评估一个以社区为基础的短暂干预服务,为处于危机中的青少年提供自杀念头或自我伤害的评估
Scott B Teasdale1,2, Caitlin Dixon3, Jeffrey S Ball3
1School of Clinical Medicine, Discipline of Psychiatry and Mental Health, UNSW Sydney, Kensington, New South Wales, Australia.
Early intervention in psychiatry
|April 20, 2024
概括
对处于危机中的年轻人进行的混合虚拟和面对面的简短干预有效地减少了紧急心理健康服务的使用,并改善了福祉. 这种方法对于有自杀念头和自我伤害的年轻人来说是可行的和可以接受的.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 青少年精神病学 青少年精神病学
- 临床心理学 临床心理学
背景情况:
- 报到城市精神卫生服务的年轻人经常经历自杀念头和自我伤害.
- 简短的干预对于管理青少年急性心理健康危机至关重要.
- 整合虚拟和面对面的护理可以提高青少年的可访问性和参与度.
研究的目的:
- 评估对处于风险的年轻人进行混合短期干预的实施和有效性.
- 评估服务的采用,保留,忠诚度和用户体验.
- 测量对心理健康服务利用,功能和临床结果的影响.
主要方法:
- 对青年简要干预服务 (2021年6月至2022年10月) 的实用,现实世界的评估.
- 在一个月的时间里进行四次会议,重点是应急耐受性,安全规划和支持系统.
- 前后结果措施包括医院服务使用,功能,心理健康状况,自我伤害,自杀念头和生活质量.
主要成果:
- 在136名被推的年轻人中,99人 (73%) 接受了干预;80%完成了护理.
- 报告的高用户 (97%) 和护理人员 (88%) 满意度.
- 干预后急诊室呈现 (42至7) 和住院日 (11至0) 的显著减少.
- 观察到的心理健康状况的改善,自我伤害的频率,一般健康状况,功能和生活质量.
结论:
- 青年简要干预服务是危机中年轻人的可行和可接受的模式.
- 该干预表明了主观的好处,并与急性精神卫生服务使用率的减少相吻合.
- 混合方法在改善弱势青年群体的心理健康结果方面表现有希望.
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