美国退伍军人事务部减少自杀风险的急诊科干预与随访：可接受性与有效性
An Emergency Department Intervention and Follow-Up to Reduce Suicide Risk in the VA: Acceptability and Effectiveness.
作者信息
Stanley Barbara, Chaudhury Sadia R, Chesin Megan, Pontoski Kristin, Bush Ashley Mahler, Knox Kerry L, Brown Gregory K
机构信息
Dr. Stanley and Dr. Chaudhury are with the Department of Psychiatry, Columbia University, New York City (e-mail:
出版信息
Psychiatr Serv. 2016 Jun 1;67(6):680-3. doi: 10.1176/appi.ps.201500082. Epub 2016 Feb 1.
OBJECTIVE
Emergency departments (EDs) are often the primary contact point for suicidal individuals. The post-ED visit period is a high suicide risk time. To address the need for support during this time, a novel intervention was implemented in five Department of Veterans Affairs medical center EDs. The intervention combined the Safety Planning Intervention (SPI) with structured follow-up and monitoring (SFU) by telephone for suicidal individuals who did not require hospitalization. This study assessed the intervention's acceptability and perceived usefulness.
METHODS
A selected sample of 100 intervention participants completed a semistructured interview consisting of open-ended questions about the intervention's acceptability, usefulness, and helpfulness. Satisfaction with the SPI and SFU was separately evaluated.
RESULTS
Nearly all participants found the SAFE VET intervention to be acceptable, reporting that it was helpful in preventing further suicidal behavior and fostering treatment engagement.
CONCLUSIONS
The SAFE VET intervention showed promise as an ED intervention for suicidal patients.
目的
急诊科往往是有自杀倾向者的首要接触点。急诊就诊后的这段时间是自杀风险很高的时期。为满足这一时期的支持需求，一项新的干预措施在五个退伍军人事务部医疗中心的急诊科实施。该干预措施将安全计划干预（SPI）与针对无需住院治疗的有自杀倾向者的电话结构化随访及监测（SFU）相结合。本研究评估了该干预措施的可接受性和感知有用性。
方法
从100名干预参与者中选取样本，完成一次半结构化访谈，访谈包括关于干预措施的可接受性、有用性和帮助程度的开放式问题。分别评估对安全计划干预和结构化随访及监测的满意度。
结果
几乎所有参与者都认为“安全退伍军人”干预措施是可接受的，并表示它有助于预防进一步的自杀行为和促进治疗参与。
结论
“安全退伍军人”干预措施有望成为针对自杀患者的急诊科干预手段。
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