112 Acil Sağlık Hizmetlerinde Çalışan Personelin İntihar Girişiminde Bulunan Bireylere Yönelik Tutumları

Year 2024, Volume: 5 Issue: 2, 255 - 265, 27.08.2024

Fatma Ayhan , İlknur Kut

https://doi.org/10.58605/bingolsaglik.1486618

Abstract

Araştırmamızda 112 acil sağlık hizmetleri çalışanlarının intihar girişiminde bulunan bireylere yönelik tutumlarının belirlenmesi amaçlandı. Kesitsel ve tanımlayıcı türdeki araştırmanın örneklemini uygun örnekleme yöntemi ile belirlenen 136 ambulans çalışanı oluşturdu. Araştırma verileri çalışanların bazı sosyodemografik özelliklerini, intihar girişimiyle ilgili bireysel deneyimlerini sorgulayan soruların yer aldığı tanıtıcı bilgi formu ve İntihar Girişimine Yönelik Tutum Ölçeği (İGYTÖ) kullanılarak sosyal medya hesapları üzerinden 01.10.2023 ile 01.03.2024 tarihleri arasında toplandı. Veriler SPSS paket programı kullanılarak azanliz edildi. Katılımcıların çoğunluğunun hiç intihar etmeyi düşünmediği (77%) ve intihar girişiminde bulunmadığı (93,3%) belirlendi. Katılımcıların bazı sosyo-demografik özellikleri, intiharla ilgili deneyimleri ve çalışma süreleri ile İGYTÖ toplam ve alt boyutları arasında anlamlı fark bulunmadı. Hemşirelerin İGYTÖ tıbbi yardım altı boyutu puan ortalaması acil tıp teknisyenleri ve paramediklerden daha yüksekken İGYTÖ toplam ve İGYTÖ diğer alt boyutları arasında meslek grupları arasında anlamlı farklılık tespit edilmedi. İntihar davranışı olan hastalara verilen bakımın niteliğinde sağlık hizmeti sağlayıcılarının tutumları ve konuyla ilgili eğitim almış olmaları önemli bir faktördür. İntihar vakalarının azaltılması ve etkili müdahale stratejilerinin geliştirilmesi için intihar vakalarıyla ilk karşılaşan sağlık personeline intihar yönetimine ilişkin eğitim verilmesi ve olumlu tutum geliştirilmesi yararlı olabilir.

Keywords

Acil, Ambulans, İntihar, Sağlık çalışanları

Ethical Statement

Araştırma için Batman Üniversitesi Etik Kurulu’ndan etik kurul onayı alındı (Tarih: 13.06.2023; sayı: 2023/04-13).

Supporting Institution

Araştırmayı destekleyen bir kurum bulunmamaktadır.

Attitudes of 112 Emergency Health Services Personnel Towards Individuals Who Attempt Suicide

Abstract

In our study, it was aimed to determine the attitudes of 112 emergency health services workers towards individuals who attempted suicide. The sample of the cross-sectional and descriptive study consisted of 136 ambulance workers determined by convenient sampling method. The research data were collected between 01.10.2023 and 01.03.2024 via social media accounts using a descriptive information form including questions about some sociodemographic characteristics of the employees, individual experiences related to suicide attempts, and the Attitude scale towards attempted suicide cases for evaluating emergency medical teams (ASETSA). The data were analyzed using the SPSS package program. It was determined that the majority of the participants had never thought about suicide (77%) and had not attempted suicide (93.3%). No significant difference was found between some socio-demographic characteristics, suicide-related experiences, and working hours of the participants and the total and sub-dimensions of the ASETSA. While the mean score of nurses was higher than emergency medical technicians and paramedics in the sub-dimension of medical assistance, no significant difference was found between the occupational groups in the total and other sub-dimensions of the ASETSA. The attitudes of healthcare providers and their training on the subject are important factors in the quality of care given to patients with suicidal behavior. In order to reduce suicide cases and develop effective intervention strategies, training on suicide management should be provided to healthcare personnel who first encounter suicide cases.

