長期照顧住宿式機構住民自殺風險管理與防治策略探討

本文嘗試從風險管理角度，討論長期照顧住宿式機構老人自殺行為之風險因子分析、風險計畫措施、風險監控措施、及自殺防治策略等內容。經討論後可得知，入住長期照顧住宿式機構之老人，其自殺風險因子除了來自生理因素、心理因素、家庭因素等微視系統之變化以外，亦可能與其自家庭改為入住安養護中心之環境變化有所關係。為降低自殺行為之發生機率，本文建議可透過成立長期照顧住宿式機構自殺防治任務編組、提昇工作人員支持因子、兼顧執行成效與時間成本等三方向，並以三級預防觀點建立自殺防治策略，做為自殺防治風險計畫措施。

關鍵字

長期照顧住宿式機構；自殺防治；風險管理；三級預防；老人

並列摘要

This paper attempts to discuss the analysis of risk factors, risk planning measures, risk monitoring measures, and suicide prevention strategies for elderly people in long-term care facilities from the perspective of risk management. After the discussion, it was found that the suicide risk factors of elderly people in long-term care facilities are not only from the microsystem changes such as physiological factors, psychological factors, and family factors, but also may be related to the change of environment from family to hospice care center. In order to reduce the incidence of suicidal behavior, this paper suggests establishing a task force for suicide prevention and control in long-term care facilities, improving the support factor of staff, and taking into account the effectiveness of implementation and time cost, as well as establishing a suicide prevention and control strategy with a three-level prevention perspective as a suicide prevention and control risk planning measure.

並列關鍵字

Long-Term Care Facilities ； Suicide Prevention ； Risk Management ； Three-Level Prevention ； Elder

參考文獻

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