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首页> 外文期刊>Neuropsychiatric Disease and Treatment >Assessing suicide management skills of emergency medical services providers before and after suicide intervention/prevention training with Lithuanian version of suicide intervention response inventory
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Assessing suicide management skills of emergency medical services providers before and after suicide intervention/prevention training with Lithuanian version of suicide intervention response inventory

机译：使用立陶宛语版本的自杀干预应对清单评估自杀干预/预防培训前后的紧急医疗服务提供者的自杀管理技能

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Background: Effective suicide management skills of emergency medical services (EMS) providers are crucially important in Lithuania, which has the highest suicide rates in Europe. Methods: Respondents were 268 EMS providers, doctors (n=78) and nurses (n=190), who agreed to participate in suicide prevention/intervention training and completed the survey twice. Study was conducted in five steps: adaptation of Lithuanian version of Suicide Intervention Response Inventory (SIRI-LT); initial assessment of suicide counseling skills of the EMS providers using SIRI-LT; suicide prevention/intervention training; second assessment of suicide counseling skills using SIRI-LT 6 months after training; data analysis evaluating the skills and effectiveness of the training among different groups of EMS providers (doctors vs nurses, age groups). Results: SIRI-LT showed good internal consistency: Cronbach’s alpha score of 0.85 (pretest) and 0.73 (posttest). The value of Kaiser–Meyer–Olkin measure of sampling adequacy was 0.849. A four-factor solution was forced and accounted for 40.8% of the variance. The SIRI-LT mean total scores before suicide prevention/intervention training were significantly higher for doctors than for nurses (13.01±5.24 vs 11.36±5.14, respectively; P =0.031). Younger respondents with a shorter period of employment and heavier workload were significantly more effective at suicide management than older respondents with a longer period of employment and lower workload. After suicide prevention/intervention training, SIRI-LT mean total scores decreased for doctors (13.0±5.24?vs 11.02±4.76; P =0.031) and significantly increased in older (≥55 age) respondents (11.85±3.82 vs 9.28±4.44; P =0.022). Conclusion: SIRI-LT has good internal consistency and can be considered a good instrument for assessing suicide management skills of EMS providers. Our results suggest that ability to find appropriate responses to suicide situations may be multidimensional, related to cultural setting and influenced by age, education, motivation, engagement, and emotional distraction. Particular attention should be paid to active listening and empathic communication skills when developing suicide prevention/intervention training for EMS providers.
机译：背景：在欧洲自杀率最高的立陶宛，紧急医疗服务（EMS）提供者的有效自杀管理技能至关重要。方法：受访者为268名EMS提供商，医生（n = 78）和护士（n = 190），他们同意参加自杀预防/干预培训并完成了两次调查。研究分五个步骤进行：立陶宛版本的自杀干预反应量表（SIRI-LT）的改编;使用SIRI-LT对EMS提供者的自杀咨询技能进行初步评估;自杀预防/干预培训;训练后6个月使用SIRI-LT对自杀咨询技能进行第二次评估;数据分析，评估不同类型的EMS提供者（医生与护士，年龄组）之间的培训技能和有效性。结果：SIRI-LT具有良好的内部一致性：Cronbach的alpha得分分别为0.85（测试前）和0.73（测试后）。 Kaiser-Meyer-Olkin量度抽样的价值为0.849。强制执行四因素解决方案，该方案占差异的40.8％。医生在自杀预防/干预培训之前的SIRI-LT平均总分显着高于护士（分别为13.01±5.24和11.36±5.14; P = 0.031）。就业时间较短且工作量较大的年轻受访者在自杀管理方面比就业时间较长且工作量较低的老年受访者显着更高。在进行自杀预防/干预培训后，医生的SIRI-LT平均总得分下降了（13.0±5.24？vs 11.02±4.76; P = 0.031），而年龄较大（≥55岁）的受访者则显着上升（11.85±3.82 vs 9.28±4.44; P ＝ 0.022）。结论：SIRI-LT具有良好的内部一致性，可以被视为评估EMS提供者自杀管理技能的良好工具。我们的研究结果表明，找到适当的应对自杀情况的能力可能是多维的，与文化背景有关，并受年龄，教育程度，动机，敬业度和情感分心的影响。在为EMS提供者开展自杀预防/干预培训时，应特别注意主动的倾听和移情沟通技巧。

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