Embedding an Evidence-Based Model for Suicide Prevention in the National Health Service: A Service Improvement Initiative
| Autor: | David A. Jobes, Richard Melling, Mike Reeve, Zaffer Iqbal, Frances Burbidge, Victoria Ayres, Sophie Brown, Aamer Sajjad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Mental Health Services
medicine.medical_specialty Evidence-based practice Health Toxicology and Mutagenesis suicidality lcsh:Medicine Suicide prevention Article State Medicine 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Bespoke Service (business) Evidence-Based Medicine Mental Disorders lcsh:R Public Health Environmental and Occupational Health Models Theoretical National health service Mental health Triage United Kingdom 030227 psychiatry Family medicine service model Service improvement Psychology CAMS suicide prevention service improvement |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 14 International Journal of Environmental Research and Public Health, Vol 17, Iss 4920, p 4920 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17144920 |
| Popis: | Despite the improved understanding of the determinants of suicide over recent decades, the mean suicide rate within the United Kingdom (UK) has remained at 10 per 100,000 per annum, with about 28% accessing mental health services in the 12 months prior to death. In this paper, we outlined a novel systems-level approach to tackling this problem through objectively differentiating the level of severity for each suicide risk presentation and providing fast-track pathways to care for all, including life-threatening cases. An additional operational challenge addressed within the proposed model was the saturation of local crisis mental health services with approximately 150 suicidality referrals per month, including non-mental health cases. This paper discussed a service improvement initiative undertaken within a National Health Service (NHS) secondary care mental health provider&rsquo s open-access 24/7 crisis and home treatment service. An organisation-wide bespoke &ldquo suicide risk triage&rdquo system utilising the Collaborative Assessment and Management of Suicidality (CAMS) was implemented across all services. The preliminary impacts on suicidality, suicide rates and service user outcomes were described. |
| Databáze: | OpenAIRE |
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