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Abstract：
To establish the evolution of the care process after the implementation of the Best Practices Guideline «Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour».
A descriptive longitudinal study was carried out at the Mental Health Hospitalization Unit in Hospital Universitario Virgen de las Nieves, Granada. All patients admitted to the Unit between 2016 and 2018, 1471 in total, were included. Compliance of care process indicators and suicidal risk were evaluated; in addition, suicide rates per 100,000 inhabitants were obtained. Absolute and relative frequencies of the indicators were calculated, as well as the change during the study period by the chi-square Pearson test, for P<.05.
We observed a statistically significant increase in the entire care process. The percentage of patients with suicidal risk assessment improved from 16% in 2016 to 45.25% in 2018. The application of safety measures grew reaching 100% in 2018, and community services referral went from 70.31% to 90.50%. The percentage of patients at risk of suicidal ideation remains stable. Suicide rates per 100,000 inhabitants in Granada decreased by 24.50%.
Improvement in the care process and the decrease in the suicide rate in Granada since the implementation of the guideline are consistent with the results of other research and offer a hopeful vision. Comprehensive strategies for suicide prevention must be promoted, and the evaluation of initiatives undertaken must continue.
A descriptive longitudinal study was carried out at the Mental Health Hospitalization Unit in Hospital Universitario Virgen de las Nieves, Granada. All patients admitted to the Unit between 2016 and 2018, 1471 in total, were included. Compliance of care process indicators and suicidal risk were evaluated; in addition, suicide rates per 100,000 inhabitants were obtained. Absolute and relative frequencies of the indicators were calculated, as well as the change during the study period by the chi-square Pearson test, for P<.05.
We observed a statistically significant increase in the entire care process. The percentage of patients with suicidal risk assessment improved from 16% in 2016 to 45.25% in 2018. The application of safety measures grew reaching 100% in 2018, and community services referral went from 70.31% to 90.50%. The percentage of patients at risk of suicidal ideation remains stable. Suicide rates per 100,000 inhabitants in Granada decreased by 24.50%.
Improvement in the care process and the decrease in the suicide rate in Granada since the implementation of the guideline are consistent with the results of other research and offer a hopeful vision. Comprehensive strategies for suicide prevention must be promoted, and the evaluation of initiatives undertaken must continue.
摘要：
建立实施最佳实践指南“评估和照顾有自杀想法和行为风险的成年人”后护理过程的演变。
在VirgendelasNieves医院的精神卫生住院部门进行了描述性纵向研究，格拉纳达.2016年至2018年期间入住该单位的所有患者，总计1471名，包括在内。评估了护理过程指标的依从性和自杀风险；此外，获得了每10万居民的自杀率。计算了指标的绝对频率和相对频率，以及卡方皮尔森检验在研究期间的变化，P<0.05。
我们观察到整个护理过程在统计学上显着增加。自杀风险评估患者的百分比从2016年的16％提高到2018年的45.25％。2018年，安全措施的应用增长到100％，社区服务转诊从70.31％上升到90.50％。有自杀意念风险的患者百分比保持稳定。格拉纳达每10万居民的自杀率下降了24.50%。
自该指南实施以来，格拉纳达护理过程的改善和自杀率的下降与其他研究的结果一致，并提供了充满希望的愿景。必须推广预防自杀的综合策略,必须继续对所采取的举措进行评估。
在VirgendelasNieves医院的精神卫生住院部门进行了描述性纵向研究，格拉纳达.2016年至2018年期间入住该单位的所有患者，总计1471名，包括在内。评估了护理过程指标的依从性和自杀风险；此外，获得了每10万居民的自杀率。计算了指标的绝对频率和相对频率，以及卡方皮尔森检验在研究期间的变化，P<0.05。
我们观察到整个护理过程在统计学上显着增加。自杀风险评估患者的百分比从2016年的16％提高到2018年的45.25％。2018年，安全措施的应用增长到100％，社区服务转诊从70.31％上升到90.50％。有自杀意念风险的患者百分比保持稳定。格拉纳达每10万居民的自杀率下降了24.50%。
自该指南实施以来，格拉纳达护理过程的改善和自杀率的下降与其他研究的结果一致，并提供了充满希望的愿景。必须推广预防自杀的综合策略,必须继续对所采取的举措进行评估。
