Ralph H. Johnson Veterans Medical Center, Medical University of South Carolina, 109 Bee St., Charleston, SC, 29425, USA.
Psychiatr Q. 2013 Jun;84(2):219-38. doi: 10.1007/s11126-012-9241-3.
Suicide rates have been increasing in some subgroups of Veteran populations, such as those who have experienced combat. Several initiatives are addressing this critical need and the Department of Veterans Affairs (VA) has been recognized for its leadership. This integrative review adopts the Research Impact Framework (RIM) to address suicide-specific prevention activities targeting Veterans. The RIM is a standardized approach for developing issue narratives using four broad areas: societal-related impacts, research-related impacts, policy-related impacts, and service-related impacts. The questions addressed in this review are: (1) What are the major initiatives in Veteran-specific suicide prevention in four areas of impact-society, research, policy, and services? (2) Are there gaps related in each impact area? and (3) What are the implications of this narrative for other strategies to address suicide prevention targeting Veterans? Systematic application of the RIM identifies exemplars, milestones, gaps, and health disparity issues.
自杀率在某些退伍军人群体中有所上升,例如经历过战斗的群体。一些举措正在满足这一关键需求,退伍军人事务部 (VA) 的领导力也得到了认可。本综合评价采用研究影响框架 (RIM) 针对退伍军人开展具体的自杀预防活动。RIM 是使用四个广泛领域(社会相关影响、研究相关影响、政策相关影响和服务相关影响)制定问题叙述的标准化方法。本评价中所涉及的问题是:(1) 在社会、研究、政策和服务这四个影响领域中,针对退伍军人的自杀预防的主要举措有哪些?(2) 在每个影响领域是否存在差距?(3) 这种叙述对其他针对退伍军人的自杀预防策略有何影响?RIM 的系统应用可以确定范例、里程碑、差距和健康差异问题。