Competency of primary care providers to assess and manage suicide risk in Nepal

The role of emotional validation and invalidation techniques

Dados Bibliográficos

ID21257435
AutoresMegan Ramaiya (0000-0003-1489-0991, University of California, San Francisco), Connor McCabe (0000-0003-1868-8459, University of Washington), Anupa Gewali (0000-0002-9528-6587, University of Washington), Tsering Wangmo (University of Washington), Jane M Simoni (0000-0002-8711-1576, University of Washington), Lori A Zoellner (0000-0002-7101-0703, University of Washington), Shannon Dorsey (0000-0001-6240-0294, University of Washington), Stella Roth (University of Washington), B A Kohrt (0000-0002-3829-4820, George Washington University, autor correspondente)
Ano2023
Volume4
Páginas100229
Data de publicação2023-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSSM - Mental Health (JOURNAL)
Identificadores do periódicoISSN: 2666-5603 • E-ISSN: 2666-5603
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.ssmmh.2023.100229
OpenAlexW4381988117
IdiomaEN
Citações recebidas1
Referências citadas37

Screening for suicide risk in primary care settings is a recommended strategy worldwide for suicide prevention. However, few studies examine which clinical behaviors on the part of primary care providers are most predictive of competency in suicide risk assessment and management. The current study used ratings on the Enhancing Assessment of Common Therapeutic Factors (ENACT) tool during observations of provider-patient role plays (N = 91) to understand how primary care providers’ use of emotional validation behaviors are associated with competency in assessing for and managing suicide risk. Structural equation modeling revealed that emotional validation on the part of primary care providers (β = 0.63, p < .001) was significantly associated with clinical competency for assessing and managing suicide risk. Scoring procedures on the ENACT that capture specific behavioral attributes had an improved model fit compared to a general Likert scale version of ENACT scoring. This study suggests that training primary care providers on emotional validation techniques may improve their competence in suicide prevention. The findings also support assessing suicide prevention competency by documenting specific behaviors rather than generic ratings such as “done poorly” or “done well”. Future research rating interactions with actual patients and connecting competency with patient outcomes could help refine clinical training as well as refine understanding of processes through which emotional validation contributes to more effective suicide prevention

Family medicine · Likert scale · Medical emergency · Poison control · Primary care · Risk assessment · Suicide prevention · Clinical Psychology · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Social Psychology · Suicide and Self-Harm Studies