Keywords

Emergency, Ambulance, Suicide, Health workers

References

• DSÖ. Suicide prevention. Available at: https://www.who.int/health-topics/suicide#tab=tab_1. Accessed May 7, 2024.
• TUİK (2019). https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710
• Bowers A, Meyer C, Hillier S, et al. Suicide risk assessment in the emergency department: are there any tools in the pipeline? Am J Emerg Med. 2018;36(4):630–636. https://doi.org/10.1016/j.ajem.2017.09.044
• Hammarbäck S, Holmberg M, Wiklund Gustin L, Bremer A. Ambulance clinicians’ responsibility when encountering patients in a suicidal process. Nurs Ethics. 2023;30(6):857-870. https://doi.org/10.1177/09697330221149102
• Rees N, Rapport F, Snooks H. Perceptions of paramedics and emergency staff about the care they provide to people who self-harm: Constructivist metasynthesis of the qualitative literature. J Psychosom Res. 2015;78(6):529-535. https://doi.org/10.1016/j.jpsychores.2015.03.007
• Von Vopelius-Feldt J, Benger J. Who does what in prehospital critical care? an analysis of competencies of paramedics, critical care paramedics and prehospital physicians. Emerg Med J. 2014;31(12):1009-1013. https://doi.org/10.1136/emermed-2013-202895.
• Sjolin H, Lindström V, Hult H, et al. Common core content in education for nurses in ambulance care in Sweden, Finland and Belgium. Nurse Educ Pract. 2019;38:34-39. https://doi.org/10.1016/j.nepr.2019.05.017.
• Nelson PA, Cordingley L, Kapur N, et al. ‘We’re the first port of call’ – perspectives of ambulance staff on responding to deaths by suicide: a qualitative study. Front Psychol. 2020;11:722. https://doi.org/10.3389/fpsyg.2020.00722.
• Nel A. An Inquiry into the organisation of care for deliberate self-harm patients in a south African hospital. Yüksek lisans tezi, Stellenbosch, South Africa: Stellenbosch University; 2016. Erişim adresi: http://scholar.sun.ac.za/handle/10019.1/98713.
• Pirani S, Qureshi A, Khan MZ, Aslam M, Khan MM. Assessing knowledge, attitudes, and practices of emergency department staff towards patients with suicidal behaviors in Pakistan. Asian J Psychiatr. 2023;80:103420. https://doi.org/10.1016/j.ajp.2022.103420.
• Gibb SJ, Beautrais AL, Surgenor LJ. Health-care staff attitudes towards self-harm patients. Aust N Z J Psychiatry. 2010;44:713-720. https://doi.org/10.3109/00048671003671015
• Kumar N, Rajendra R, Majgi SM, Krishna M, Keenan P, Jones S. Attitudes of general hospital staff towards patients who self-harm in South India: a cross-sectional study. Indian J Psychol Med. 2016;38(6):547-552. https://doi.org/10.4103/0253-7176.194920
• Ceran S, Özensoy HS, Tümer M. Exploring emergency department workers’ attitudes towards ındividuals with suicide attempts: a cross sectional study. ACH Med J. 2023;2(5):280-285. https://doi.org/10.5505/achmedj.2023.29392
• Boukouvalas E, El-Den S, Murphy AL, Salvador-Carulla L, O’Reilly CL. Exploring health care professionals’ knowledge of, attitudes towards, and confidence in caring for people at risk of suicide: a systematic review. Arch Suicide Res. 2019;24:1–31. https://doi.org/10.1080/13811118.2019.1586608
• Faria JS, Marcon SR, Nespollo AM, Santos HGBD, Espinosa MM, Oliveira KKBD ve ark. Attitudes of health professionals towards suicidal behavior: an intervention study. Rev Saude Publica. 2022;56:54. https://doi.org/10.11606/s1518-8787.2022056003320
• Er G, Şimşek Z, Aker AT. İntihar Girişiminde Bulunan Olgulara Yönelik Acil Sağlık Çalışanlarının Tutumları Ölçeği’nin (İGYTÖ) geliştirilmesi; geçerlik ve güvenilirlik. Türk Psikiyatri Derg. 2013;24(4):260-265.
• Tabachnick BG, Field LS. Using multivariate statistics. 6th ed. London, UK: Pearson; 2013.
• NHS England. NHS Long Term Plan. Erişim adresi: https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/
• DSÖ. National suicide prevention strategies: progress, examples and indicators. Erişim adresi: https://www.who.int/mental_health/suicide-prevention/national_strategies_2019/en/
• Conlon M, O’Tuathail C. Measuring emergency nurses’ attitudes towards deliberate self-harm using the Self-Harm Antipathy Scale. Int Emerg Nurs. 2012;20(1):3-13. https://doi.org/10.1016/j.ienj.2010.08.001
• Perboell PW, Hammer NM, Oestergaard B, Konradsen H. Danish emergency nurses’ attitudes towards self-harm–a cross-sectional study. Int Emerg Nurs. 2015;23(2):144-149. https://doi.org/10.1016/j.ienj.2014.07.003
• McAllister M, Creedy D, Moyle W, Farrugia C. Nurses’ attitudes towards clients who self‐harm. Journal of Advanced Nursing. 2002;40(5):578-586. https://doi.org/10.1046/j.1365-2648.2002.02412.x
• McCarthy L, Gijbels H. An examination of emergency department nurses’ attitudes towards deliberate self-harm in an Irish teaching hospital. Int Emerg Nurs. 2010;18(1):2. https://doi.org/10.1016/j.ienj.2009.05.005
• Clegg L. Does mental health literacy influence confidence and attitudes of paramedics when managing patients with mental illness and suicidal ideations? Yüksek lisasn tezi, University of Tasmania; 2019. https://doi.org/10.25959/100.00032637