Implantación de la valoración y el cuidado de los adultos en riesgo de ideación y comportamiento suicidauna Guía de la Registered Nurses’ Association of Ontario (RNAO)

  1. Antonio Morales-Romero 1
  2. Esther González-María 2
  3. María Angustias Ramos-Ramos 1
  4. Leire Hidalgo-López 1
  5. Antonio José Zurita-Muñoz 1
  6. María Dolores Quiñoz-Gallardo 1
  7. María Dolores Cano-Caballero Gálvez 1
  8. Laura Albornos-Muñoz 3
  1. 1 Hospital Universitario Virgen de las Nieves, Granada, España
  2. 2 Unidad de investigación en Cuidados y Servicios de Salud (Investén-ISCIII), Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red. Área de Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, España
  3. 3 Unidad de investigación en Cuidados y Servicios de Salud (Investén-ISCIII), Instituto de Salud Carlos III, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Madrid, España
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Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2020

Volume: 30

Issue: 3

Pages: 155-159

Type: Article

DOI: 10.1016/J.ENFCLI.2019.10.028 DIALNET GOOGLE SCHOLAR

More publications in: Enfermería clínica

Sustainable development goals

Abstract

Objective To establish the evolution of the care process after the implementation of the Best Practices Guideline «Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour». Method A descriptive longitudinal study was carried out at the Mental Health Hospitalization Unit in Hospital Universitario Virgen de las Nieves, Granada. All patients admitted to the Unit between 2016 and 2018, 1471 in total, were included. Compliance of care process indicators and suicidal risk were evaluated; in addition, suicide rates per 100,000 inhabitants were obtained. Absolute and relative frequencies of the indicators were calculated, as well as the change during the study period by the chi-square Pearson test, for P<.05. Results We observed a statistically significant increase in the entire care process. The percentage of patients with suicidal risk assessment improved from 16% in 2016 to 45.25% in 2018. The application of safety measures grew reaching 100% in 2018, and community services referral went from 70.31% to 90.50%. The percentage of patients at risk of suicidal ideation remains stable. Suicide rates per 100,000 inhabitants in Granada decreased by 24.50%. Conclusions Improvement in the care process and the decrease in the suicide rate in Granada since the implementation of the guideline are consistent with the results of other research and offer a hopeful vision. Comprehensive strategies for suicide prevention must be promoted, and the evaluation of initiatives undertaken must continue.

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Funding information

Los autores expresan su agradecimiento al Grupo de Trabajo del Programa de implantaci?n de buenas pr?cticas en Centros Comprometidos con la Excelencia en Cuidados?, as? como a todos los profesionales, impulsores y colaboradores en la implantaci?n de la Gu?a de valoraci?n y el cuidado de los adultos en riesgo de ideaci?n y comportamiento suicida.

Bibliographic References

  • Instituto Nacional de Estadística. Defunciones según la Causa de Muerte. Año 2017
  • Organización Panamericana de la Salud. Prevención del suicidio: un imperativo global. Washington, DC: OPS; 2014
  • M. Miret, F.F. Caballero, R. Huerta-Ramírez, M.V. Moneta, B. Olaya, S. Chatterji, et al. Factors associated with suicidal ideation and attempts in Spain for different age groups. Prevalence before and after the onset of the economic crisis J Affect Disord., 163 (2014), pp. 1-9
  • Optimizing suicide prevention programs and their implementation in Europe (OSPI-Europe) [consultado 7 May 2019].
  • R.A. Bernert, M.A. Hom, L.W. Roberts A review of multidisciplinary clinical practice guidelines in suicide prevention: Toward an emerging standard in suicide risk assessment and management, training and practice Acad Psychiatry., 38 (2014), pp. 585-592
  • R. Grol, M. Wensing, M. Eccles, D. Davis Improving Patient Care: The implementation of Change in Clinical Practice (2 nd ed.), Wiley-Blackwell, Oxford (2013)
  • A. Fleischmann, E. Arensman, A. Berman, V. Carli, D. de Leo, G. Hadlaczky Overview evidence on interventions for population suicide with an eye to identifying best-supported strategies for LMICs Glob Ment Health (Camb)., 3 (2016), p. e5
  • Registered Nurses’ Association of Ontario Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour [Valoración y cuidado de adultos en riesgo de ideación y comportamiento suicida] Registered Nurses’ Association of Ontario, Toronto, Canada (2008)
  • B.S. Brodsky, A. Spruch-Feiner, B. Stanley The Zero Suicide model: Applying evidence-based suicide prevention practices to clinical care Front Psychiatry., 9 (2018), p. 33
  • D. While, H. Bickley, A. Roscoe, K. Windfuhr, S. Rahman, J. Shaw, et al. Implementation of mental health service recommendations in England and Wales and suicide rates, 1997-2006: A cross-sectional and before-and-after observational study Lancet., 379 (2012), pp. 1005-1012
  • D.P. De Beurs, M.H. de Groot, J. de Keijser, J. Mokkenstorm, E. van Duijn, R.F. de Winter, et al. The effect of an e-learning supported Train-the-Trainer programme on implementation of suicide guidelines in mental health care J Affect Disord., 1 (2015), pp. 446-453
Data source: Dialnet