How does gatekeeper training improve suicide prevention for elderly people in nursing homes? A controlled study in 24 centre

被引：21

作者：

Chauliac, N. ^{[1
,2
]}

Brochard, N. ^{[1
]}

Payet, C. ^{[2
,3
]}

Margue, Y. ^{[5
]}

Bordin, P. ^{[1
]}

Depraz, P. ^{[1
]}

Dumont, A. ^{[1
]}

Kroupa, E. ^{[1
]}

Pacaut-Troncin, M. ^{[1
]}

Polo, P. ^{[1
]}

Straub, S. ^{[1
]}

Boissin, J. ^{[6
]}

Burtin, C. ^{[6
]}

Montoya, G. ^{[7
]}

Rivieer, A. ^{[8
]}

Didier, C. ^{[8
]}

Fournel, C. ^{[9
]}

Durand, C. ^{[9
]}

Barrellon, M. ^{[10
]}

Amigues, O. ^{[11
]}

Brosson, A. ^{[11
]}

Mahe, E. ^{[12
]}

Haxaire, O. ^{[12
]}

Bonnot, C. ^{[13
]}

Defaux, M. ^{[14
]}

Rougier, D. ^{[14
]}

Gaultier, A. ^{[15
]}

Gutierrez, A. ^{[15
]}

Pozo, M. ^{[16
]}

Lefevre, V. ^{[16
]}

Nier, A. ^{[17
]}

Bolzan, S. ^{[17
]}

Liautaud, M. ^{[18
]}

Barbosa, S. ^{[19
]}

Garcia, S. ^{[19
]}

Anfreville, A. ^{[20
]}

Mazille, S. ^{[20
]}

Durantet, C. ^{[21
]}

Morlon, M. ^{[22
]}

Gaboriau, C. ^{[23
]}

Halbert, C. ^{[24
]}

Cholvy, M. ^{[24
]}

Milinkovich, P. ^{[25
]}

Martin, L. ^{[26
]}

Maury-Abello, L. ^{[26
]}

Toulier, B. ^{[27
]}

Kerleguer, V. ^{[27
]}

Gabriel, S. ^{[28
]}

Duclos, A. ^{[2
,3
]}

Terra, J. -L. ^{[1
,4
]}

机构：

[1] Ctr Hosp Vinatier, Ctr Prevent Suicide, F-69500 Bron, France

[2] Univ Lyon, Hlth Serv & Performance Res Lab HESPER, EA 7425, F-69003 Lyon, France

[3] Hosp Civils Lyon, Pole Informat Med Evaluat Rech, F-69003 Lyon, France

[4] Univ Lyon 1, Equipe Accueil 4129, Lab Parcours Sante System P2S, F-69003 Lyon, France

[5] Agence Reg Sante, Lyon, France

[6] Ctr Hosp, Belleville Sur Saone, France

[7] EHPAD La Salette, Bully, France

[8] EHPAD Les Landiers, Bron, France

[9] EHPAD Les Verts Monts, Charly, France

[10] EHPAD Le Vernon, Condrieu, France

[11] EHPAD St Vincent, Givors, France

[12] MEHPAD Chateau Loup, Gleize, France

[13] Hop Intercommunal, Grandris, France

[14] EHPAD St Laurent, Lentilly, France

[15] EHPAD Etoile Jour, Lyon, France

[16] EHPAD Les Cristallines, Lyon, France

[17] EHPAD Madeleine Caille, Lyon, France

[18] EHPAD St Camille, Lyon, France

[19] EHPAD Publ, Mornant, France

[20] EHPAD Claude Bernard, Oullins, France

[21] EHPAD La Boissiere, St Igny De Vers, France

[22] EHPAD Arc Ciel, St Martin En Haut, France

[23] Hop Local, St Symphorien Sur Coise, France

[24] EHPAD Les Acanthes, Vaulx En Velin, France

[25] EHPAD St Francois, Vernaison, France

[26] EHPAD Joseph Forest, Villefranche, France

[27] EHPAD Chateau Gaillard, Villeurbanne, France

[28] EHPAD Eloise, Villeurbanne, France

来源：

EUROPEAN PSYCHIATRY | 2016年 / 37卷

关键词：

Suicide prevention; Geriatric psychiatry and aging; Quality of care; Gatekeeper; Nursing home; Controlled study; PROGRAM; INTERVENTION; BEHAVIOR; OUTCOMES; REGION; SCALE; YOUTH; RISK;

D O I：

10.1016/j.eurpsy.2016.05.011

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: The death rate due to suicide in elderly people is particularly high. As part of suicide selective prevention measures for at-risk populations, the WHO recommends training "gatekeepers''. Methods: In order to assess the impact of gatekeeper training for members of staff, we carried out a controlled quasi-experimental study over the course of one year, comparing 12 nursing homes where at least 30% of the staff had undergone gatekeeper training with 12 nursing homes without trained staff. We collected data about the residents considered to be suicidal, their management further to being identified, as well as measures taken at nursing home level to prevent suicide. Results: The two nursing home groups did not present significantly different characteristics. In the nursing homes with trained staff, the staff were deemed to be better prepared to approach suicidal individuals. The detection of suicidal residents relied more on the whole staff and less on the psychologist alone when compared to nursing homes without trained staff. A significantly larger number of measures were taken to manage suicidal residents in the trained nursing homes. Suicidal residents were more frequently referred to the psychologist. Trained nursing homes put in place significantly more suicide prevention measures at an institutional level. Conclusions: Having trained gatekeepers has an impact not only for the trained individuals but also for the whole institution where they work, both in terms of managing suicidal residents and routine suicide prevention measures. (C) 2016 Elsevier Masson SAS. All rights reserved.

引用

页码：56 / 62

页数：7

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