关键词: Clinician training safety planning suicide youth

Mesh : Adolescent Humans Suicidal Ideation Suicide Prevention Self Efficacy Mental Health Suicide / psychology

来  源:   DOI:10.1080/13811118.2023.2183163

Abstract:
UNASSIGNED: Safety planning is a critical evidence-based intervention used to prevent suicide among individuals who report suicidal ideation or behavior. There is a dearth of research on optimal ways to disseminate and implement safety plans in community settings. The present study examined one implementation strategy, a 1-hour virtual pre-implementation training, designed to teach clinicians to effectively use an electronic safety plan template (ESPT), integrated with suicide risk assessment tools, in the context of a measurement feedback system. We examined the effect of this training on clinician knowledge and self-efficacy in use of safety planning as well as ESPT completion rates.
UNASSIGNED: Thirty-six clinicians across two community-based clinical psychology training clinics completed the virtual pre-implementation training as well as pre- and post-training knowledge and self-efficacy assessments. Twenty-six clinicians completed a 6-month follow-up term.
UNASSIGNED: Clinicians reported significant improvements in self-efficacy and knowledge from pre- to post-training. They retained significant improvements in self-efficacy and a trend toward greater knowledge at the 6-month follow-up. Of the clinicians who worked with suicidal youth, 81% attempted to use an ESPT and 63% successfully completed all sections of the ESPT. Reasons for partial completion included technological difficulties and time constraints.
UNASSIGNED: A brief virtual pre-implementation training can improve clinician knowledge and self-efficacy in use of an ESPT with youth at risk for suicide. This strategy also holds the potential to improve the adoption of this novel evidence-based intervention in community-based settings.
摘要:
UASSIGNED:安全计划是一种基于证据的关键干预措施,用于预防报告有自杀意念或行为的个人的自杀。缺乏在社区环境中传播和实施安全计划的最佳方法的研究。本研究检查了一种实施策略,1小时的虚拟实施前培训,旨在教临床医生有效使用电子安全计划模板(ESPT),与自杀风险评估工具相结合,在测量反馈系统的背景下。我们检查了这种培训对使用安全计划的临床医生知识和自我效能感以及ESPT完成率的影响。
UNASSIGNED:两个基于社区的临床心理学培训诊所的36名临床医生完成了虚拟的实施前培训以及培训前后的知识和自我效能评估。26名临床医生完成了为期6个月的随访。
UNASSIGNED:临床医生报告说,从培训前到培训后,自我效能和知识都有了显着改善。他们在6个月的随访中保持了自我效能感的显着改善和知识的增加趋势。在与自杀青年一起工作的临床医生中,81%的人尝试使用ESPT,63%的人成功完成了ESPT的所有部分。部分完成的原因包括技术困难和时间限制。
UNASSIGNED:简短的虚拟实施前培训可以提高临床医生对有自杀风险的青少年使用ESPT的知识和自我效能。该策略还具有改善在社区环境中采用这种新颖的循证干预措施的潜力。
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