Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 633-637
WANG Yuanyuan, GAN Jianguang, CHEN Jing, YE Mengfei. The application of failure mode and effect analysis in risk management for suicide prevention in hospitalized patients with depression[J]. Chinese Journal of General Practice, 2024, 22(4): 633-637. doi: 10.16766/j.cnki.issn.1674-4152.003468
Citation: WANG Yuanyuan, GAN Jianguang, CHEN Jing, YE Mengfei. The application of failure mode and effect analysis in risk management for suicide prevention in hospitalized patients with depression[J]. Chinese Journal of General Practice, 2024, 22(4): 633-637. doi: 10.16766/j.cnki.issn.1674-4152.003468
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The application of failure mode and effect analysis in risk management for suicide prevention in hospitalized patients with depression

doi: 10.16766/j.cnki.issn.1674-4152.003468
  • 1.

    Department of Psychiatry, Shaoxing Seventh People' s Hospital, Shaoxing, Zhejiang 312000, China

Funds:

 2020ZH058

  • Received Date: 2023-11-30
    Available Online: 2024-05-29
    Abstract
  •   Objective  This study aims to assess the effect of failure mode and effect analysis in risk management on the mental state and suicidal ideation of hospitalized patients with depression, and to explore its effectiveness in suicide prevention.  Methods  A total of 235 hospitalized patients with depression, admitted to Shaoxing Seventh People ' s Hospital from January 2021 to August 2023, were randomly divided into two groups using a random number table method: the control group (117 cases) and the observation group (118 cases). The control group received conventional risk management, while the observation group received risk management intervention using failure mode and effect analysis, based on the control group. The incidence of suicide (or attempted suicide) in both groups was analyzed. Furthermore, the risk priority index, mental state, negative automatic thinking, and suicidal ideation scores before and after intervention were compared between the two groups.  Results  After the intervention, the risk priority index (RPN) of the observation group was lower than that of the control group, with an incidence of suicide (or attempted suicide) of 2.5% (3/118) in the observation group, significantly lower than the 8.5% (10/117) in the control group (P < 0.05). After intervention, the psychological state of patients in both groups was improved. The observation group had lower scores on the Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) [(15.73±3.11) points and (17.22±3.34) points, respectively], compared to the control group [(17.06±3.50) points and (19.29±4.01) points, P < 0.05]. The intervention led to improved negative automatic thinking in both groups, with the observation group showing lower scores on the frequency and belief scores of ATQ compared to the control group (P < 0.05). Additionally, the intensity of suicidal ideation decreased in both groups. The total score of BSI-CV in the observation group was (16.30±3.82) points, which was lower than that in the control group [(20.28±4.43) points, P < 0.05].  Conclusion  The implementation of failure mode and effect analysis in risk management can significantly improve the mental state and negative automatic thinking of hospitalized patients with depression. Moreover, it can effectively reduce the level of suicidal ideation, demonstrating its potential for suicide prevention.

     

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