功能障碍,内化耻辱和福祉:美国退伍军人严重精神疾病的康复导向自杀预防的考虑因素
Samantha A Chalker1,2, Cara T Pozun1, Blaire C Ehret1,2
1Veterans Affairs San Diego Healthcare System, San Diego, California, USA.
Practice innovations (Washington, D.C.)
|October 30, 2023
概括
退伍军人的严重精神疾病 (SMI) 与自杀念头有关. 在康复计划中,更高的自杀想法与更大的功能障碍,内化耻辱和更低的幸福感有关.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 公共卫生 公共卫生
背景情况:
- 退伍军人卫生管理局的心理社会康复和恢复中心 (PRRC) 为严重精神疾病 (SMI) 提供以康复为导向的护理.
- 高率的自杀想法和行为需要理解与自杀风险相关的恢复结果.
- 在PRRC内部的项目评估定期评估以恢复为导向的结果.
研究的目的:
- 报告进入中国人民共和国的退伍军人中人口统计和诊断的自杀念头频率.
- 探索这个群体中的功能障碍,内化耻辱和幸福率.
- 检查自杀念头频率与这些恢复结果之间的关系.
主要方法:
- 利用了来自4731名进入中国人民共和国的退伍军人的治疗前测量结果.
- 在过去两周内评估自杀念头的频率.
- 测量功能障碍,内化耻辱和幸福感.
主要成果:
- 年轻,已婚,非黑人/非裔美国退伍军人以及患有抑郁症,焦虑症,创伤后应激障碍或人格障碍的人更有可能报告自杀想法.
- 退伍军人报告了较高的功能障碍,轻微的内化耻辱感和低于平均水平的幸福感.
- 增加自杀念头的频率与更大的功能障碍,更高的内化耻辱和更低的幸福感有显著的关联.
结论:
- 这些发现突出了自杀念头和SMI退伍军人的负面康复结果之间的关键联系.
- 结果强调需要将自杀预防策略纳入以康复为导向的护理.
- 讨论了包括自杀念头频率测量的局限性,以告知未来的研究和临床实践.
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