在农村地区使用同行支持进行自杀安全规划干预的实施前调整
Eva N Woodward1,2, Amanda Lunsford1, Rae Brown3
1Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
Frontiers in health services
|January 8, 2024
概括
适应安全规划干预措施在农村地区同行交付是可行的. 关键的促进者包括退伍军人接受和现有计划,而障碍则涉及可持续性和接触中等风险退伍军人.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
背景情况:
- 农村地区的退伍军人面临自杀率和获得护理的差异.
- 安全规划干预 (SPI) 是有效的,但受限于农村环境中的医疗保健提供者的可用性.
- 对等交付SPI提供了一个潜在的解决方案来弥合这一差距.
研究的目的:
- 调整安全规划干预 (SPI) 以在农村退伍军人中进行点对点交付.
- 确定在农村社区实施同行交付SPI的障碍和促进因素.
- 为预防退伍军人自杀传播适应的SPI提供信息.
主要方法:
- 基于社区的参与式研究被用来调整SPI以实现同行交付.
- 与农村退伍军人,支持人员和医疗保健专业人员进行了小组采访.
- 收集了定性和定量数据,以确定核心/可适应的SPI组件和实施因素.
主要成果:
- 参与者建议为提供SPI的同行提供强有力的培训.
- 确定了27个促进者和47个阻碍同行交付SPI实施的障碍.
- 促进者包括农村退伍军人和现有退伍军人危机计划的高接受度;障碍包括组织的可持续性和接触中等风险退伍军人.
结论:
- 为农村社区的同行提供SPI的调整是预防自杀的一个有希望的策略.
- 了解和解决已识别的障碍和促进者对于成功实施和传播至关重要.
- 利用农村社区的优势可以提高同行提供的自杀预防干预措施的有效性.
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