临床医生或同行发给有风险的退伍军人的关怀信:一项随机临床试验
Mark A Reger1,2, Aaron Legler3, MaryGrace Lauver4
1Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
JAMA network open
|April 29, 2024
概括
关怀信件并没有减少退伍军人危机线呼叫者的自杀企图. 然而,收到这些信件与医疗保健利用率的增加有关,根据谁签署了这些信件没有差异.
科学领域:
- 心理健康研究 心理健康研究
- 公共卫生干预 公共卫生干预
- 预防自杀 预防自杀
背景情况:
- 关怀信是急性护理中基于证据的自杀预防策略.
- 在与国家危机线联系的个人中,它们的有效性仍未得到评估.
研究的目的:
- 评估退伍军人危机线 (VCL) 关心信件干预的结果.
- 为了确定签名类型 (临床医生与同行退伍军人) 是否会影响结果.
主要方法:
- 一个并行的随机临床试验和观察设计比较了不同的签名群体和收到的信件.
- 包括102,709名与VCL联系的退伍军人,随访1年.
- 主要结局是自杀企图发生率;次要结局包括医疗保健使用和全因死亡率.
主要成果:
- 关爱信与自杀未遂或全因死亡率之间没有发现任何关联.
- 收到护理信与退伍军人卫生管理局 (VHA) 医疗保健利用率的增加有关.
- 根据签署者类型,没有观察到结果的显著差异.
结论:
- 对于与VCL联系的退伍军人来说,关怀信并没有减少自杀企图.
- 这项干预与医疗保健使用量的增加有关.
- 签名类型没有影响研究结果.
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