两个急诊科自杀危机患者的特征和结果:服务评估。

Lottie Anstee, Sabrina Richards, Chetan Shah, Rakesh Magon, Asif Zia
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引用次数: 0

摘要

急诊科(ED)为护士提供了支持预防自杀的重要机会。本文详细介绍了一项服务评估,该评估旨在探究 2023 年 6 月期间英格兰东部两家急诊室自杀危机患者的特征和结果。由急诊室心理健康联络小组定期收集的数据与当地 NHS 心理健康信托机构电子病历的回顾性病例记录相结合。就诊者的平均年龄为 35 岁零 7 个月,通常被诊断为抑郁症或情绪不稳定型人格障碍。大多数人都有自残史,目前已被精神卫生服务机构发现。护士很少记录针对自杀的干预措施,而且患者在就诊后普遍存在复发行为。地方和国家自杀预防战略应鼓励护士弥补支持方面的不足,从而改善患者在急诊室内外的体验。
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Characteristics and outcomes of people in suicidal crisis at two emergency departments: a service evaluation.

Emergency departments (EDs) provide critical opportunities for nurses to support suicide prevention. This article details a service evaluation that was undertaken to explore the characteristics and outcomes of people in suicidal crisis at two EDs in the East of England during June 2023. Data routinely collected by the ED mental health liaison team were combined with a retrospective case note review of the local NHS mental health trust's electronic patient records. Attendees had a mean age of 35 years and seven months, and were often diagnosed with depression or emotionally unstable personality disorder. Most had a history of self-harm and were currently known to mental health services. Suicide-specific interventions were rarely recorded by nurses and relapse behaviours were prevalent after presentation. Local and national suicide prevention strategies should encourage nurses to address gaps in support, thereby improving patients' experiences in and beyond the ED.

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