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在获得VHA服务并被确定为新无家可归的患者中进行自杀风险查和评估
Ryan Holliday1,2,3,4, Trisha Hostetter1, Lisa A Brenner1,2,3
1Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention, Aurora, Colorado, USA.
Health services research
|April 9, 2024
概括
大多数新无家可归的退伍军人接受了自杀风险查,但13%的人错过了. 在那些阳性查的人中,27%的人没有得到及时的评估,这凸显了对这一脆弱群体进行更好的自杀预防的需要.
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
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 无家可归是退伍军人自杀的一个重要风险因素.
- 有效的自杀风险查和评估对这一群体至关重要.
- 退伍军人卫生管理局 (VHA) 实施了通用查流程.
研究的目的:
- 评估普遍自杀风险查和评估过程的有效性.
- 评估这些流程在新无家可归的退伍军人中的实施情况.
- 发现无家可归的退伍军人自杀倾向的护理缺口.
主要方法:
- 退伍军人卫生管理局 (VHA) 医疗记录数据的回顾性分析.
- 从2021年开始,包括新无家可归的退伍军人患者.
- 检查查和评估率,及时性以及相关因素.
主要成果:
- 87.4%的新无家可归退伍军人在无家可归身份的周围一年内接受了自杀风险查/评估.
- 查发生在初级保健,急诊和心理健康机构.
- 72.6%的阳性查导致了及时的全面自杀风险评估 (CSRE),但27%没有.
结论:
- 虽然查广泛,但在确保所有新无家可归的退伍军人被评估方面仍然存在差距.
- 及时全面自杀风险评估 (CSRE) 并不是在所有阳性查中始终实现的.
- 需要进一步努力,以优化无家可归退伍军人的自杀风险识别和干预访问.
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