Department of Psychology, Agnes Scott College, Atlanta (Thomas); Department of Psychiatry, State University of New York Upstate Medical University, Syracuse (Sperry, Shields, Gregory). Marcela Horvitz-Lennon, M.D., Kenneth Minkoff, M.D., and Esperanza Diaz, M.D., are editors of this column.
Psychiatr Serv. 2022 Jun;73(6):701-704. doi: 10.1176/appi.ps.202100162. Epub 2021 Oct 27.
Suicide prevention efforts have focused primarily on screening, education, and brief interventions rather than on treatment of underlying vulnerabilities. The Psychiatry High Risk Program (PHRP) is a specialized outpatient program for suicidal youths and young adults that facilitates transitions in care and provides comprehensive treatment aimed at healing and recovery. The authors evaluated the program's impact on inpatient utilization and suicide risk for patients (N=32) who were referred to the PHRP after psychiatric hospitalization for suicidality. Results indicate that program participants had large reductions in depression and suicidal ideation over 180 days postdischarge; they also had significantly fewer rehospitalizations than did a matched historical cohort, with an average savings of >6 hospital days per patient. These preliminary results suggest that a recovery-based suicide prevention program can be feasible and sustainable and may be cost-effective in a value-based system of care.
自杀预防工作主要集中在筛查、教育和简短干预上，而不是针对潜在脆弱性进行治疗。精神病高危计划（PHRP）是一个专门为有自杀倾向的青少年和年轻人设立的门诊项目，它促进了护理的过渡，并提供了全面的治疗，旨在治愈和康复。作者评估了该计划对因自杀而住院的患者（N=32）在精神病住院后的住院利用率和自杀风险的影响。结果表明，在出院后 180 天内，项目参与者的抑郁和自杀意念显著减少；与匹配的历史队列相比，他们的再住院率显著降低，每位患者平均节省 >6 天的住院时间。这些初步结果表明，基于康复的自杀预防计划是可行和可持续的，并且在基于价值的护理系统中可能具有成本效益。
