Abstract:
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.
摘要:
急诊科(ED)为护士提供了支持自杀预防的重要机会。本文详细介绍了一项服务评估,该评估旨在探索2023年6月在英格兰东部的两个ED中处于自杀危机中的人的特征和结果。ED精神卫生联络小组常规收集的数据与当地NHS精神卫生信托的电子患者记录的回顾性病例记录相结合。与会者的平均年龄为35岁零7个月,常被诊断为抑郁症或情绪不稳定的人格障碍。大多数人都有自残史,目前被精神卫生服务机构所知。护士很少记录针对自杀的干预措施,并且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解决支持方面的差距,从而改善患者在ED内外的体验。