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通过研究-运营伙伴关系加速女性退伍军人的自杀风险和预防研究。

Accelerating Research on Suicide Risk and Prevention in Women Veterans Through Research-Operations Partnerships.

机构信息

Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) for Suicide Prevention, VA Eastern Colorado Health Care System.

Department of Physical Medicine & Rehabilitation, Anschutz School of Medicine, University of Colorado, Aurora, CO.

出版信息

Med Care. 2021 Feb 1;59:S11-S16. doi: 10.1097/MLR.0000000000001432.

Abstract

BACKGROUND

Suicide rates for women veterans are increasing faster than for nonveterans. The 2017 suicide rate for women veterans was more than double that for women nonveterans. However, research to inform improved suicide prevention for women veterans is scant.

OBJECTIVES

To accelerate research on women veterans' unique risks and resiliencies for suicide, the Department of Veterans Affairs (VA) Women's Health Research Network launched a Women Veterans Suicide Prevention Research Work Group to target technical support for researchers, promote collaboration with national VA program offices, and ultimately increase dissemination and translation of research into clinical practice, public health strategies, and policies. The objective of this paper is to report on the process and outcomes of the Work Group's strategic planning efforts to identify and fill gaps in suicide prevention research among women veterans.

METHODS

An in-person meeting of 20 researchers and operational leaders was convened to summarize existing research evidence and identify research priorities and challenges.

RESULTS

Research priorities included civilian reintegration, community connections, psychosocial stressors (eg, social determinants of health) and trauma, risk assessment, clinical interventions, upstream prevention, and health care access. The importance of increasing evidence on gender differences and for women veterans not using VA health care was emphasized.

CONCLUSIONS

Research to inform suicide prevention tailored to meet women veterans' needs is essential; however, many priorities and challenges remain unaddressed. Although Work Group efforts have achieved funding gains, further work to formalize, promote and meet the demands of a suicide prevention research agenda for women veterans requires is ongoing focus.

摘要

背景

女性退伍军人的自杀率增长速度快于非退伍军人。2017 年女性退伍军人的自杀率是女性非退伍军人的两倍多。然而,为了为女性退伍军人提供更好的预防自杀服务,目前相关研究还很少。

目的

为了加快研究女性退伍军人在自杀方面的独特风险和适应能力,退伍军人事务部(VA)妇女健康研究网络成立了一个女性退伍军人预防自杀研究工作组,为研究人员提供技术支持,促进与国家 VA 项目办公室的合作,最终将研究成果更广泛地应用于临床实践、公共卫生战略和政策中。本文旨在报告工作组在制定战略计划方面的进展和成果,该计划旨在确定和填补女性退伍军人预防自杀研究中的空白。

方法

召集了 20 名研究人员和运营负责人举行了一次现场会议,以总结现有研究证据,并确定研究重点和挑战。

结果

研究重点包括平民重新融入社会、社区联系、心理社会压力源(例如,健康的社会决定因素)和创伤、风险评估、临床干预、上游预防以及获得医疗保健。强调了增加关于性别差异和不使用 VA 医疗保健的女性退伍军人证据的重要性。

结论

为满足女性退伍军人的需求而进行的预防自杀研究至关重要;但是,仍有许多重点和挑战尚未得到解决。尽管工作组的努力已经获得了资金收益,但仍需要持续关注,以进一步正式化、推广和满足女性退伍军人预防自杀研究议程的需求。

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