在门诊环境中评估自杀风险分层:基于图片的方法
Melissa A Litschi1, Steven L Lancaster1, David J Linkh1
1Institute for Quality, Cohen Veterans Network, Stamford, Connecticut, USA.
Clinical psychology & psychotherapy
|April 4, 2024
概括
治疗师可以可靠地评估自杀风险,但治疗决策往往优先考虑具体情况而不是风险模型指南. 这凸显了对军事人员和退伍军人进行自杀风险评估和分层的持续培训的需求.
科学领域:
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
- 预防军人自杀的方法
背景情况:
- 自杀风险评估和分层是预防军人和退伍军人自杀的关键.
- 了解心理健康治疗师如何在这个领域做出临床决策是必不可少的,但研究不足.
研究的目的:
- 调查治疗师如何评估自杀风险,并使用标准化风险水平确定治疗安排.
- 为了确定影响治疗师临床决策的因素,自杀风险分层化.
主要方法:
- 采用混合方法的方法,使用基于洛基山MIRECC风险分层表的六个不同风险级别的细分组.
- 心理健康治疗师评估了风险,确定了治疗方法,并提供了理由.
- 定性分析探讨了概念理解和决策过程.
主要成果:
- 治疗师在评估跨 vignettes 的自杀风险水平方面表现出可靠性.
- 治疗规划更多地受到标签特定细节的影响,而不是核心风险分层模型的影响.
- 定性数据显示,与自杀风险相关的关键概念的定义和感知存在不一致.
结论:
- 卷轴是评估自杀风险评估中的临床决策的可行工具.
- 这些发现表明需要加强培训和研究,以标准化自杀风险模型的应用.
- 解决概念差异对于改善军人群体的自杀预防策略至关重要.
相关概念视频
Ethical Dilemmas II
1.0K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.0K
Actuarial Approach
77
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
77
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
126
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
126
Cancer Survival Analysis
345
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
345
Comparing the Survival Analysis of Two or More Groups
181
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
181
Self-Presentation: Self-Monitoring and Self-Handicapping
39.0K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
39.0K


