退伍军人健康管理局的“拓展退伍军人计划”：实践中的自杀预测模型
The Veterans Health Administration REACH VET Program: Suicide Predictive Modeling in Practice.
作者信息
Matarazzo Bridget B, Eagan Aaron, Landes Sara J, Mina Liam K, Clark Kaily, Gerard Georgia R, McCarthy John F, Trafton Jodie, Bahraini Nazanin H, Brenner Lisa A, Keen Angela, Gamble Stephanie A, Lawson W Cole, Katz Ira R, Reger Mark A
机构信息
Rocky Mountain Mental Illness Research Education and Clinical Center for Suicide Prevention, U.S. Department of Veterans Affairs (VA) (Matarazzo, Clark, Gerard, Bahraini, Brenner, Lawson), and Departments of Physical Medicine and Rehabilitation and Psychiatry, University of Colorado Anschutz Medical Campus (Matarazzo, Bahraini, Brenner), Aurora; Office of Mental Health and Suicide Prevention (OMHSP), VA, Washington, D.C. (Eagan, McCarthy, Katz); Quality Enhancement Research Initiative for Team-Based Behavioral Health, Central Arkansas Veterans Healthcare System, North Little Rock, and Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock (Landes); Program Evaluation and Resource Center, OMHSP, VA, Menlo Park, California (Mina, Trafton); Department of Psychiatry, University of Michigan, Ann Arbor (McCarthy); Veterans Integrated Service Network 4, VA, Pittsburgh (Keen); Center of Excellence for Suicide Prevention, Veterans Integrated Service Network 2, Canandaigua, New York, and Department of Psychiatry, University of Rochester Medical Center, Rochester, New York (Gamble); Puget Sound Health Care System, VA, and Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Reger).
出版信息
Psychiatr Serv. 2023 Feb 1;74(2):206-209. doi: 10.1176/appi.ps.202100629. Epub 2022 Aug 30.
The U.S. Veterans Health Administration developed a suicide prediction statistical model and implemented a novel clinical program, Recovery Engagement and Coordination for Health-Veterans Enhanced Treatment (REACH VET). This high-value suicide prevention program aims to efficiently identify patients at risk and connect them with care. Starting in April 2017, national REACH VET metric data were collected from electronic health records to evaluate required task completion. By October 2020, 98% of veterans identified (N=6,579) were contacted by providers and had their care evaluated. In the nation's largest health care system, it was feasible to implement a clinical program based on a suicide prediction model.
美国退伍军人健康管理局开发了一种自杀预测统计模型，并实施了一项新的临床项目，即退伍军人健康强化治疗康复参与与协调项目（REACH VET）。这个高价值的自杀预防项目旨在有效识别有风险的患者，并为他们提供医疗服务。从2017年4月开始，从电子健康记录中收集全国REACH VET指标数据，以评估所需任务的完成情况。到2020年10月，已识别出的退伍军人（N = 6579）中有98%被医疗服务提供者联系并接受了医疗评估。在该国最大的医疗系统中，基于自杀预测模型实施临床项目是可行的。
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