Behavioral Health Quality Enhancement Research Initiative (QUERI) (Landes, Woods, Curtis) and Center for Mental Health Outcomes and Research (Abraham, Woods), Central Arkansas Veterans Healthcare System, North Little Rock; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock (Landes, Abraham); Veterans Crisis Line, Office of Mental Health and Suicide Prevention, Department of Veterans Affairs (VA) Central Office, Washington, D.C. (Lauver, Hughes); VA Puget Sound Health Care System, Seattle (Manchester, Porter, Reger); Partnered Evidence-Based Policy Resource Center, VA Boston Healthcare System, and Department of Health Law, Policy and Management, Boston University School of Public Health, Boston (Garrido); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Reger).
Psychiatr Serv. 2023 Dec 1;74(12):1234-1239. doi: 10.1176/appi.ps.20220632. Epub 2023 May 24.
OBJECTIVE: Suicide is a leading cause of death in the United States. This has prompted the U.S. surgeon general to issue a report describing actionable items to reduce suicide rates, including a recommendation to increase the use of the caring letters intervention. This intervention involves mailing brief, nondemanding messages of care. As part of the Department of Veterans Affairs' (VA's) efforts to reduce suicide rates among veterans, a caring letters project was developed for veterans who contact the Veterans Crisis Line (VCL). This article describes the results of qualitative interviews conducted to better understand the experiences of veterans who received caring letters. METHODS: Beginning in 2020, all identifiable veterans who used Veterans Health Administration services and contacted the VCL received nine letters over 1 year, along with a list of mental health resources. Semistructured interviews (N=23) were conducted, and content analysis was used to identify veterans' perspectives and suggestions for improving the intervention. RESULTS: Sixteen men and seven women participated (mean age=53 years). Feedback varied, with most participants reporting that receiving caring letters had a positive impact and others noting aspects that could be improved to enhance the intervention's caring intent. Some also reported that the letters helped them engage with community resources and made them more likely to seek VA care. CONCLUSIONS: The caring letters intervention, received after contact with the VCL, was well received by participants. They described feeling appreciated, cared for, encouraged, and connected. The results of this study will inform future evaluation examining veteran outcomes.
目的:自杀是美国的主要死因之一。这促使美国外科医生总发布了一份报告,描述了可采取的行动来降低自杀率,包括建议增加使用关怀信函干预措施。这种干预措施包括邮寄简短、不过分要求的关怀信息。作为退伍军人事务部(VA)降低退伍军人自杀率努力的一部分,为联系退伍军人危机热线(VCL)的退伍军人开发了一个关怀信函项目。本文描述了为了更好地了解收到关怀信函的退伍军人的经验而进行的定性访谈的结果。
方法:从 2020 年开始,所有使用退伍军人健康管理局服务并联系 VCL 的可识别退伍军人在一年内收到了九封信件,以及一份心理健康资源清单。进行了半结构化访谈(N=23),并使用内容分析来确定退伍军人的观点和改进干预措施的建议。
结果:16 名男性和 7 名女性参与了研究(平均年龄=53 岁)。反馈各不相同,大多数参与者报告说收到关怀信对他们产生了积极影响,而其他人则指出了可以改进以增强干预措施关怀意图的方面。一些人还报告说,这些信件帮助他们与社区资源建立联系,并使他们更有可能寻求 VA 护理。
结论:在联系 VCL 后收到的关怀信函干预措施受到了参与者的好评。他们表示感到被欣赏、被关心、被鼓励和被联系。这项研究的结果将为未来评估退伍军人的结果提供信息。
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Adm Policy Ment Health. 2020-1
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Psychol Serv. 2023-2
Health Serv Res. 2022-6
Suicide Life Threat Behav. 2021-6
Pilot Feasibility Stud. 2019-10-10
Suicide Life Threat Behav. 2019-9-27
Psychiatry Res. 2019-8-9