ABSTRACT

Nursing home (NH) residents have many risk factors for suicide in later life and transitions into and out of NHs are periods of increased suicide risk. The purpose of this study was to describe NH social service directors (SSDs) roles in managing suicide risk and to identify factors that influence self-efficacy in this area. This study used data from the 2019 National Nursing Home Social Services Directors survey (n = 924). One-fifth (19.7%) of SSDs reported a lack of self-efficacy in suicide risk management, as indicated by either needing significant preparation time or being unable to train others on intervening with residents at risk for suicide. Ordinal logistic regression identified SSDs who were master’s prepared, reported insufficient social service staffing as a minor barrier (versus a major barrier) to psychosocial care, and those most involved in safety planning for suicide risk were more likely to report self-efficacy for training others. Implications include the need for targeted training of NH social service staff on suicide prevention, such as safety planning as an evidence-based practice. Likewise, sufficient staffing of qualified NH social service providers is critically important given the acute and chronic mental health needs of NH residents.

摘要

疗养院 (NH) 的居民在晚年有许多自杀风险因素，进出养老院是自杀风险增加的时期。本研究的目的是描述 NH 社会服务主管 (SSD) 在管理自杀风险中的作用，并确定影响该领域自我效能的因素。本研究使用了 2019 年全国疗养院社会服务主管调查（n = 924）的数据。五分之一 (19.7%) 的 SSD 报告在自杀风险管理方面缺乏自我效能，这表明需要大量准备时间或无法培训他人干预有自杀风险的居民。顺序逻辑回归确定了硕士准备好的 SSD，报告社会服务人员不足是心理社会护理的次要障碍（相对于主要障碍），那些参与自杀风险安全计划的人更有可能报告培训他人的自我效能感。含义包括需要对 NH 社会服务人员进行自杀预防方面的有针对性的培训，例如作为循证实践的安全计划。同样，鉴于 NH 居民的急性和慢性心理健康需求，为合格的 NH 社会服务提供者配备足够的人员至关重要。