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指导军队指挥官在管理其预防自杀计划中的决策过程。

Guiding Army Commanders' Decision-making Process in Managing Their Suicide Prevention Programs.

机构信息

National Capital Consortium Psychiatry Residency Program, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD, USA.

Department of the Army, DCS-G1, The Pentagon, Washington, D.C., 20310, USA.

出版信息

Curr Psychiatry Rep. 2022 Jul;24(7):337-344. doi: 10.1007/s11920-022-01341-4. Epub 2022 May 16.

DOI:10.1007/s11920-022-01341-4
PMID:35576090
Abstract

PURPOSE OF REVIEW

This paper focuses on how mental health professionals working with Army commanders can help them make decisions based on valid population-based metrics. We first summarize the scope of the impact of suicides on the Army. We then describe the process by which decision-making can be optimized.

RECENT FINDINGS

The currently available tools in the US Army including BH Pulse, Unit Risk Inventory, The Azimuth Check, and the Army Readiness Assessment Program have a role in assisting mental health professionals. The specific advantages of BH Pulse over the other tools are highlighted. The US Army has been committed to enhancing its suicide prevention program through comprehensive policies, procedures, and provisions of resources. Commanders are expected to interact with the suicide prevention programs in their units and maximize the systems in place to prevent suicides and other negative mental health outcomes. Commanders are expected to receive cues and signals from a variety of data sources to assist their decision-making process. We discuss the specific advantages of BH Pulse and recommend its routine use for primary prevention and utilizing this tool after incidents to make data-driven, justifiable decisions. Finally, recommendations are provided on enhancing a unit's suicide prevention program.

摘要

目的综述:本文重点介绍了从事心理健康工作的专业人员如何帮助军队指挥官基于有效的人群指标做出决策。我们首先总结了自杀对军队的影响范围。然后,我们描述了优化决策过程的方法。

最近的发现:目前美国陆军可用的工具包括 BH Pulse、单位风险清单、方位检查和陆军准备评估计划,这些工具在协助心理健康专业人员方面发挥了作用。突出了 BH Pulse 相对于其他工具的具体优势。美国陆军一直致力于通过全面的政策、程序和资源规定来加强其预防自杀计划。指挥官们预计将在其部队中与预防自杀计划进行互动,并最大限度地利用现有系统预防自杀和其他负面心理健康结果。指挥官们预计将从各种数据源中获取线索和信号,以协助他们的决策过程。我们讨论了 BH Pulse 的具体优势,并建议将其常规用于初级预防,并在事件发生后利用该工具做出数据驱动、合理的决策。最后,就如何加强部队的预防自杀计划提出了建议。

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本文引用的文献

1
Trends in Suicide Rates by Race and Ethnicity in the United States.美国按种族和民族划分的自杀率趋势。
JAMA Netw Open. 2021 May 3;4(5):e2111563. doi: 10.1001/jamanetworkopen.2021.11563.
2
Association of Aspirin Use for Primary Prevention With Cardiovascular Events and Bleeding Events: A Systematic Review and Meta-analysis.阿司匹林用于一级预防与心血管事件及出血事件的相关性:系统评价和荟萃分析。
JAMA. 2019 Jan 22;321(3):277-287. doi: 10.1001/jama.2018.20578.
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The Burden of Opioid-Related Mortality in the United States.美国阿片类药物相关死亡率负担。
JAMA Netw Open. 2018 Jun 1;1(2):e180217. doi: 10.1001/jamanetworkopen.2018.0217.
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Psychiatric Aeromedical Evacuations of Deployed Active Duty U.S. Military Personnel During Operations Enduring Freedom, Iraqi Freedom, and New Dawn.在“持久自由行动”“伊拉克自由行动”和“新黎明行动”期间,对部署的美国现役军事人员进行的精神科航空医疗后送
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Transformation of Mental Health Care for U.S. Soldiers and Families During the Iraq and Afghanistan Wars: Where Science and Politics Intersect.伊拉克和阿富汗战争期间美国士兵及其家庭的心理健康护理转变:科学与政治的交集。
Am J Psychiatry. 2016 Apr 1;173(4):334-43. doi: 10.1176/appi.ajp.2015.15040553. Epub 2015 Nov 10.
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JAMA Psychiatry. 2015 Jan;72(1):49-57. doi: 10.1001/jamapsychiatry.2014.1754.