Hultsjö Sally, Jormfeldt Henrika, Allstrin Ester, Karlsson Andreas
Department of Psychiatry, Ryhov County Hospital, Jönköping, Sweden.
Division of Nursing and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
J Psychiatr Ment Health Nurs. 2025 Jun;32(3):740-750. doi: 10.1111/jpm.13150. Epub 2025 Jan 4.
Suicide is a leading cause of death worldwide. Following a suicide attempt, many patients receive suicide follow-up interventions (SFI) from outpatient mental health care services, where outpatient mental health nurses play a crucial role. There is an urgent need to raise awareness of improvements and opportunities for development in this aspect of care to gain insights into potential areas for improvement and opportunities for development.
To investigate outpatient mental health nurses' experiences of SFI.
A qualitative interview study was conducted with 10 outpatient mental health nurses. Conventional content analysis was used to analyse the data.
Three categories emerged: connecting with and understanding suicidal patients, being dependent on adequate conditions for SFI, and feeling competent but vulnerable in SFI.
Providing structured training for nurses to address patients with particularly challenging conditions is vital, as SFI entails complex and challenging situations. Training that incorporates proven methods from other interventions, involving the expertise of those with lived experience, employers, and academics, can offer significant advantages. Promoting increased collaboration can enhance the safety of assessments.
Team-based SFI can enhance suicide follow-up intervention services in psychiatric outpatient care.
自杀是全球主要的死亡原因之一。自杀未遂后，许多患者会接受门诊心理健康服务机构提供的自杀后续干预措施（SFI），门诊心理健康护士在其中发挥着关键作用。迫切需要提高对这一护理领域改进和发展机会的认识，以深入了解潜在的改进领域和发展机会。
调查门诊心理健康护士对自杀后续干预措施的体验。
对10名门诊心理健康护士进行了定性访谈研究。采用常规内容分析法对数据进行分析。
出现了三个类别：与自杀患者建立联系并理解他们、依赖自杀后续干预措施的适当条件以及在自杀后续干预措施中感到有能力但脆弱。
由于自杀后续干预措施涉及复杂且具有挑战性的情况，为护士提供针对特别具有挑战性情况的患者的结构化培训至关重要。结合其他干预措施中经过验证的方法、有实际经验者、雇主和学者的专业知识的培训可能会带来显著优势。促进加强合作可以提高评估的安全性。
基于团队的自杀后续干预措施可以加强精神科门诊护理中的自杀后续干预服务。
