Veterans Integrated Service Network 19 Mental Illness Research, Education, and Clinical Center.
Veterans Affairs Office of Mental Health Services.
Rehabil Psychol. 2009 Nov;54(4):390-397. doi: 10.1037/a0017802.
To increase understanding regarding precipitating and preventative factors of suicidal behavior and to highlight past experiences and recommendations regarding services aimed at suicide prevention among Veterans with a history of traumatic brain injury (TBI).
Qualitative.
Sample of 13 Veterans with a history of TBI, and a history of clinically significant suicidal ideation or behavior.
In-person interviews were conducted and data were analyzed using a hermeneutic approach.
Shared precipitants noted included loss-of-self post-TBI, cognitive sequelae, and psychiatric and emotional disturbances. Common protective factors noted included social supports, a sense of purpose regarding the future, religion and spirituality, and mental health care. Means of improving care were also identified (e.g., increasing the availability of services and mental health professionals' knowledge regarding TBI, providing more structured treatment).
Findings highlight potential areas of importance in the assessment and treatment of suicidal Veterans with a history of TBI. Recommendations regarding means of improving care are also presented.
提高对创伤性脑损伤（TBI）退伍军人自杀行为诱发和预防因素的认识，并强调过去在预防自杀服务方面的经验和建议。
定性研究。
13 名有 TBI 病史和临床显著自杀意念或行为史的退伍军人样本。
进行了面对面访谈，并使用诠释学方法对数据进行了分析。
指出的共同诱发因素包括创伤后自我丧失、认知后遗症以及精神和情绪障碍。指出的常见保护因素包括社会支持、对未来的目标感、宗教和精神信仰以及心理健康护理。还确定了改善护理的方法（例如，增加服务的可用性和心理健康专业人员对 TBI 的了解，提供更结构化的治疗）。
研究结果突出了评估和治疗有 TBI 病史的自杀退伍军人的重要潜在领域。还提出了改善护理的建议。
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