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一项自杀安全计划团体治疗的开放性试验:“生命力量项目”

An Open Trial of a Suicide Safety Planning Group Treatment: "Project Life Force".

作者信息

Goodman Marianne, Sullivan Sarah R, Spears Angela Page, Dixon Lisa, Sokol Yosef, Kapil-Pair Kalpana Nidhi, Galfalvy Hanga C, Hazlett Erin A, Stanley Barbara

出版信息

Arch Suicide Res. 2021 Jul-Sep;25(3):690-703. doi: 10.1080/13811118.2020.1746940. Epub 2020 Apr 14.

Abstract

In 2008, the Department of Veterans Affairs mandated that clinicians oversee the construction of a Suicide Safety Plan for every patient who is identified as "high risk" for suicide. While the Suicide Safety Plan is a mandated "best practice," there are currently no recommended guidelines for its augmentation in a group setting. To address this gap, a novel group intervention, "Project Life Force," (PLF; a 10-session manualized psychotherapy), was developed and piloted. Results indicate high feasibility and acceptability. Exploratory analysis revealed statistically significant decreases in suicidal thoughts/behaviors, depression, and hopelessness. Feedback from Veterans and PLF therapists is also discussed. Despite some limitations (e.g. small sample size) exploratory results suggest that PLF may be a promising treatment for Veterans with suicidal symptomology.

摘要

2008年,美国退伍军人事务部规定,临床医生要为每一位被认定有“高自杀风险”的患者制定自杀安全计划。虽然自杀安全计划是一项规定的“最佳做法”,但目前尚无在团体环境中加强该计划的推荐指南。为了填补这一空白,开发并试行一种新的团体干预措施“生命力量计划”(PLF;一种为期10节的手册化心理治疗)。结果显示出高度的可行性和可接受性。探索性分析表明,自杀念头/行为、抑郁和绝望感在统计学上有显著下降。还讨论了退伍军人和PLF治疗师的反馈。尽管存在一些局限性(例如样本量小),但探索性结果表明,PLF可能是治疗有自杀症状退伍军人的一种有前景的疗法。

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