Department of Psychology, Florida State University.
Department of Psychology, University of Southern Mississippi.
Psychol Serv. 2021 Aug;18(3):365-376. doi: 10.1037/ser0000415. Epub 2020 Feb 17.
Research indicates that connection to mental health care services and treatment engagement remain challenges among suicide attempt survivors. One way to improve suicide attempt survivors' experiences with mental health care services is to elicit suggestions directly from attempt survivors regarding how to do so. This study aimed to identify and synthesize suicide attempt survivors' recommendations for how to enhance mental health treatment experiences for attempt survivors. A sample of 329 suicide attempt survivors (81.5% female, 86.0% White/Caucasian, mean age = 35.07 ± 12.18 years) provided responses to an open-ended self-report survey question probing how treatment might be improved for suicide attempt survivors. Responses were analyzed utilizing both qualitative and quantitative techniques. Analyses identified four broad areas in which mental health treatment experiences might be improved for attempt survivors: (a) provider interactions (e.g., by reducing stigma of suicidality, expressing empathy, and using active listening), (b) intake and treatment planning (e.g., by providing a range of treatment options, including nonmedication treatments, and conducting a thorough assessment), (c) treatment delivery (e.g., by addressing root problems, bolstering coping skills, and using trauma-informed care), and (d) structural issues (e.g., by improving access to care and continuity of care). Findings highlight numerous avenues by which health providers might be able to facilitate more positive mental health treatment experiences for suicide attempt survivors. Research is needed to test whether implementing the recommendations offered by attempt survivors in this study might lead to enhanced treatment engagement, retention, and outcomes among suicide attempt survivors at large. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
研究表明，自杀未遂幸存者与心理健康护理服务的联系以及治疗参与仍然存在挑战。改善自杀未遂幸存者对心理健康护理服务体验的一种方法是直接征求尝试幸存者的意见，了解如何做到这一点。本研究旨在确定并综合自杀未遂幸存者对如何增强自杀未遂幸存者心理健康治疗体验的建议。一项对 329 名自杀未遂幸存者（81.5%为女性，86.0%为白种人/高加索人，平均年龄=35.07±12.18 岁）的样本进行了一项开放式自我报告调查，该调查探究了如何改善自杀未遂幸存者的治疗方法。使用定性和定量技术对这些回复进行了分析。分析确定了四个可以改善自杀未遂幸存者心理健康治疗体验的广泛领域：（a）提供者互动（例如，减少对自杀的污名化、表达同理心和使用积极倾听）；（b）摄入和治疗计划（例如，提供一系列治疗选择，包括非药物治疗，并进行彻底评估）；（c）治疗提供（例如，通过解决根本问题、增强应对技能和使用创伤知情护理）；以及（d）结构问题（例如，通过改善护理的可及性和连续性）。研究结果突出了许多途径，通过这些途径，医疗服务提供者可以为自杀未遂幸存者提供更积极的心理健康治疗体验。需要进行研究以测试实施本研究中尝试幸存者提出的建议是否会导致自杀未遂幸存者的治疗参与度、保留率和结果得到增强。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
