledge and attitudes towards healthcare utilisation, family and peer support, interactions with healthcare professionals, provision of holistic care, and the creation of a supportive atmosphere and safe space to promote open discussions of suicide-related concerns.
The findings of this review offer valuable insights into areas for improvement in addressing help-seeking needs for individuals who are in contact with health services related to suicide prevention.
The findings serve as a foundation for shaping mental health initiatives informing approaches and care delivery tailored towards individuals who are in contact with health services. The reported barriers and facilitators offer insights to inform the development of mental health support tools to enhance care and considerations for evaluations.
既往的心理保健利用情况为提供自杀预防干预措施提供了一个重要的机会窗口。迄今为止，尚无综述对接触心理健康服务的个体的求助需求进行整合。鉴于与未曾寻求过帮助的普通人群相比，这一群体可能有不同的干预需求，因此值得进一步关注。
本快速范围综述的目的是总结现有文献中关于医疗保健机构中接触心理健康服务的个体自杀预防相关求助需求的情况。
采用了Cochrane快速综述和乔安娜·布里格斯研究所范围综述方法，并检索了包括MEDLINE、Scopus、CINAHL、PsycInfo和EMBASE在内的数据库。
共有42项原发性研究纳入分析。研究中确定的求助行为的报告障碍和促进因素被映射到社会生态模型上。确定的障碍和促进因素包括对医疗保健利用的知识和态度、家庭和同伴支持、与医疗保健专业人员的互动、提供整体护理以及营造支持性氛围和安全空间以促进对自杀相关问题的公开讨论。
本综述的结果为改善接触与自杀预防相关的卫生服务的个体的求助需求方面的改进领域提供了有价值的见解。
这些发现为塑造心理健康倡议提供了基础，为针对接触卫生服务的个体的方法和护理提供提供信息。报告的障碍和促进因素为开发心理健康支持工具提供了见解，以加强护理并为评估提供考虑因素。
