SAFE干预对出院后自杀行为的影响:使用倾向性得分匹配的准实验性研究
Trine Madsen1,2, Annette Erlangsen3,4,5, Eybjørg Egilsdottir3
1Danish Research Institute for Suicide Prevention, CORE- Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Copenhagen, Denmark. trine.madsen@regionh.dk.
Social psychiatry and psychiatric epidemiology
|November 22, 2023
概括
作为一种更安全的出院程序,SAFE干预并没有减少出院后的自杀行为. 自杀企图和死亡率高,表明需要在精神病治疗后的最初一周以外的长期支持.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 精神病医院出院后,自杀行为风险增加.
- 当前的排放协议可能无法充分减轻这种风险.
- 正在探索系统的更安全的出院程序,以提高患者的安全.
研究的目的:
- 评估SAFE干预措施在减少自杀行为方面的有效性.
- 为了确定一个系统的更安全的出院程序是否会影响出院后的自杀企图和死亡.
- 为了比较接受SAFE干预的患者和来自比较站点的患者之间的结果.
主要方法:
- 在SAFE的干预中,涉及到在下放之前和之后的面对面会议和相对参与.
- 倾向性得分匹配被用来比较SAFE站点的7604个排放与匹配的对照.
- 自杀行为在六个月的随访期被评估.
主要成果:
- 在SAFE干预和比较地点之间没有观察到自杀企图率 (1.10;95% CI:0.89-1.35) 的显著差异.
- 没有发现自杀死亡的显著差异 (OR = 1.27;95% CI:0.58-2.81).
- 在六个月的随访期间,自杀行为高率在两组中持续存在.
结论:
- 实施的SAFE干预措施并没有减少退院后的自杀行为.
- 研究结果表明,目前的随访时间可能不足.
- 为了有效的自杀预防策略,可能需要扩展退院后的支持.
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