The Feasibility and Impact of a Suicide Risk Screening Program in Rural Adult Primary Care: A Pilot Test of the Ask Suicide-Screening Questions Toolkit

IF 3.4 Q2 Medicine
Mary A. LeCloux Ph.D. , Mathew Weimer M.D. , Stacey L. Culp Ph.D. , Karissa Bjorkgren B.S. , Samantha Service M.S. , John V. Campo M.D.
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引用次数: 11

Abstract

Objective

The purpose of this study was to evaluate the feasibility and impact of a suicide risk screening program in a rural West Virginia primary care practice.

Methods

Patients presenting for routine and sick visits were asked to participate in electronic suicide risk screening using the Ask Suicide-Screening Questions tool; screen positive individuals were assessed with the Ask Suicide-Screening Questions Brief Suicide Safety Assessment. Screening program feasibility was evaluated by the proportion of patients consenting to participate, participant Ask Suicide-Screening Questions and Brief Suicide Safety Assessment completion rates, and response to a question asking whether primary care providers should ask about suicide. Screening impact was evaluated quasi-experimentally by comparing electronic medical record documentation of suicide risk screening, assessment, and risk determination in practice patients before and after implementing the screening program.

Results

Over half of the patients approached agreed to participate in a research study about suicide (N = 196; 57.7%). Feasibility of the screening program was demonstrated by the high completion rates for the Ask Suicide-Screening Questions (99.0%) and the Brief Suicide Safety Assessment (100.0%) among study participants. Additionally, 95.4% (N = 187) of participants agreed primary care providers should screen patients for suicide. Suicide screening rates rose significantly between the baseline and intervention phases (5.8% to 61.0%; X2 = 200.61, P < 0.001), as did suicide risk detection rates (0.7% to 6.2%; X2 = 12.58, P < 0.001).

Conclusion

Suicide risk screening was feasible and well accepted by adult patients in rural primary care and has potential to improve suicide risk detection in this setting.

农村成人初级保健自杀风险筛查项目的可行性和影响:自杀筛查问题询问工具包的试点测试
目的本研究的目的是评估自杀风险筛查项目在西弗吉尼亚州农村初级保健实践中的可行性和影响。方法采用“询问自杀筛查问题”(Ask suicide screening Questions)工具,要求就诊的患者参与电子自杀风险筛查;对筛查阳性个体进行自杀筛查问题简要自杀安全评估。筛选方案的可行性通过同意参与的患者比例、参与者询问自杀筛选问题和简要自杀安全评估完成率以及对初级保健提供者是否应该询问自杀问题的回答来评估。通过比较实施筛查计划前后患者自杀风险筛查、评估和风险确定的电子病历文件,对筛查的影响进行准实验评估。结果超过一半的患者同意参加一项关于自杀的研究(N = 196;57.7%)。筛选方案的可行性通过研究参与者自杀筛选问题的高完成率(99.0%)和简要自杀安全评估(100.0%)得到证明。此外,95.4% (N = 187)的参与者同意初级保健提供者应该对患者进行自杀筛查。自杀筛查率在基线和干预阶段之间显著上升(5.8%至61.0%;X2 = 200.61, P <0.001),自杀风险检出率也是如此(0.7%至6.2%;X2 = 12.58, P <0.001)。结论自杀风险筛查在农村初级保健成人患者中是可行的,且被广泛接受,具有提高自杀风险检测水平的潜力。
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来源期刊
Psychosomatics
Psychosomatics 医学-精神病学
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The mission of Psychosomatics is to be the leading psychiatry journal focused on the care of patients with comorbid medical and psychiatric illnesses. The scope of Psychosomatics includes original research, review articles and clinical reports that address psychiatric aspects of medical illnesses and their management. Areas of particular interest include: the effect of co-morbid psychiatric conditions on the management of medical illness; the psychiatric management of patients with comorbid medical illness; educational content for physicians and others specializing in consultation-liaison (C-L) psychiatry; and, the provision of psychiatric services to medical populations, including integrated care.
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