关于自杀披露的负面信念:对美国退伍军人的影响
Kerri-Anne Bell1, Caitlin M O'Loughlin1, Marilyn L Piccirillo2
1Department of Psychology, University of Notre Dame, Notre Dame, Indiana.
The Journal of nervous and mental disease
|October 27, 2023
概括
退伍军人担心透露自杀念头可能会导致枪支没收或住院. 教导他们披露利益和纠正错误信息对于预防自杀的努力至关重要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 自杀思想和行为 (STBs) 的披露对于干预至关重要.
- 了解披露障碍,特别是消极信念,对于有效预防自杀至关重要.
- 这些信念的差异可能存在于不同的群体之间,例如军事退伍军人和非退伍军人,以及基于医疗保健获取的退伍军人子组内.
研究的目的:
- 为了比较美国退伍军人和非退伍军人之间关于披露性病的负面信念.
- 检查退伍军人健康管理局 (VHA) 护理中注册的退伍军人与未注册的退伍军人之间的这些信仰的差异.
- 确定特定的负面信念和VHA注册退伍军人中STB披露的可能性之间的关联.
主要方法:
- 一项横截面在线调查对495名有自杀念头史的成年人进行了调查.
- 参与者报告了他们的性病史,披露模式和有关性病披露的信念.
- 进行了统计分析,以比较不同群体 (退伍军人与非退伍军人,VHA注册与非VHA注册的退伍军人) 的信仰差异,并探索VHA注册群体内的关联.
主要成果:
- 与非退伍军人相比,退伍军人更坚信披露STB会导致枪支没收.
- 与没有VHA注册的退伍军人相比,在VHA护理中注册的退伍军人报告了更强烈的信念,即STB披露可能导致非自愿住院.
- 在VHA注册的退伍军人中,对提供者对真正的性病经历的兴趣和其他人对披露的舒适感的高度信念与披露性病的可能性降低有关.
结论:
- 退伍军人中普遍存在关于披露自杀想法和行为的后果的误解,例如枪支没收和非自愿住院等误解.
- 为退伍军人提供有关披露利益和打击错误信息的有针对性的教育对于预防自杀至关重要.
- 改善与自杀相关的沟通和在VHA内实施耻辱减少活动是鼓励披露的建议策略.
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