背景:与普通人群相比,出院的精神病患者由于生活中的各种危险因素而自杀的风险更高。然而,这些患者出院后的具体问题和需求仍不清楚.这项研究构成了更广泛的实施研究的一部分,旨在制定针对中国精神病患者出院后自杀的干预策略。本研究旨在从患者的角度定性地调查问题和需求,他们的非专业医疗保健支持者(LHS),和精神卫生专业人员(MP),旨在提高介入策略的疗效。
方法:本研究是基于深圳康宁医院(SKH)的更大实施研究的一部分,广东,中国。在基于社区的参与式研究框架下,我们招募了出院的精神病患者,他们的LHS,议员们作为一个协作的社区团队,我们对患者和LSHs进行了个人深入访谈,并对国会议员进行了焦点小组访谈.我们利用主题分析方法通过系统地编码和分析数据来识别访谈中的子主题和主题。
结果:共招募了45名参与者进行访谈,包括17名患者,8个LHS,20个议员我们进行了25次个人深度访谈和3次焦点小组访谈。通过采访,我们确定了出院后问题的三个主题:与自我有关的问题,家庭问题,社会和社区相关问题。我们还确定了与减少出院后自杀有关的四个主题:积极的自我管理,多功能亲戚,多功能MP组,一个温暖的社会。强烈强调了LHS的切实支持和国会议员的情感支持。后续干预措施被认为是解决这些未满足需求的最重要方法。社区的工具支持以及对精神障碍患者的关怀和非歧视性环境对于降低自杀风险至关重要。
结论:建立一个连接精神病患者的综合精神卫生保健服务网络,LHS,国会议员跨越社区和社会部门,以患者为中心的后续护理为核心,是更好地满足患者需求和减少出院后自杀的实用方法。
背景:注册号:NCT04907669。注册日期:5月26日,2021年。
Discharged psychiatric patients are at higher risk of suicide due to various risk factors in their lives compared to the general population. However, specific problems and needs of these patients after discharge remain unclear. This research constitutes a segment of a broader implementation study designed to formulate an interventional strategy targeting post-discharge suicide among Chinese psychiatric patients. The present study seeks to qualitatively investigate the problems and needs from the perspectives of patients, their lay healthcare supporters (LHSs), and mental health professionals (MPs), aiming to enhance the efficacy of the interventional strategy.
This study is part of a larger implementation study based on Shenzhen Kangning Hospital (SKH) in Shenzhen, Guangdong,
China. Under the community-based participatory research framework, we recruited discharged psychiatric patients, their LHSs, and MPs as a collaborative community team, and we conducted individual in-depth interviews for patients and LSHs and focus group interviews with MPs. We utilized a thematic analysis approach to identify sub-themes and themes from interviews through systematically coding and analyzing the data.
A total of 45 participants were recruited for interviews, comprising 17 patients, 8 LHSs, and 20 MPs. We conducted 25 individual in-depth interviews and 3 focus group interviews. Through the interviews, we identified three themes of post-discharge problems: problems related to self, family-related problems, societal and community-related problems. We also identified four themes related to reducing post-discharge suicide: proactive self-management, multifunctional relatives, multifunctional MP group, and a warm society. The tangible support from LHSs and emotional support from MPs are strongly emphasized. Follow-up interventions were identified as the most significant way to addressing these unmet needs. Instrumental support from the community and a caring and non-discriminatory environment for individuals with mental disorders are essential for reducing suicide risk.
Establishing an integrated mental health care service network that connects psychiatric patients, LHSs, and MPs cross community and societal sectors, with patient-centered follow-up care at its core, is a practical approach to better address patients\' needs and reduce post-discharge suicide.
Registration number: NCT04907669. Date of registration: May 26th,2021.