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理解自杀:单次住院心理教育团体的开发和试点评估。

Understanding suicide: Development and pilot evaluation of a single-session inpatient psychoeducation group.

机构信息

VA Puget Sound Health Care System.

出版信息

Psychol Serv. 2022 Aug;19(3):423-430. doi: 10.1037/ser0000543. Epub 2021 Apr 22.

DOI:10.1037/ser0000543
PMID:35878069
Abstract

Suicide is a considerable public health concern, particularly among U.S. veterans. Despite inpatient psychiatric hospitalization being a primary recommended treatment for acute suicidality, available inpatient group treatments remain limited. The current quality improvement project (QIP) aimed to examine the feasibility and acceptability of a newly developed single-session suicide-focused psychoeducation for veterans during psychiatric hospitalization. This project was conducted in two phases among veterans hospitalized for suicidal thoughts or behaviors. The first phase ( = 56) aimed to refine the group content and explore feasibility and tolerability of the group. Following content revisions suggested by Phase 1 findings, Phase 2 ( = 78; = 48.11; 87% male) aimed to replicate and extend tolerability findings, as well as assess the acceptability of the group on an inpatient unit and the alignment of group content with the primary group objectives. Veteran acceptability of the group was high, and content was reported to be new and useful by veterans. Minimal changes in distress from before to after the group were identified. Further, after group participation, veterans reported being more hopeful and motivated to learn skills to cope with their suicidal thoughts and behaviors (STB). Results support the acceptability and feasibility of the newly developed suicide psychoeducation group among veterans on a psychiatric inpatient unit, highlighting the need for future systematic investigations to determine whether the results extend to other settings and populations. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

自杀是一个相当严重的公共卫生问题,尤其是在美国退伍军人中。尽管住院精神病治疗是治疗急性自杀倾向的主要推荐治疗方法,但现有的住院团体治疗仍然有限。目前的质量改进项目(QIP)旨在研究在住院精神病治疗期间为退伍军人提供新开发的单次自杀焦点心理教育的可行性和可接受性。该项目在因自杀念头或行为住院的退伍军人中分为两个阶段进行。第一阶段(n = 56)旨在完善团体内容,并探索团体的可行性和可耐受性。在第一阶段发现的内容修订建议之后,第二阶段(n = 78;n = 48.11;87%为男性)旨在复制和扩展可耐受性发现,以及评估团体在住院病房的可接受性以及团体内容与主要团体目标的一致性。退伍军人对该团体的接受度很高,退伍军人报告说团体内容新颖且有用。从团体前到团体后,痛苦程度的变化很小。此外,在参加团体后,退伍军人报告说更有希望和动力学习应对自杀念头和行为(STB)的技能。结果支持在精神病住院病房为退伍军人新开发的自杀心理教育团体的可接受性和可行性,强调需要进一步进行系统调查,以确定这些结果是否扩展到其他环境和人群。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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