Currier Glenn W, Brown Gregory K, Brenner Lisa A, Chesin Megan, Knox Kerry L, Ghahramanlou-Holloway Marjan, Stanley Barbara
Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States; Department of Psychiatry & Behavioral Neurosciences, University of South Florida, Tampa, FL, United States.
Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, United States.
Contemp Clin Trials. 2015 Jul;43:179-84. doi: 10.1016/j.cct.2015.05.003. Epub 2015 May 16.
There are no evidence-based, brief interventions to reduce suicide risk in Veterans. Death by suicide is a major public health problem. This article describes a protocol, Suicide Assessment and Follow-up Engagement: Veteran Emergency Treatment [SAFE VET], developed for testing the effectiveness of a brief intervention combining a Safety Planning Intervention with structured follow-up (SPI-SFU) to reduce near-term suicide risk and increase outpatient behavioral health treatment engagement among Veterans seeking treatment at Veteran Affairs Medical Center (VAMC) emergency departments (EDs) who are at risk for suicide. In addition to describing study procedures, outcome measures, primary and secondary hypotheses, and human subjects' protection issues, the rationale for the selection of SPI-SFU as the intervention is detailed, as are safety considerations for the unique study setting and sample.
目前尚无基于证据的简短干预措施来降低退伍军人的自杀风险。自杀死亡是一个重大的公共卫生问题。本文描述了一项名为“自杀评估与后续参与：退伍军人紧急治疗”（SAFE VET）的方案，该方案旨在测试一种简短干预措施的有效性，该干预措施将安全计划干预与结构化随访（SPI-SFU）相结合，以降低近期自杀风险，并提高在退伍军人事务医疗中心（VAMC）急诊科寻求治疗且有自杀风险的退伍军人的门诊行为健康治疗参与度。除了描述研究程序、结果指标、主要和次要假设以及人体受试者保护问题外，还详细阐述了选择SPI-SFU作为干预措施的理由，以及针对独特研究环境和样本的安全考虑因素。
