Rojas Sasha M, Gold Sari D, Bryan Craig J, Pruitt Larry D, Felker Bradford L, Reger Mark A
VA Puget Sound Health Care System and VISN 20 Clinical Resource Hub, Boise, ID 83702.
VA Puget Sound Health Care System and University of Washington.
Cogn Behav Pract. 2022 May;29(2):446-453. doi: 10.1016/j.cbpra.2020.12.001. Epub 2021 Feb 4.
Although veterans living in remote/rural areas are at elevated risk for suicide, there is very little research specific to treating suicidal veterans who present with barriers to in-person care. The current study aims to examine the delivery of brief cognitive-behavioral therapy for suicide prevention (BCBT-SP) via Clinical Video Telehealth (CVT) to the home of a veteran discharged from the psychiatric inpatient unit after a recent suicide attempt. Preliminary data on acceptability, feasibility, and changes in symptoms were gathered. The veteran received treatment during the 2020 COVID-19 outbreak and additional adaptations were made accordingly. The veteran did not engage in any suicidal behavior during the course of treatment, and suicidal ideation, depression, and anxiety decreased as treatment progressed. The results provide initial support for the feasibility of BCBT-SP via CVT to the home.
尽管生活在偏远/农村地区的退伍军人自杀风险较高，但针对治疗存在面对面护理障碍的自杀退伍军人的研究却非常少。当前的研究旨在通过临床视频远程医疗（CVT），为一名近期自杀未遂后从精神科住院部出院的退伍军人提供预防自杀的简短认知行为疗法（BCBT-SP），并将其送到家中。收集了关于可接受性、可行性和症状变化的初步数据。该退伍军人在2020年新冠疫情爆发期间接受了治疗，并相应地进行了额外调整。在治疗过程中，该退伍军人未出现任何自杀行为，且随着治疗的推进，自杀意念、抑郁和焦虑症状有所减轻。这些结果为通过CVT将BCBT-SP送到家中的可行性提供了初步支持。
