Mental Health Nursing Student's Perception of Clinical Simulation about Patients at Risk of Suicide: A Qualitative Study.

Suicide is a serious public health problem, with a global mortality rate of 1.4% of all deaths worldwide and the leading cause of unnatural death in Spain. Clinical simulation has proven to be a beneficial tool in training nursing students. Such experiences allow them to develop cognitive and affective skills that are fundamental for the detection of warning signs and the use of interventions in cases of people who want to take their own lives. Working in a mental health environment can be difficult for nursing students; therefore, the purpose of this study was to explore the perceptions of nursing students on the approach, management, and intervention of suicidal crisis through clinical mental health simulation. METHODS: qualitative descriptive phenomenological study through focus groups and reflective narratives in a sample of 45 students. A thematic analysis was performed using ATLAS-ti. RESULTS: After the analysis, three themes were obtained: (a) management and handling of emotions, (b) identification of suicide motives, and (c) intervention in suicidal crisis. DISCUSSION: Clinical simulation in mental health allows students to exercise clinical judgment reasoning, detect warning signs for a better treatment approach, and provide tools for effective intervention and management of patient care. The results of this study indicate that nursing students face challenges in approaching mental health clinical simulation due to a lack of prior exposure.

Resucitación presenciada: factores iniciales asociados al seguimiento psicológico en familiares / Witnessed cardiopulmonary resuscitation: Initial factors associated with the indication of psychological follow-up in relatives

INTRODUCCIÓN: La parada cardiorrespiratoria extrahospitalaria (PCR-EH) se considera hoy en día un importante problema de salud pública, donde no solo el paciente que sufre una PCR-EH es objeto de cuidado, sino que también su entorno precisa cuidado tanto inmediato como en meses posteriores. OBJETIVOS: Describir las características de los pacientes víctimas de una PCR-EH, así como las reacciones de los familiares directos atendidos por el equipo de psicólogos de emergencia. Analizar variables predictivas independientes, medibles en el medio extrahospitalario, asociadas a la indicación de seguimiento por parte del psicólogo de emergencia. MÉTODO: Estudio observacional retrospectivo analítico de pacientes en PCR-EH atendidos por SAMUR-Protección Civil durante el año 2013, con familiares de primer grado en el escenario de reanimación. RESULTADOS: De las 210 PCR-EH registradas, hubo 88 sucesos con familiares directos presentes. Factores asociados independientes a la indicación de seguimiento psicológico obtenidos: sexo femenino del familiar (OR 6,27 [IC95%: 1,66-23,5]) y número de reacciones intensas (OR 4,55 [IC95%: 2,11-9,83]). CONCLUSIONES: Las reacciones de los familiares tras vivir de cerca la reanimación de un ser querido son múltiples y variables. El género femenino y presentar un mayor número de reacciones tras el suceso se asocian de manera independiente a la indicación de seguimiento psicológico

INTRODUCTION: Prehospital cardiac arrest (PCA) is currently considered to be an important issue in public health, where not only PCA patients need immediate care, but their environment does as well, both immediately and in the following months. OBJECTIVES: To describe the characteristics of both PCA patients and the reactions of close relatives seen by the team of emergency psychologists. To analyse independent predictors, which are measurable in prehospital care, that are associated with an indication for follow-up reported by an emergency psychologist. METHOD: Observational, retrospective, analytical study. Cardiac arrest patients seen by SAMUR-PC (emergency services) in 2013 with close relatives present during cardiopulmonary resuscitation manoeuvres. RESULTS: Eighty-eight of 210 recorded PCA cases had close relatives present. Independent factors associated with follow-up indications reported by an emergency psychologist are: Female relative (OR 6.27 (95%CI: 1.66-23.5]) and number of intense reactions shown by the relative (OR 4.55 [95%CI: 2.11-9.83]). CONCLUSIONS: Relatives' reactions after witnessing cardiopulmonary resuscitation performed on a loved one are broad and diverse. Female gender and presenting a greater number of reactions immediately after the event are independently associated with the indication for psychological follow-up

Código 100: un estudio sobre la conducta suicida en lugares públicos / Code 100: a study on suicidal behavior in public places

Los servicios de urgencias de nuestro país reciben diariamente una gran cantidad de pacientes que han realizado un intento de suicidio o refieren ideación suicida. Desafortunadamente, estos pacientes son a menudo reticentes a mantener un seguimiento en salud mental. En este estudio describimos un programa pionero para favorecer la evaluación y el tratamiento de los pacientes suicidas y en particular de aquellos que son atendidos por los servicios de emergencia fuera de sus domicilios. Resumiremos la aplicación del programa y compararemos los resultados de un seguimiento específico entre los pacientes suicidas atendidos por los equipos de emergencia en lugares públicos frente al resto de pacientes con riesgo suicida evaluados en el servicio de urgencias de un hospital terciario

Every day, the emergency departments in our country receive a large number of patients that have thought about or attempted suicide. Unfortunately, these patients are very often reluctant to maintain a regular follow-up in mental health services. In this study we describe an original program to encourage assessment and treatment of suicidal patients, particularly when they receive medical treatment in public places. We summarize the application of the program and compare the results of a specific follow-up between two groups of patients: suicidal patients assessed by emergency services in public places and all other suicidal patients assessed in the emergency department of a tertiary hospital

Code 100: a study on suicidal behavior in public places.

Every day, the emergency departments in our country receive a large number of patients that have thought about or attempted suicide. Unfortunately, these patients are very often reluctant to maintain a regular follow-up in mental health services. In this study we describe an original program to encourage assessment and treatment of suicidal patients, particularly when they receive medical treatment in public places. We summarize the application of the program and compare the results of a specific follow-up between two groups of patients: suicidal patients assessed by emergency services in public places and all other suicidal patients assessed in the emergency department of a tertiary hospital.