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一项创新的基于社区的简短心理模型治疗男性自杀危机的病例系列研究。

A case series study of an innovative community-based brief psychological model for men in suicidal crisis.

机构信息

Department of Psychology, Liverpool John Moores University, Liverpool, UK.

James' Place, Liverpool, UK.

出版信息

J Ment Health. 2022 Jun;31(3):392-401. doi: 10.1080/09638237.2021.1979489. Epub 2021 Oct 13.

DOI:10.1080/09638237.2021.1979489
PMID:34643159
Abstract

OBJECTIVES

To conduct a 1-year evaluation of James' Place, a suicidal crisis centre delivering a clinical intervention in a community setting.

DESIGN

A case series study, following men entering the service during the first year of operation.

PARTICIPANTS

Men experiencing a suicidal crisis referred to the service ( = 265), with  = 176 going on to engage in therapy.

INTERVENTION

The James' Place Model is a therapeutic intervention offered to men who are in a suicidal crisis. Trained therapists provide a range of therapeutic approaches and interventions, focusing on decreasing suicidal distress and supporting men to develop resilience and coping strategies.

MAIN OUTCOME MEASURES

CORE-34 Clinical Outcome Measure (CORE-OM).

RESULTS

For all subscales of the CORE-OM there was a significant reduction in mean scores between assessment and discharge ( < 0.001), with all outcomes demonstrating a large effect size. All reductions illustrated a clinically significant change or a reliable change.

CONCLUSIONS

Our results support the use of the James' Place Model for men in suicidal distress to aid in potentially preventing suicides in this high-risk group of the population.HighlightsEvaluates a brief psychological clinical intervention delivered in the community.Model effectively reduces suicide risk and findings can inform future services.Accessed men receiving an innovative intervention at the time of suicidal crisis.

摘要

目的

对詹姆斯广场(James' Place)进行为期 1 年的评估,该中心在社区环境中提供临床干预,以应对自杀危机。

设计

对服务运营第一年期间进入该服务的男性进行的病例系列研究。

参与者

被转介至该服务的处于自杀危机中的男性( = 265),其中  = 176 人继续接受治疗。

干预措施

詹姆斯广场模式(James' Place Model)是为处于自杀危机中的男性提供的一种治疗干预措施。经过培训的治疗师提供一系列治疗方法和干预措施,重点是降低自杀困扰,并帮助男性培养韧性和应对策略。

主要观察指标

核心-34 临床结果测量量表(CORE-OM)。

结果

在 CORE-OM 的所有分量表中,评估和出院时的平均得分均显著降低( < 0.001),所有结果均显示出较大的效应量。所有的降低都表明有临床意义的变化或可靠的变化。

结论

我们的研究结果支持在社区中为处于自杀困扰中的男性使用詹姆斯广场模式,以帮助降低这一高危人群的自杀风险。

亮点

评估了在社区中提供的简短心理临床干预措施。模型有效地降低了自杀风险,研究结果可为未来的服务提供信息。为处于自杀危机中的男性提供创新干预措施。

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