Perceived risks and use of psychotherapy via telemedicine for patients at risk for suicide

被引:76
作者
Gilmore, Amanda K. [1 ]
Ward-Ciesielski, Erin F. [2 ]
机构
[1] Med Univ South Carolina, Dept Psychiat & Behav Sci, Natl Crime Victims Res & Treatment Ctr, 67 President St,MSC 861, Charleston, SC 29425 USA
[2] Hofstra Univ, Dept Psychol, Hempstead, NY 11550 USA
关键词
Telemedicine; suicide; provider attitudes; MENTAL-HEALTH; TELEMENTAL HEALTH; CARE; PROVIDERS; TRIAL;
D O I
10.1177/1357633X17735559
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction Suicide is a major public health problem and its human, emotional, and economic costs are significant. Individuals in rural areas are at highest risk for suicide. However, telemedicine services are typically not rendered to individuals who are actively suicidal. The goals of the current study were to identify the risks of using telemedicine for mental healthcare from the perspective of licensed mental health providers and to determine factors associated with the use of telemedicine with patients who are at high risk for suicide. Methods A total of 52 licensed mental health providers were recruited online through several professional organization listservs and targeted emails. Providers completed online questionnaires regarding demographics, caseload of suicidal patients, perceived risks for using telemedicine with patients at risk for suicide, attitudes towards telemedicine, and use of telemedicine with patients at risk for suicide. Results Three key perceived risks associated with using telemedicine were identified, including assessment, lack of control over patient, and difficulties triaging patients if needed. It was also found that individuals who had more positive attitudes towards telemedicine, younger providers, and more experienced providers were more likely to use telemedicine with patients who are at high risk for suicide. Discussion To our knowledge, this is the first study to examine the perceived risks and use of telemedicine with patients at high risk for suicide. It is essential to continue this line of research to develop protocols for the provision of evidence-based therapy via telemedicine for this high-risk group.
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页码:59 / 63
页数:5
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