U.S. Department of Veterans Affairs, Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC), Rocky Mountain Regional VA Medical Center, Aurora, CO, USA.
Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth Campus, Duluth, MN, USA.
Suicide Life Threat Behav. 2021 Apr;51(2):358-367. doi: 10.1111/sltb.12712.
The purpose of this study was to develop a conceptual model of community-based veteran peer suicide prevention.
We conducted a qualitative study in which semi-structured interviews were followed by three focus groups. Participants (n = 17) were chosen from community-based organizations who had peers working on veteran suicide prevention; the sample included veteran peers, non-peers, program managers, and community stakeholders. Interview data were analyzed thematically and inductively to identify key components and subcomponents of veteran peer suicide prevention. A draft model was shared with each focus group to elicit feedback and refine key concepts.
A conceptual model containing nine components and twenty-six subcomponents was developed. Participants emphasized key organizational, relational, and practical elements needed to achieve positive outcomes. In addition, they described critical contextual and cultural factors that impacted veteran peers' ability to prevent suicide and promote overall wellness.
Community-based veteran peer efforts are a promising public health approach to preventing veteran suicide. Provided veteran peers are supported and fully allowed to contribute, these efforts can complement existing clinic-based efforts. Future research on community-based veteran peer suicide prevention should document a range of outcomes (e.g., clinical, wellness, financial) and allow for considerable flexibility in peer approaches.
本研究旨在构建一个基于社区的退伍军人同伴预防自杀的概念模型。
我们进行了一项定性研究，包括半结构化访谈和三次焦点小组。参与者（n=17）来自从事退伍军人自杀预防工作的社区组织，包括退伍军人同伴、非同伴、项目经理和社区利益相关者。使用主题分析和归纳法对访谈数据进行分析，以确定退伍军人同伴预防自杀的关键组成部分和子组成部分。模型草案与每个焦点小组共享，以征求反馈并完善关键概念。
构建了一个包含九个组成部分和二十六个子组成部分的概念模型。参与者强调了实现积极成果所需的关键组织、关系和实际要素。此外，他们还描述了影响退伍军人同伴预防自杀和促进整体健康能力的关键背景和文化因素。
基于社区的退伍军人同伴努力是预防退伍军人自杀的一种有前途的公共卫生方法。只要为退伍军人同伴提供支持并充分允许他们做出贡献，这些努力就可以补充现有的诊所基础努力。未来关于基于社区的退伍军人同伴预防自杀的研究应记录一系列结果（如临床、健康、财务），并允许同伴方法具有相当大的灵活性。
