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预防自杀的急性后期危机短信外展:一项试点研究。

Post-acute crisis text messaging outreach for suicide prevention: a pilot study.

机构信息

Brest Medical University Hospital at Bohars, Adult Psychiatry, Route de Ploudalmézeau, 29820 Bohars, France.

Lanestel, Technopole Iroise, 29200 Brest, France.

出版信息

Psychiatry Res. 2014 Jul 30;217(3):154-7. doi: 10.1016/j.psychres.2014.02.034. Epub 2014 Mar 6.

DOI:10.1016/j.psychres.2014.02.034
PMID:24736112
Abstract

Several post-suicide prevention strategies such as sending postcards or making phone calls have been used to keep in contact with suicide attempters. The continuity of care has been beneficial to the prevention of post-acute suicidal behaviors. The aim of the study was to evaluate the technical feasibility and acceptability of text messaging outreach in post-acute suicide attempters. Eighteen post-suicidal patients were included in a prospective, monocentric, open-label, 2 months pilot study. The text messages were sent from the intranet program that we specially developed for the study. Technical feasibility of this text message intervention was evaluated by the analysis of text message reports. Acceptability of such intervention was evaluated by a standardized phone interview. Our study showed that receiving text messages sent from an intranet program after a suicide attempt is technically possible. This post-crisis outreach program was accepted by the patients who found it to have a positive preventive impact. Text messaging outreach offers several advantages such as lower cost, and easier utilization compared to current post-acute care strategies. We suggest further randomized controlled trials in a large sample of suicidal patients to assess the efficacy of this novel outreach tool for prevention of post-acute suicide.

摘要

已经采用了多种自杀预防后策略,如发送明信片或打电话,与自杀未遂者保持联系。这种持续的护理对预防急性后自杀行为是有益的。本研究旨在评估短信联络对急性后自杀未遂者的技术可行性和可接受性。18 名自杀后患者纳入了前瞻性、单中心、开放性、2 个月的试点研究。短信是通过我们专门为该研究开发的内部网程序发送的。通过对短信报告的分析,评估了这种短信干预的技术可行性。通过标准化的电话访谈评估了这种干预措施的可接受性。我们的研究表明,在自杀未遂后接收来自内部网程序的短信在技术上是可行的。这种危机后拓展项目被患者接受,他们认为这对预防急性后自杀有积极的影响。与当前的急性后护理策略相比,短信拓展具有成本更低、更易于利用等优势。我们建议在更大的自杀患者样本中进行进一步的随机对照试验,以评估这种新的拓展工具预防急性后自杀的疗效。

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