Background

National guidelines for the short-term management of self-harm are aimed at healthcare professionals who may be involved in the care of people who have self-harmed. However, evidence from small-scale studies globally suggest there is a lack of awareness of such guidelines among some groups of healthcare professionals. For the first time in a large representative sample of patient-facing healthcare professionals, we aimed to identify: (a) which healthcare professionals are aware of guidelines for the management of self-harm; (b) the perceived availability of training; (c) the use of risk screening tools; and (d) the extent to which healthcare professionals implement guidelines for the management of self-harm. Methods: 1020 UK healthcare professionals completed a cross-sectional survey online. Results: 85.6% (873/1020) of the sample had heard of the national guidelines, but only 24.3% (248/1020) knew “a fair amount” or more about them. Of the respondents who had previously encountered a patient who had self-harmed or was at risk of repeat self-harm, the guidelines were implemented in fewer than 50% (M = 43.89%, SD = 38.79) of encounters. 31% (312/1020) of the sample had received training in managing self-harm and, contrary to guidelines, 2.25% (23/1020) of the sample had used self-harm risk screening tools. Conclusions: Our findings highlight a need to improve knowledge of self-harm management guidelines, and identifies professional groups where awareness and knowledge is currently low. Further work is required to develop interventions to change healthcare professional practice with respect to the implementation of self-harm management guidelines.

中文翻译：

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医疗保健专业人员对自残患者实施国家指南。

背景

关于自我伤害的短期管理的国家指南针对的是可能参与自我伤害者护理的医疗保健专业人员。但是，全球范围内小型研究的证据表明，某些医疗保健专业人员群体对这种指导方针缺乏认识。我们首次在面向患者的医疗保健专业人员的大量代表性样本中，确定：（a）哪些医疗保健专业人员了解自我伤害管理的准则；（b）可以接受的培训；（c）使用风险筛选工具；（d）医护人员在多大程度上实施自我伤害管理准则。方法：1020名英国医疗保健专业人员在线完成了横断面调查。结果：85。样本中有6％（873/1020）听说过国家准则，但只有24.3％（248/1020）知道“相当数量”或更多。在先前曾遇到过自残或可能再次遭受自残危险的患者中，只有不到50％（M = 43.89％，SD = 38.79）的遭遇被实施。31％（312/1020）的样本接受过自我伤害管理培训，与准则相反，有2.25％（23/1020）的样本使用了自残风险筛选工具。结论：我们的发现强调需要提高对自我伤害管理准则的认识，并确定目前意识和知识水平较低的专业群体。需要采取进一步的措施来制定干预措施，以改变医疗保健专业人员在实施自我伤害管理准则方面的做法。