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自杀高风险的退伍军人中吸烟:干预的挑战和机会
Ellen Herbst1,2, Katherine J Hoggatt3,4, Shannon McCaslin5,6
1Mental Health Service, San Francisco VA Health Care System, San Francisco, CA 94121, USA.
Military medicine
|August 1, 2023
概括
退伍军人的自杀率更高. 本评论建议将吸烟纳入自杀风险评估和退伍军人事务部 (VA) 协议中的戒烟干预措施,以减轻退伍军人自杀风险.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 成 药物 药物 药物 药物
背景情况:
- 自杀预防是退伍军人事务部 (VA) 的关键优先事项.
- 与非退伍军人成年人相比,美国退伍军人的自杀率明显高.
- 在退伍军人和非退伍军人人群中,吸烟与自杀思想,尝试,计划和死亡的风险增加有着独立的联系.
研究的目的:
- 倡导将吸烟纳入VA内部的自杀风险评估协议.
- 提出戒烟干预措施作为减少退伍军人自杀风险的有益策略.
- 突出高风险退伍军人群体中自杀预防的可修改目标.
主要方法:
- 这是一个评论,而不是经验研究.
- 作者回顾了有关吸烟与自杀风险之间的联系的现有文献.
- 建议是基于确定的联系和基于证据的戒烟干预措施的可用性.
主要成果:
- 在当前的VA自杀风险评估和缓解策略中,经常会忽视烟草的使用.
- 吸烟是一种可改变的风险因素,与自杀风险增加有关.
- 基于证据的戒烟干预措施已经存在并且可以得到利用.
结论:
- 在退伍军人自杀风险评估协议中,应该明确考虑吸烟.
- 戒烟干预措施应纳入VA自杀预防策略.
- 解决烟草使用障碍是减少退伍军人自杀的关键一步.
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