Summary of Evidence on the Safety Management of Non-Suicidal Self-Injury Behaviors in Adolescents in General Hospitals

Xiaoxia Jian, Chunlei Luo, Junjian Xiao, Yanyan Huang, Zhenyan Wei, Chen Fang, Zhen Yang, Liping Huang
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Abstract

The current study was conducted to summarize the evidence related to the safety management of non-suicidal self-injury behaviors in adolescents in general hospitals, providing a basis for clinical medical staff to carry out appropriate safety management practices. We systematically searched domestic and international databases and guideline websites for literature on the safety management of non-suicidal self-injury behaviors in adolescents. The search period was from the establishment of the database to April 2024. Three researchers independently conducted literature quality evaluation, evidence extraction, and summarization. A total of 11 articles were included, consisting of four guidelines, five systematic reviews, one meta-analysis, and one expert consensus. Evidence was summarized in five aspects: building a multidisciplinary safety team, assessing self-injury risk, ensuring the safety of the ward environment, safety intervention strategies, and health education, comprising 22 pieces of evidence. In conclusion, the best evidence-based practice for the safety management of non-suicidal self-injury behaviors in adolescents provides a reference for clinical practice. Proceeding with clinical transformation to improve nursing quality and ensure patient safety is recommended.

Abstract Image

综合医院青少年非自杀性自伤行为安全管理证据综述
本研究旨在总结综合医院青少年非自杀性自伤行为安全管理的相关证据,为临床医务人员开展适当的安全管理实践提供依据。我们系统地检索国内外数据库和指南网站,获取有关青少年非自杀性自伤行为安全管理的文献。检索期为数据库建立至2024年4月。三位研究者独立进行文献质量评价、证据提取和总结。共纳入11篇文章,包括4篇指南、5篇系统综述、1篇元分析和1篇专家共识。证据总结为建立多学科安全团队、评估自伤风险、确保病区环境安全、安全干预策略和健康教育5个方面,共22条证据。综上所述,最佳循证实践为青少年非自杀性自伤行为的安全管理提供了临床实践参考。建议进行临床改造,提高护理质量,确保患者安全。
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