描述退伍军人危机线呼叫者和区域后续行动
Brooke A Ammerman1, Sarah P Carter2,3, Kara Walker1
1VA Puget Sound Health Care System, Seattle, Washington, USA.
概括
退伍军人危机线 (VCL) 帮助退伍军人在危机中. 大多数打电话的人的风险低至中等,但随访显示,自杀念头可以出乎意料地出现,需要持续评估.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
- 提高质量 提高质量
背景情况:
- 退伍军人危机线 (VCL) 为退伍军人提供24/7全国支持.
- 当地的自杀预防工作需要了解VCL呼叫特征和结果.
- 弗吉尼亚州普吉特湾医疗保健系统启动了一项质量改进项目,以分析VCL电话.
研究的目的:
- 描述退伍军人危机线 (VCL) 呼叫及其在VA普吉特音域医疗保健系统的结果.
- 确定影响风险评估和VCL呼叫后立即评估的因素.
- 以VCL呼叫数据为基础,为当地自杀预防策略提供信息.
主要方法:
- 一个质量改进项目分析了344个退伍军人危机线 (VCL) 电话.
- 数据是从VCL响应者文档和当地自杀预防小组记录中提取的.
- 记录了通话特征,风险评估和后续结果.
主要成果:
- 大多数呼叫者被评估为低至中等风险.
- 自杀念头 (SI) 电话更有可能被VCL响应者评估为高风险.
- 关于SI,身体健康或周末的电话更有可能导致立即评估.
- 17%的没有初始SI的电话在后续报告SI.
结论:
- 自杀念头可以迅速波动,需要持续评估.
- 当地自杀预防小组需要对SI的动态性进行培训.
- 了解VCL呼叫模式可以增强退伍军人的当地自杀预防工作.
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