世界杯下注网站-2022世界杯下注网站
我们采访了 朱莉理查兹，博士，公共卫生硕士, research associate at 凯撒永久医疗机构华盛顿 Health 世界杯下注网站 Institute. 她领导着 首次发表论文 supported by the 2022世界杯下注网站 Office of Community Health as part of its Firearm Injury Prevention Program. The study is about whether and how patients answered a question about firearm access on a standard 凯撒永久医疗机构华盛顿 mental health questionnaire.
The people who have the most to gain from my research — people at risk of suicide, 他们的家人和朋友, 以及照顾他们的临床医生和团队.
我妈妈2010年死于枪击自杀. That experience caused a lot of pain for me and my family, but also motivated my inquiry into the ways health care systems can improve how we identify, 参与, 照顾有自杀风险的人. I believe our personal experiences impact the types of research questions we ask, 我们如何回答这些问题, how we convey the meaning of the findings to our audiences.
I also want to mention that sharing personal experiences with suicide traditionally has not been common in my field. Mental health, suicide especially, can be really difficult to talk about. There is also this “deference to the culture of objectivity” in academic research (I’m borrowing this phrase I heard sociologist Eve Ewing use). That culture can make it even harder to hear the voices we should be 听 to, to really understand lived experiences with suicidality.
Collaboration and respect for lived experiences are highly valued by my colleagues, especially my amazing collaborators on this firearm 预防自杀 grant (埃琳娜•郭, 詹妮弗·博布Lisa Shulman, Chris Stewart， 乌苏拉怀特塞德, 玛丽安·贝茨, 阿里Rowhani-Rahbar, 詹妮弗·博格斯, 凯恩Mettert, 格雷格•西蒙). I also get to partner with clinical and operational leaders 就像 丽贝卡·帕里什 who every day are doing the work to make sure our health system has capacity to provide timely, high-quality mental health care to the patients we serve, which include my family (we get our health care from KP, ). 2022世界杯下注网站 Office of Community Health funded this work, leaders of our Firearm Injury Prevention Taskforce, 就像 大卫·格罗斯曼, care about this research and using it to improve health care.
We're looking more closely at reasons for not answering the firearm-access question. We're also looking at data on individuals who died by firearm suicide to see whether and how they answered the firearm-access question in the year before death. We hope our results are useful for other health care systems for implementing standardized questions about firearm access to support 预防自杀.
We also want to improve the patient-centeredness of routine questions about firearm access, 建在另一个九龙西隧内 我们在五月份发表的世界杯下注网站报告, which focused on how patients experienced a standard question about firearm access. So we talked to patients and clinicians about how we can do that, potentially use tools 就像 Lock2Live, a web-based decision aid developed by 玛丽安·贝茨, to help people experiencing suicidal thoughts make decisions about limiting their access to firearms.
I consider my job to be fun and an amazing privilege, 因为我可以做关于关爱的世界杯下注网站, 同情, 听, 和学习. 有时候我也需要离开. 对我来说, this means taking in the beauty of our natural environment — getting into the woods, 去游泳或划船. It also might mean trying to convince my 11-year-old daughter to watch a light-hearted animated movie with me (which is getting harder). And sometimes I just need to play music by myself in my car and sing along (really loudly and badly).
Study shows patients will usually answer a question about firearm access, providing key information for 预防自杀.
Study participants balanced fear and vulnerability with hope of getting help, Dr. 朱莉·理查兹发现.
朱莉·理查兹’ study is one of the first three funded by 2022世界杯下注网站’s Firearm Injury Prevention Task Force.
朱莉·理查兹, motivated by clinical practice needs and lived experience, 世界杯下注网站自杀相关的护理吗.
