Zhu Jinling, Ding Meizhu, Si Dongxu, Li Yingna, Yuan Zenghong, Li Danni, Deng LiLi, Tang Cuiying, Xiong Shuyun
Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong, 510000, China.
Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510000, China.
BMC Nurs. 2025 Jul 1;24(1):695. doi: 10.1186/s12912-025-03335-y.
Nurses play the role of "gatekeepers" in suicide prevention for hospitalized patients. This study aimed to explore the knowledge, attitudes, and practices (KAP) of general hospital nurses in Guangdong Province regarding suicide prevention in hospitalized patients and analyze the factors influencing these aspects.
A convenience sampling method was employed to survey general hospital nurses in Guangdong Province using the Questionnaire Star platform. Data were collected using a self-designed general information questionnaire, a KAP questionnaire on nurses' suicide prevention for hospitalized patients, the Perceived Social Support Scale, and the Work Engagement Scale. A total of 418 responses were submitted, with 12 invalid questionnaires excluded, yielding 406 valid questionnaires (valid response rate: 98.5%). Univariate analysis, multiple linear regression, and continuous variable forest plots were used to analyze the influencing factors.
A total of 406 nurses were included in the study, with an average age of 32.15 years (SD = 7.19), of which 93.8% were female. Nurses' work experience ranged from 0 to 37 years, with an average of 10.18 years (SD = 7.35). Among the study participants, 62.8% were married, 74.6% had a bachelor's degree or higher, 63.1% had never experienced a suicide incident among hospitalized patients, and 86.5% of their departments had a suicide prevention plan. The results of the multiple regression analysis showed that nurses' suicide prevention knowledge scores were significantly influenced by the following factors: participation in suicide prevention training ( β = 3.42, P < 0.001), use of suicide risk assessment tools ( β = 2.19, P < 0.05), perceived social support ( β = 0.12, P = 0.00231), and work engagement ( β = 0.19, P < 0.001). Nurses in "other" work roles scored significantly lower on knowledge ( β= -4.38, P < 0.05). In terms of suicide prevention attitudes, perceived social support ( β = 0.12, P < 0.001) and work engagement ( β = 0.08, P < 0.001) significantly improved attitude scores. Regarding suicide prevention practices, participation in suicide prevention training ( β = 2.60, P < 0.001) and use of suicide risk assessment tools ( β = 3.20, P < 0.05) were the main factors influencing practice scores.
The KAP of nurses in Guangdong Province's general hospitals regarding suicide prevention for hospitalized patients is at a moderate level. Systematic suicide prevention training, enhancing nurses' perceived social support, and improving work engagement are key measures to improve their KAP related to suicide prevention. The study provides empirical evidence for hospital managers to implement effective suicide prevention training and strengthen nurses'social support, and policymakers can use these findings to develop targeted policies to enhance hospital suicide prevention capabilities.
Not applicable.
护士在住院患者自杀预防中扮演着“守门人”的角色。本研究旨在探讨广东省综合医院护士对住院患者自杀预防的知识、态度和实践（KAP），并分析影响这些方面的因素。
采用便利抽样法，通过问卷星平台对广东省综合医院护士进行调查。使用自行设计的一般信息问卷、护士对住院患者自杀预防的KAP问卷、领悟社会支持量表和工作投入量表收集数据。共提交418份问卷，排除12份无效问卷，得到406份有效问卷（有效应答率：98.5%）。采用单因素分析、多元线性回归和连续变量森林图分析影响因素。
本研究共纳入406名护士，平均年龄32.15岁（标准差=7.19），其中93.8%为女性。护士的工作年限为0至37年，平均10.18年（标准差=7.35）。在研究参与者中，62.8%已婚，74.6%拥有本科及以上学历，63.1%从未经历过住院患者自杀事件，其所在科室86.5%有自杀预防计划。多元回归分析结果显示，护士自杀预防知识得分受以下因素显著影响：参加自杀预防培训（β=3.42，P<0.001）、使用自杀风险评估工具（β=2.19，P<0.05）、领悟社会支持（β=0.12，P=0.00231）和工作投入（β=0.19，P<0.001）。“其他”工作岗位的护士在知识得分上显著较低（β=-4.38，P<0.05）。在自杀预防态度方面，领悟社会支持（β=0.12，P<0.001）和工作投入（β=0.08，P<0.001）显著提高态度得分。关于自杀预防实践，参加自杀预防培训（β=2.60，P<0.001）和使用自杀风险评估工具（β=3.20，P<0.05）是影响实践得分的主要因素。
广东省综合医院护士对住院患者自杀预防的KAP处于中等水平。系统的自杀预防培训、增强护士的领悟社会支持和提高工作投入是改善其与自杀预防相关的KAP的关键措施。本研究为医院管理者实施有效的自杀预防培训和加强护士社会支持提供了实证依据，政策制定者可利用这些结果制定针对性政策，以提高医院自杀预防能力。
不适用。
