Morena Alexandra L, Gaias Larissa M, Larkin Celine, Wang Yan, Kiefe Catarina, Boudreaux Edwin D
Department of Psychology, University of Massachusetts Lowell.
Department of Emergency Medicine, University of Massachusetts Chan Medical School.
Psychol Serv. 2025 Jul 28. doi: 10.1037/ser0000981.
Many who die by suicide seek care in general health care settings within a year before death, but only recently has suicide prevention become a core responsibility in these settings. Implementing suicide prevention practices is challenging, and common barriers to adoption include clinician attitudes and self-efficacy. Identifying clinician profiles can further illuminate patterns of suicide prevention practice attitudes and self-efficacy within clinician subgroups to inform implementation strategy selection and development. This study identified distinct clinician profiles of suicide prevention attitudes and confidence and examines their associations with suicide prevention practice delivery to patients. This study also investigated variables that help explain an individual's likelihood of belonging to latent profiles. Clinicians ( = 1,570) from one health care system completed a survey assessing attitudes, confidence in using suicide prevention practices, and current practice use. Latent profile analysis was conducted, followed by outcome and predictor analyses. Four unique profiles characterized by varying levels of attitudes and self-efficacy were identified. The profile characterized by poor attitudes toward the universal screening practice but high self-efficacy to utilize suicide prevention practices reported higher practice use with patients. Clinician characteristics (e.g., role) and contextual factors (e.g., leadership support) predicted profile membership. Results highlight meaningful variations in clinicians' suicide prevention attitudes and self-efficacy, identifying four distinct profiles. These findings highlight the need for further tailoring suicide prevention training and implementation strategy selection. Profiles characterized by neutral or low self-efficacy may benefit from implementation strategies that provide interactive assistance, while high confidence profiles may benefit from strategies targeting sustainment. Specific approaches to leverage these profiles for improved practice adoption are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
许多自杀身亡的人在死前一年内会在普通医疗环境中寻求治疗，但直到最近，自杀预防才成为这些环境中的一项核心责任。实施自杀预防措施具有挑战性，常见的采用障碍包括临床医生的态度和自我效能感。识别临床医生的特征可以进一步阐明临床医生亚组中自杀预防实践态度和自我效能感的模式，为实施策略的选择和制定提供信息。本研究确定了自杀预防态度和信心的不同临床医生特征，并考察了它们与向患者提供自杀预防实践之间的关联。本研究还调查了有助于解释个体属于潜在特征可能性的变量。来自一个医疗系统的1570名临床医生完成了一项调查，评估他们的态度、使用自杀预防措施的信心以及当前的实践使用情况。进行了潜在特征分析，随后进行了结果和预测因素分析。确定了四个独特的特征，其特点是态度和自我效能感水平各不相同。对普遍筛查实践态度不佳但利用自杀预防措施的自我效能感较高的特征，报告称对患者的实践使用更多。临床医生特征（如角色）和背景因素（如领导支持）预测了特征归属。结果突出了临床医生自杀预防态度和自我效能感的有意义差异，确定了四个不同的特征。这些发现凸显了进一步量身定制自杀预防培训和实施策略选择的必要性。以中性或低自我效能感为特征的特征可能受益于提供互动援助的实施策略，而高信心特征可能受益于针对维持的策略。讨论了利用这些特征来提高实践采用率的具体方法。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
