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Clinician Attitudes Toward Suicide Prevention Practices and Their Implementation: Findings From the System of Safety Study.
- Source :
-
Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2024 Jun 01; Vol. 75 (6), pp. 534-542. Date of Electronic Publication: 2023 Dec 21. - Publication Year :
- 2024
-
Abstract
- Objective: The authors aimed to assess clinicians' attitudes toward suicide-related practices and their implementation, across roles and settings, before implementation of the Zero Suicide model in a health care system.<br />Methods: Clinicians (N=5,559) were invited to complete a survey assessing demographic characteristics; confidence and self-reported suicide-related practice; leadership buy-in; and attitudes toward suicide prevention, safety planning, and continuous quality improvement (CQI).<br />Results: Of 1,224 respondents, most felt confident conducting suicide screening but less confident performing other suicide-related care. Provider role and care setting were significantly associated with confidence (p<0.001, Kruskal-Wallis H test) and practice (p<0.001, Kruskal-Wallis H test) of providing suicide prevention care, with behavioral health providers and providers in the emergency department (ED) reporting the highest confidence. Attitudes toward safety planning were more positive among women (p<0.001, t test) and behavioral health providers (p<0.001, F test) than among their counterparts or peers. Positive attitudes toward CQI were significantly associated with male sex (p=0.01), non-White race (p=0.03), younger age (p=0.02), fewer years working in health care (p<0.001), administrative role (p<0.001), working in the ED (p<0.001), outpatient settings (p<0.02), and medical provider role (p<0.001).<br />Conclusions: Behavioral health providers and those in the ED reported feeling prepared to deliver suicide-related care, with nurses feeling less confident and less supported. Initiatives to improve suicide-related care should account for clinical role and care setting during planning. CQI could help engage a broader range of clinicians in suicide-related care improvements.<br />Competing Interests: The authors report no financial relationships with commercial interests.
Details
- Language :
- English
- ISSN :
- 1557-9700
- Volume :
- 75
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Psychiatric services (Washington, D.C.)
- Publication Type :
- Academic Journal
- Accession number :
- 38124552
- Full Text :
- https://doi.org/10.1176/appi.ps.20230082