A Pilot Study of Clinicians' Perceptions of Feasibility, Client-Centeredness, and Usability of the Systematic Tailored Assessment for Responding to Suicidality Protocol.

Crisis Pub Date : 2022-12-01 Epub Date: 2021-06-30 DOI:10.1027/0227-5910/a000796
Jacinta Hawgood, Tamara Ownsworth, Helen Mason, Susan H Spence, Ella Arensman, Diego De Leo
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引用次数: 2

Abstract

Background: The Systematic Tailored Assessment for Responding to Suicidality (STARS) is a client-centered, psychosocial needs-based assessment protocol. This semistructured interview obtains client prioritized indicators that contribute to suicidality and informs commensurate care responses for preventing suicide. Aim: To pilot the feasibility, client-centeredness, and usability of the STARS protocol, including clinicians' perceptions of ease of use; content validity; and administration within the community setting. Method: A convenience sample of clinicians who undertook assessment and/or intervention with suicidal persons and had used STARS between mid-2016 and early 2017 completed an online survey assessing feasibility, client-centeredness, and usability of STARS. Results: Of the 51 clinicians who entered the survey, 42 (82.3%; aged 25-74; 69% female) completed it. Overall, perceptions of feasibility and usability of STARS were positive, particularly regarding client-centeredness of the protocol and confidence in information obtained for screening suicidality and informing needs-based priority responses. Limitations: The pilot findings are limited by the use of a small convenience sample and the low completion rate of clinicians with STARS training. Conclusion: STARS was perceived as a feasible and useful psychosocial needs-based assessment protocol. Suggestions for improving STARS, training requirements, and application to diverse populations are outlined.

Abstract Image

临床医生对响应自杀方案的系统定制评估的可行性、以客户为中心和可用性的看法的试点研究。
背景:应对自杀行为的系统定制评估(STARS)是一个以客户为中心,基于社会心理需求的评估方案。这种半结构化的访谈获得了客户优先考虑的指标,有助于自杀,并告知相应的护理反应,以防止自杀。目的:试点STARS方案的可行性、以客户为中心和可用性,包括临床医生对易用性的看法;内容效度;以及社区内的管理。方法:选取2016年中至2017年初对自杀患者进行评估和/或干预并使用STARS的临床医生作为方便样本,完成一项在线调查,评估STARS的可行性、以客户为中心和可用性。结果:参与调查的51名临床医生中,42名(82.3%;年龄在25 - 74;69%是女性)。总体而言,对STARS的可行性和可用性的看法是积极的,特别是在方案以客户为中心以及对筛选自杀行为和告知基于需求的优先反应所获得的信息的信心方面。局限性:试点结果受到使用小样本和临床医生STARS培训完成率低的限制。结论:STARS被认为是一种可行且有用的基于社会心理需求的评估方案。提出了改进STARS、培训要求和适用于不同人群的建议。
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