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预防女性退伍军人自杀:具有性别敏感性、创伤知情的概念化

Preventing Suicide Among Women Veterans: Gender-Sensitive, Trauma-Informed Conceptualization.

作者信息

Monteith Lindsey L, Holliday Ryan, Dichter Melissa E, Hoffmire Claire A

机构信息

Rocky Mountain MIRECC for Veteran Suicide Prevention, Rocky Mountain Regional VA Medical Center, 1700 North Wheeling St, Aurora, CO 80045 USA.

Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO USA.

出版信息

Curr Treat Options Psychiatry. 2022;9(3):186-201. doi: 10.1007/s40501-022-00266-2. Epub 2022 Jun 15.

Abstract

PURPOSE OF REVIEW

There is growing concern regarding suicide among women veterans, who have experienced an increase in suicide rates that has exceeded that reported for other US adult populations. Recent research has bolstered understanding of correlates of suicide risk specific to women veterans. Yet most existing suicide prevention initiatives take a gender-neutral, rather than gender-sensitive, approach. We offer clinical considerations and suggestions for suicide prevention tailored to the needs, preferences, and experiences of women veterans. Discussion is framed around the White House strategy for preventing suicide among military service members and veterans.

RECENT FINDINGS

Considering high rates of trauma exposure among women veterans, we propose that a trauma-informed lens is essential for taking a gender-sensitive approach to suicide prevention with this population. Nonetheless, research to inform evidence-based assessment and intervention remains largely focused on veteran men or gender-neutral. Integral next steps for research are posited.

SUMMARY

Extant research provides an initial foundation for beginning to understand and address suicide among women veterans in a gender-sensitive, trauma-informed manner. Additional research that is specific to women veterans or that examines gender differences is critical to ensure women veterans receive optimal, evidence-based care to prevent suicide.

摘要

综述目的

女性退伍军人的自杀问题日益受到关注,她们的自杀率有所上升,且超过了美国其他成年人群体的报告水平。近期研究增进了对女性退伍军人自杀风险相关因素的理解。然而,现有的大多数自杀预防举措采取的是性别中立而非性别敏感的方法。我们针对女性退伍军人的需求、偏好和经历,提供了自杀预防的临床考量和建议。讨论围绕白宫预防军人和退伍军人自杀的战略展开。

最新发现

鉴于女性退伍军人中创伤暴露率较高,我们认为,以创伤知情的视角对于以性别敏感的方式预防这一群体的自杀至关重要。尽管如此,为循证评估和干预提供依据的研究仍主要集中在退伍军人男性或性别中立方面。提出了研究的必要后续步骤。

总结

现有研究为以性别敏感、创伤知情的方式开始理解和解决女性退伍军人的自杀问题提供了初步基础。针对女性退伍军人或研究性别差异的更多研究对于确保女性退伍军人获得最佳的循证护理以预防自杀至关重要。

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