Sustainability and Outcomes of a Suicide Prevention Program for Nurses

Source avec lien : Worldviews on Evidence-Based Nursing, 17(1), 2020. 10.1111/wvn.12418

Nous savons maintenant que les infirmières sont plus exposées au risque de suicide que les autres dans la population générale. On sait que les facteurs de stress liés à l’emploi sont fréquents chez les infirmières qui meurent par suicide. Pourtant, on sait peu de choses sur la prévention ciblée du suicide chez les infirmières. Le premier programme de prévention du suicide centré sur les infirmières et intitulé « Healer Education Assessment and Referral » (HEAR) a été expérimenté pendant 6 mois en 2016. Le programme HEAR a été efficace pour identifier les infirmières à risque. L’objectif de ce document est de rendre compte de la durabilité et des résultats sur trois ans de ce programme de prévention du suicide pour les infirmières.

Background We now know that nurses are at greater risk for suicide than others in the general population. It is known that job stressors are prevalent in nurses who die by suicide. Yet, little is known about targeted suicide prevention for nurses. The first nurse-centric Healer Education Assessment and Referral (HEAR) suicide prevention program was piloted for 6 months in 2016. The HEAR program was effective in identifying at-risk nurses. Aim The purpose of this paper is to report the 3-year sustainability and outcomes of this nurse suicide prevention program. Methods Descriptive statistics are provided of program outcomes over the course of 3 years. Results Over the 3 years, 527 nurses have taken advantage of the screening portion of the program. Of these, 254 (48%) were Tier 1 high risk, and 270 (51.2%) were Tier 2 moderate risk. A startling 48 (9%) had expressed thoughts of taking their own life, 51 (9.7%) had a previous suicide attempt, whereas only 79 (15%) were receiving counseling or therapy. One hundred seventy-six nurses received support from therapists electronically, over the phone, or in person; 98 nurses accepted referral for treatment. The number of group emotional debriefs rose from eight in 2016 to 15 in 2017 to 38 in fiscal year 2019. Many of the debriefs are now requested (vs. offered), demonstrating the development of a culture open to reaching out for mental health treatment. Linking Evidence to Action The initial success of this pilot program has been sustained. A nurse suicide prevention program of education, assessment, and referral is feasible, well-received, proactively identifies nurses with reported suicidality and facilitates referral for care. The HEAR program has provided service to physicians and residents for 10 years and now supports effectiveness in nurses. The HEAR program is portable and ready for replication at other institutions.

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