Fröding Elin, Vincent Charles, Andersson-Gäre Boel, Westrin Åsa, Ros Axel
Jönköping Academy for Health and Welfare, Jönköping University and Region Jönköping County, Jönköping, Sweden.
Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom.
Front Health Serv. 2025 Feb 25;5:1519124. doi: 10.3389/frhs.2025.1519124. eCollection 2025.
This study aims to provide a deeper understanding of what persons with lived experience and professionals with experience of patient safety, suicide research, and investigations consider to be most important in investigations of healthcare before suicide to learn and improve the care of suicidal patients.
This is a qualitative study based on 15 semistructured interviews with persons with lived experience of suicidality and professionals. Thematic analysis was used.
The persons with lived experience and the professionals agreed that a holistic approach to the investigations is crucial. They should embrace a longer period of time, involve family and significant others, integrate the perspective and expectations of the patient, and analyze factors of significance for suicidality, suicide prevention, and safety. There is a need to improve the investigations through the involvement of all stakeholders and actors, securing competence in the investigation team and prioritizing cases to investigate.
Substantial changes in the approach and performance of investigations of suicide in healthcare are needed to make these investigations valuable for increasing the safety of the care of suicidal patients. A holistic perspective during the analysis is crucial for understanding the suicidal process, the interacting factors, and the care process preceding suicide. Competencies in suicidality, suicide prevention, and patient safety must be included in the analysis team to ensure high quality and relevance. To improve the value of these investigations, we suggest establishing a template based on current knowledge to ensure attention to variables of significance for a safe care of suicidal patients.
本研究旨在更深入地了解有自杀经历者以及在患者安全、自杀研究和调查方面有经验的专业人员认为在自杀前医疗调查中最重要的因素，以便学习并改善对自杀患者的护理。
这是一项基于对15名有自杀经历者和专业人员进行半结构化访谈的定性研究。采用了主题分析法。
有自杀经历者和专业人员一致认为，对调查采取整体方法至关重要。调查应涵盖更长时间段，纳入家庭和重要他人，整合患者的观点和期望，并分析对自杀倾向、自杀预防和安全具有重要意义的因素。需要通过所有利益相关者和行为者的参与、确保调查团队具备相应能力以及对调查案件进行优先级排序来改进调查。
医疗保健领域自杀调查的方法和执行需要进行重大变革，以使这些调查对于提高自杀患者护理的安全性具有价值。分析过程中的整体视角对于理解自杀过程、相互作用的因素以及自杀前的护理过程至关重要。分析团队必须具备自杀倾向、自杀预防和患者安全方面的能力，以确保高质量和相关性。为提高这些调查的价值，我们建议根据现有知识建立一个模板，以确保关注对自杀患者安全护理具有重要意义的变量。
