The Development of a Brief Suicide Screening and Risk Assessment Training Webinar for Rural Primary Care Practices.

Rural mental health Pub Date : 2018-01-01 Epub Date: 2017-12-18 DOI:10.1037/rmh0000087
Mary LeCloux
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Abstract

Although primary care practices have the potential to be crucial intervention points for suicide prevention in rural areas of the United States, primary care staff are often underequipped to deal with suicide and have limited access to high-quality training opportunities on this topic. This manuscript reports on posttest data collected from a sample of primary care staff (N = 16) regarding the acceptability of a brief, online interactive training webinar designed for primary care practices in rural West Virginia. The majority of participants reported the webinar was relevant to their practices (73.3%) and that they would recommend it to a fellow professional (75.0%). Higher proportions of participants reported confidence (75.0%) and comfort (68.8%) asking patients about suicide than they did regarding their ability to complete a risk assessment (50.1%) and a safety plan (56.3%) with a suicidal individual. Only half (56.3%) thought it was important to screen all primary care patients for suicide. Future research should use tracked pre- and posttest data to evaluate the effectiveness of trainings that include a focus on risk assessment and safety planning, education about the potential benefits of universal suicide risk screening, and that can be delivered through asynchronous methods.

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为农村基层医疗机构举办自杀筛查和风险评估培训网络研讨会。
尽管初级医疗机构有可能成为美国农村地区预防自杀的关键干预点,但初级医疗机构的工作人员往往缺乏处理自杀问题的能力,而且获得有关这一主题的高质量培训机会也很有限。本手稿报告了针对西弗吉尼亚州农村地区初级保健实践设计的简短在线互动培训网络研讨会的可接受性,从初级保健人员样本(N = 16)中收集的测试后数据。大多数参与者表示,网络研讨会与他们的实践相关(73.3%),他们会向其他专业人员推荐(75.0%)。在向患者询问自杀问题时,有信心(75.0%)和自在(68.8%)的参与者比例高于对有自杀倾向的患者完成风险评估(50.1%)和安全计划(56.3%)的能力。只有一半(56.3%)的人认为对所有初级保健患者进行自杀筛查很重要。未来的研究应使用测试前后的跟踪数据来评估培训的有效性,培训应重点关注风险评估和安全计划、有关普遍自杀风险筛查潜在益处的教育,并可通过异步方式进行。
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